A nurse is conducting an in-service on childhood gastrointestinal ...

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A nurse is conducting an in-service on childhood gastrointestinal disorders. Which statement is most descriptive of Meckel diverticulum?
 
  a. It is more common in females than in males.
  b. It is acquired during childhood.
  c. Intestinal bleeding may be mild or profuse.
  d. Medical interventions are usually sufficient to treat the problem.

Question 2

The nurse is caring for a child admitted with acute abdominal pain and possible appendicitis. Which is appropriate to relieve the abdominal discomfort?
 
  a. Place in Trendelenburg position.
  b. Allow to assume position of comfort.
  c. Apply moist heat to the abdomen.
  d. Administer a saline enema to cleanse bowel.

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Answer to Question 1

ANS: C
Bloody stools are often a presenting sign of Meckel diverticulum. It is associated with mild to profuse intestinal bleeding. It is twice as common in males as in females, and complications are more frequent in males. Meckel diverticulum is the most common congenital malformation of the GI tract and is present in 1 to 4 of the general population. The standard therapy is surgical removal of the diverticulum.

Answer to Question 2

ANS: B
The child should be allowed to take a position of comfort, usually with the legs flexed. The Trendelenburg position will not help with the discomfort. In any instance in which appendicitis is a possibility, there is a danger in administering a laxative or enemas or applying heat to the area. Such measures stimulate bowel motility and increase the risk of perforation.

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TYSM

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