Author Question: A nurse has admitted a child to the hospital with a diagnosis of rule out peptic ulcer disease. ... (Read 192 times)

cherise1989 · **on:** Jun 27, 2018

A nurse has admitted a child to the hospital with a diagnosis of rule out peptic ulcer disease. Which test will the nurse expect to be ordered to confirm the diagnosis of a peptic ulcer?

a. A 24-hour dietary history
b. A positive Hematest result on a stool sample
c. A fiberoptic upper endoscopy
d. An abdominal ultrasound

Question 2

Which information does the nurse include when teaching the parents of a 5-week-old infant about pyloromyotomy?

a. The infant will be in the hospital for a week.
b. The surgical procedure is routine and no big deal..
c. The prognosis for complete correction with surgery is good.
d. They will need to ask the physician about home care nursing.

Awesome · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Endoscopy provides direct visualization of the stomach lining and confirms the diagnosis of peptic ulcer. Dietary history may yield information suggestive of a peptic ulcer, but the diagnosis is confirmed through endoscopy. Blood in the stool indicates a gastrointestinal abnormality, but it does not conclusively confirm a diagnosis of peptic ulcer. An abdominal ultrasound is used to rule out other gastrointestinal alterations such as gallstones, tumor, or mechanical obstruction.

Answer to Question 2

C
Pyloromyotomy is the definitive treatment for pyloric stenosis. Prognosis is good with few complications. These comments reassure parents. The infant will remain in the hospital for a day or two postoperatively. Although the prognosis for surgical correction is good, telling the parents that surgery is no big deal minimizes the infant's condition. Home care nursing is not necessary after pyloromyotomy.