The nurse is taking a health history of an 11-year-old girl with ...

[genevieve1028]

The nurse is taking a health history of an 11-year-old girl with recurrent abdominal pain. Which of the following responses would lead the nurse to suspect irritable bowel syndrome?
 
  A) I always feel better after I have a bowel movement..
  B) I don't take any medicine right now..
  C) The pain comes and goes..
  D) The pain doesn't wake me up in the middle of the night..

Question 2

The nurse is teaching the mother of a 5-year-old boy with a history of impaction how to administer enemas at home. Which of the following responses from the mother indicates a need for further teaching?
 
  A) I should position him on his abdomen with knees bent..
  B) He will require 250 to 500 mL of enema solution..
  C) I should wash my hands and then wear gloves..
  D) He should retain the solution for 5 to 10 minutes..

[Kimmy]

Answer to Question 1

A
Feedback:
In cases of irritable bowel syndrome, the pain may be relieved by defecation. Use of medications and pain that comes and goes or wakes the person up in the middle of the night are all relevant findings pertinent to recurrent abdominal pain.

Answer to Question 2

A
Feedback:
A 5-year-old child should lie on his left side with his right leg flexed toward the chest. An infant or toddler is positioned on his abdomen. Using 250 to 500 mL of solution, washing hands and wearing gloves, and retaining the solution for 5 to 10 minutes are appropriate responses.