An infant with short bowel syndrome will be discharged home on ...

[jayhills49]

An infant with short bowel syndrome will be discharged home on total parenteral nutrition (TPN) and gastrostomy feedings. Nursing care should include
 
  a. Preparing family for impending death
  b. Teaching family signs of central venous catheter infection
  c. Teaching family how to calculate caloric needs
  d. Securing TPN and gastrostomy tubing under the diaper to lessen risk of
  dislodgment

Question 2

Which strategy is not always appropriate for pediatric physical examination?
 
  a. Take the history in a quiet, private place.
  b. Examine the child from head to toe.
  c. Exhibit sensitivity to cultural needs and differences.
  d. Perform frightening procedures last.

[soda0602]

Answer to Question 1

B
Feedback
A The prognosis for patients with short bowel syndrome depends in part on the
length of residual small intestine. It has improved with advances in TPN.
B During TPN therapy, care must be taken to minimize the risk of complications
related to the central venous access device, such as catheter infections,
occlusions, or accidental removal. This is an important part of family teaching.
C Although parents need to be taught about nutritional needs, the caloric needs and
prescribed TPN and rate are the responsibility of the health care team.
D The tubes should not be placed under the diaper due to risk of infection.

Answer to Question 2

B
Feedback
A The nurse should collect the child's health history in a quiet, private area.
B The classic approach to physical examination is to begin at the head and proceed
through the entire body to the toes. When examining a child, however, the
examiner must tailor the physical assessment to the child's age and
developmental level.
C The nurse should always be sensitive to cultural needs and differences among
children.
D When examining children, painful or frightening procedures should be left to the
end of the examination.

[jayhills49]

Thank you

[soda0602]

No problemo