Author Question: An adolescent complains of abdominal pain with diarrhea and bloody stools. The nurse should ... (Read 48 times)

elizabeth18 · **on:** Jun 28, 2018

An adolescent complains of abdominal pain with diarrhea and bloody stools. The nurse should recognize these as symptoms of which inflammatory bowel disease?

1. Appendicitis
2. Crohn's disease
3. Ulcerative colitis
4. Necrotizing enterocolitis

Question 2

A child with severe gastroenteritis is being admitted to a semi-private room on the pediatric unit. The nurse in charge should place this client with which roommate?

1. An infant with meningitis
2. A child with fever and neutropenia
3. Another child with gastroenteritis
4. A child recovering from an appendectomy

mathjasmine · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

3
Rationale:
1. Appendicitis is not associated with bloody stools, and usually not with diarrhea.
2. The teen with Crohn's disease might have abdominal pain and diarrhea, but stools usually do not have blood in them.
3. Diarrhea and bloody stools are typical symptoms of UC.
4. Necrotizing enterocolitis is usually seen in premature infants, and not generally in an adolescent patient.

Answer to Question 2

3
Rationale:
1. Because meningitis is contagious, this infant should be placed on isolation, and not placed in a semi-private room.
2. A child with neutropenia is susceptible to viral illness, and should not be placed in a room with a child who has gastroenteritis.
3. Gastroenteritis can be viral or bacterial, and can be infectious. It is best to cohort children with this infectious process. Good handwashing is essential to prevent the spread.
4. A child recovering from an appendectomy should not be placed with another child with an infectious process.
Nursing Process: Implementation
Client Need: Safe, Effective Care Environment