A child with severe gastroenteritis is admitted to a semiprivate ...

[Tazate]

A child with severe gastroenteritis is admitted to a semiprivate room on the pediatric unit. The charge nurse 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

Question 2

A newborn is diagnosed with Hirschsprung disease. Which clinical manifestations found on assessment support this newborn's diagnosis?
 
  1. Acute diarrhea; dehydration
  2. Failure to pass meconium; abdominal distension
  3. Currant jelly; gelatinous stools; pain
  4. Projectile vomiting; altered electrolytes

[diana chang]

Answer to Question 1

Correct Answer: 3
Rationale: Gastroenteritis may 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. An infant with meningitis, a child with fever and neutropenia, and a child recovering from an appendectomy should not be placed with another child with an infectious process.

Answer to Question 2

Correct Answer: 2
Rationale: Hirschsprung disease is the absence of autonomic parasympathetic ganglion cells in the colon that prevent peristalsis at that portion of the intestine. In newborns, the symptoms include failure to pass meconium and abdominal distension. Acute diarrhea and dehydration are symptoms characteristic of gastroenteritis. Currant jelly, gelatinous stools, and pain are symptoms of intussusception, and projectile vomiting and altered electrolytes are symptoms of pyloric stenosis.