TEST BANK Wong's Essentials of
Pediatric Nursing 10th Edition Exam
With Detailed Answers
1. A child has an NG tube to continuous low intermittent suction. The physician's
prescription is to replace the previous 4-hour NG output with a normal saline piggyback
over a 2-hour period. The NG output for the previous 4 hours totaled 50 ml. What
milliliter/hour rate should the nurse administer to replace normal saline piggyback?
(Record your answer in a whole number.) - answers>>ANS:
25
The previous total 4-hour output was 50 ml. To run the 50 ml over a 2-hour period, the
nurse would divide 50 by 2 = 25. The normal saline replacement fluid would be run at 25
ml per hour.
1. A child who has just had *definitive repair of a high rectal malformation* is to be
discharged. Which should the nurse address in the discharge preparation of this family?
(Select all that apply.)
a. Perineal and wound care
b. Necessity of firm stools to keep suture line clean
c. Bowel training beginning as soon as child returns home
d. Reporting any changes in stooling patterns to practitioner
e. Use of diet modification to prevent constipation - answers>>Perineal and wound care
Reporting any changes in stooling patterns to practitioner
Use of diet modification to prevent constipation
Wound care instruction is necessary in a child who is being discharged after surgery.
The parents are taught to notify the practitioner if any signs of an anal stricture or other
complications develop. Constipation is avoided, since a firm stool will place strain on the
suture line. Fiber and stool softeners are often given to keep stools soft and avoid
tension on the suture line. The child needs to recover from the surgical procedure. Then
bowel training may begin, depending on the child's developmental and physiologic
readiness.
1. Which condition in a child should alert a nurse for increased fluid requirements?
a. Fever
b. Mechanical ventilation
c. Congestive heart failure
d. Increased intracranial pressure (ICP) - answers>>Fever
