How to Answer Please Help Answer Questions (Complete Guide)

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Original Question

Please help answer these questions Simulation Day 2 -Simulation 3 Pre-simulation Quiz 1.A 6-month-old patient is admitted to the emergency department for constipation, abdominal distention, and failure to thrive. The patient’s mother reports that he had episodes of watery diarrhea and vomiting at home. These signs and symptoms are characteristic of which disorder? Hirschsprung’s disease Gastroesophageal reflux Acute appendicitis Crohn’s disease 2.Most term infants pass meconium in the first: 4 hours of life. 12 hours to 18 hours of life. 24 hours to 48 hours of life. 14 days of life. 3.The definitive test for a diagnosis of Hirschsprung’s disease is: full-thickness rectal biopsy demonstrating the absence of ganglion cells in the myenteric and submucosal plexuses. constipation and blood in stool. diarrhea and fever with elevated WBCs. full-thickness rectal biopsy demonstrating the presence of ganglion cells in the myenteric and submucosal plexuses. 4.A 6-month-old patient underwent surgical removal of the bowel to relieve obstruction secondary to Hirschsprung’s disease. A temporary ostomy was placed. The mother of the patient asks whether it is alright if she changes her son’s diaper. Which is the correct response? “No, it is unsafe to change his diaper at this time; you might contaminate the abdominal wound.” “Yes, but to prevent contamination of the abdominal wound with urine, fold the diaper below the dressing.” “Yes, but to prevent contamination of the abdominal wound with urine, fold the diaper above the dressing.” “Yes, you can change his diaper as you normally would at home.” 5.A 10-month-old patient is diagnosed with bowel obstruction secondary to Hirschsprung’s disease. He has received a nursing diagnosis of Risk for deficient fluid volume related to decreased intake and losses secondary to loss of appetite and vomiting. What is an appropriate nursing intervention for this patient? Select all that apply. Administer IV fluids and electrolytes as prescribed Keep patient NPO until surgery Administer analgesics as prescribed None of the above 6.A nurse is about to perform ostomy care for a pouched, 12-month-old patient. What supplies should the nurse plan to bring into the room? Appropriate system Hypoallergenic skin barrier Skin care products All of the above 7.A 10-month old patient has just received a colostomy for Hirschsprung’s disease. Which findings are signs and symptoms of skin breakdown or stomal complications in the patient? Bleeding Ribbon-like stools Failure to pass stool All of the above 8.Upon assessment of a patient’s stoma, a moderate amount of bleeding in and around the stoma is discovered. An appropriate nursing intervention in this situation would be to: notify the patient’s physician. cover the stoma with gauze. irrigate the stoma. apply antibiotic ointment. 9.Upon the discharge of a patient with a new ostomy, the nurse should verify the primary caregiver’s knowledge of: the application of the device (if used). the care of the skin. the appropriate action to take in case skin problems develop. All of the above 10.In the RN-to-RN patient report, you were informed that Aaron is on a regular diet for his age. What additional information might you want to find out from the reporting nurse based on this information? What he has consumed since surgery What foods his parents like What his temperature was during the last shift None of the above 11.Aaron had a partial colectomy and a temporary colostomy was placed. What would be an appropriate focused assessment for Aaron? Abdominal assessment Extremity assessment Neurological assessment Genitalia assessment 12.Based on Aaron’s initial presentation on assessment, what would have been an appropriate nursing intervention to perform first? Administer pain medication as prescribed Bathe patient Weigh patient Educate family on colostomy care 13.What nonpharmacologic techniques could you use with Aaron to address his pain? Nonnutritive sucking Relaxation Guided imagery None of the above 14.What might indicate to you that Aaron’s pain has resolved? Decreased heart rate Decreased blood pressure Cessation of crying All of the above 15.Aaron’s colostomy bag was full of stool and flatus upon assessment. How might you go about teaching Aaron’s caregivers to empty the colostomy bag? Position bag to gravity, place pad under bag, open bag, empty bag with a downward motion into a container, close bag, clean patient and bag if needed, remove pad, empty container contents into toilet Place pad under bag, position bag to gravity, open bag, empty bag with a downward motion into a container, close bag, clean patient and bag if needed, remove pad, empty container contents into toilet Open bag, empty bag with a downward motion into a container, close bag, clean patient and bag if needed, remove pad, empty container contents into toilet Open bag, place pad under bag, position bag to gravity, empty bag with a downward motion into a container, close bag, clean patient and bag if needed, remove pad, empty container contents into toilet 16.Aaron’s mother is very anxious about caring for her son’s ostomy. How might you decrease her anxiety? Offer gloves and mask to mother as needed Before beginning, explain procedure and demonstrate if able Educate the mother on the importance of ostomy care All of the above 17.How might you evaluate Aaron’s mother’s knowledge of ostomy care? Ask her to participate in the care while in your presence Ask her if she has any questions regarding ostomy care Ask her to verbally explain to you how she would go about caring for the ostomy site All of the above 18.Aaron hasn’t felt like eating his breakfast. What might you be worried about based on this information? Aaron’s fluid status Aaron’s nutritional status A possible ostomy complication All of the above

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