Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Pediatrics

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Cara, a clinical nurse specialist, is assigned to a one-year-old patient who is admitted to the unit. The child is receiving gastric feedings and Cara suspects that the patient might have a necrotizing enterocolitis. Which of the following would support this conclusion?
  1. A large amount of residual formula withdrawn before lavage
  2. A noticeable increase in bowel movement was noted
  3. Circumoral pallor develops during the feeding process
  4. Several severe bouts of projectile vomiting were noted
Explanation
Answer - A - An assessment that would support that the baby is having necrotizing enterocolitis is that a large amount of residual formula is withdrawn before lavage. Other manifestations include bile-stained emesis and feeding intolerance.
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