PEDIATRIC NURSING CHAPTER 25&26 QUESTIONS AND ANSWERS

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PEDIATRIC NURSING CHAPTER 25&26 QUESTIONS AND ANSWERS 

Chapter 25.The Child with Gastrointestinal Dysfunction
MULTIPLE CHOICE
1. What test is used to screen for carbohydrate malabsorption?
a. Stool pH
b. Urine ketones
c. C urea breath test
d. ELISA stool assay
ANS: A
The anticipated pH of a stool specimen is 7.0. A stool pH of less than 5.0 is indicative of
carbohydrate malabsorption. The bacterial fermentation of carbohydrates in the colon produces
short-chain fatty acids, which lower the stool pH. Urine ketones detect the presence of ketones in
the urine, which indicates the use of alternative sources of energy to glucose. The C urea breath
test measures the amount of carbon dioxide exhaled. It is used to determine the presence of
Helicobacter pylori. ELISA (enzyme-linked immunosorbent assay) edcets the presence of
antigens and antibodies. It is not useful for disorders of metabolism.
DIF: Cognitive Level: Understanding REF: MCS: 1055
TOP: Nursing Process: Assessment MSC: iCelnt Needs: Physiological Integrity
2. A toddlers mother calls the nurse because she thinks her son has swallowed a button type of
battery. He has no signs of respiratory distress. The nurses response should be based on which
premise?
a. An emergency laparotomy is very likely.
b. The location needs to be confirmed by radiographic examination.

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