an adolescent with irritable bowel syndrome comes to see the school nurse what information should the nurse share with the adolescent an adolescent with irritable bowel syndrome comes to see the school nurse what information should the nurse share with the adolescent
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Nursing Elites

ATI RN

ATI Nursing Care of Children 2019 B

1. An adolescent with irritable bowel syndrome comes to see the school nurse. What information should the nurse share with the adolescent?

Correct answer: B

Rationale: The correct answer is B: Stress management may be helpful. Stress is known to exacerbate symptoms of irritable bowel syndrome (IBS), making stress management an essential part of managing the condition. While dietary modifications can also be beneficial, a low-fiber diet is not universally recommended for IBS, as fiber can be important for some individuals. Milk products may or may not be contributing factors, as food triggers can vary among individuals. Pantoprazole, a proton pump inhibitor, is not typically the first-line treatment for IBS, as it is more commonly used for conditions like gastroesophageal reflux disease.

2. Which nutrient is most important for maintaining fluid balance in the body?

Correct answer: B

Rationale: Sodium plays a key role in maintaining fluid balance and regulating blood pressure.

3. What are the early signs of increased intracranial pressure (IICP)?

Correct answer: A

Rationale: The correct answer is A: Restlessness, irritability, and confusion are early signs of increased intracranial pressure (IICP). These signs indicate that the brain is starting to experience pressure, often due to conditions such as trauma, tumors, or hemorrhage. Sudden onset of seizures (choice B) is not typically an early sign of IICP but can occur later as the pressure increases. Decreased heart rate and pupillary response (choice C) are more indicative of late-stage IICP as the brainstem becomes compromised. Loss of consciousness (choice D) is a late sign of IICP when the pressure has significantly increased and is causing significant brain dysfunction.

4. The nurse is caring for a child with a urinary tract infection who is on trimethoprim-sulfamethoxazole (Bactrim). What side effects of this medication should the nurse teach to the parents and the child? (Select all that apply.)

Correct answer: C

Rationale: Trimethoprim-sulfamethoxazole (Bactrim) can cause side effects like rash, urticaria, and photosensitivity. Parents and the child should be educated on these potential side effects to ensure prompt recognition and management.

5. A nurse is providing teaching to a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

Correct answer: B

Rationale: Maintaining an HbA1c level of 5 percent indicates good long-term blood glucose control and understanding of diabetes management.

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