The pediatric nurse is caring for a child with biliary atresia who underwent a Kasai procedure. Which assessment findings indicate that the procedure has been successful? (Select all that apply.)
A.
Improved skin integrity
B.
Lessened jaundice in sclera
C.
Stools that are lighter in color
D.
Urine that becomes lighter in color
E.
Vomitus that no longer contains bile
ANS: A, B, D
A Kasai procedure attempts to restore bile drainage from the liver into the intestines. The child whose procedure was successful would demonstrate improvement in symptoms, including improved skin integrity (less pruritus and itching), less jaundice, darker stools, and lighter urine. Bilious vomit is not related.
You might also like to view...
Following a code, the nurse assigned to the client will document the events. Which items should the nurse include along with the written documentation of the event?
Select all that apply. 1. The rhythm strip 2. The form used to record the medications and interventions that occurred during the code 3. The DNR record 4. Notification of the family 5. Client response and transfer location, if indicated
A nurse is reviewing the admission blood work of an adult woman who presented with complaints of progressive fatigue over the past several weeks. The woman's subsequent blood work is indicative of iron-deficiency anemia
What assessment question by the nurse most directly addresses the potential cause of the woman's iron deficiency? A) "Would you say that you tend to eat a well-balanced diet?" B) "Have you noticed lately that you are passing less urine or that your urine is quite dilute?" C) "Have you seen any blood when you have had a bowel movement in recent weeks?" D) "Have you had a bad cold or a case of the flu in the past few weeks?"
A patient has a flaccid bladder secondary to a spinal cord injury. The nurse recognizes this patient's high risk for urinary retention and should implement what intervention in the patient's plan of care?
A) Relaxation techniques B) Sodium restriction C) Lower abdominal massage D) Double voiding
Which client would require the administration of prophylactic antibiotics?
1. A client with inflammation at the infection site 2. A client with a viral infection 3. A client with a suppressed immune system 4. A client with pus at the infection site