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NR328/NR 328 FINAL EXAM NEWEST ACTUAL
EXAM TEST BANK 400 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+ / ACTUAL EXAM!!!
GERD - Answer-inappropriate relaxation of the lower esophageal sphincter causing gastric contents from stomach to move up into esophagus. Mostly occurs after meals and at night. Result of complications such as FTT, respiratory problems, or dysphagia.
What are manifestations of GERD? - Answer-regurgitation, recurrent vomiting, excessive crying, irritability, ARCHING BACK, stiffening, poor weight gain, respiratory problems (coughing wheezing, feeding refusal
How can Emesis be reduced in children with GERD? - Answer-Thicken feeds by adding rice cereal
- methods to relieve baby's GERD - Answer-1. smaller,
- hold upright during feedings 1 / 3
frequent feedings 2.burp during and after feedings
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- incorporate rice in diet
- keep nipple of bottle filled with milk while bottle-feeding
Nissan fundoplication - Answer-surgical treatment for GERD when other treatments have failed. The fundus of the stomach is wrapped around and behind the esophagus through a laparoscope to create a physical barrier & reinforce the function of the LES.
What is the nurses priority in the immediate post operative period following a Nissen Fundoplication? - Answer- Assessing signs for respiratory distress
What is an infection in the stomach and intestine that causes diarrhea. vomiting, abdominal pain, fever, increased WBC, and increased Vitals? - Answer- Gastroenteritis
What diagnostics are used to confirm Gastroenteritis? - Answer-H/H and stool specimen
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What is the most important cause of serious gastroenteritis among children, with 28% of all cases causing fatality? - Answer-Rotavirus
mild dehydration symptoms - Answer-increased thirst, slightly dry mucous membranes
Moderate dehydration symptoms - Answer-loss of skin turgor, dry mucous membranes, sunken eyes, sunken fontanels
Severe dehydration symtoms - Answer-symptoms of moderate including rapid thready pulse, cyanosis, rapid breathing, lethargy, coma
What is the nursing management for a child with Gastroenteritis that lead to dehydration? - Answer-weights, I's/O's, IV placement and give fluids.
NS bolus first then maintenance fluids
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