NSG 3600 Exam 3 NEWEST COMPLETE
QUESTIONS AND CORRECT VERIFIED
ANSWERS (DETAILED ANSWERS)|ALREADY
GRADED A+ | 2026 UPDATE
Meningitis Therapeutic Management
Give immunizations, assess neuro status & response to therapy with every 2 hours if stable and
every hour if not stable. Make sure we have a stable a calm environment. If bacterial give
antibiotics and make sure they take all of them. Make sure the child is in seizure precautions,
give NSAIDs for pain. Need to teach parents about early detection of complications and how to
prevent it along with medical follow-up if on sz meds.
Steps that should always be used when assessing a child GI system
First step should be to inspect the child.
Second we are going to auscultation.
Third is percuss.
Fourth is palpate the area through the clothing due to the child being ticklish.
What do we need to worry about then it comes to children and medication?
Liver and pancreas do not mature until about 6 months of age so we need to be concern about
toxicity.
Why should we not give children under 1 cows milk?
The pancreatic lipase dose not get adequately secreted until age 1, which means the body can't
absorb fats such as those present in cow's milk.
,What kind of stool does an infant have who is breast feeding?
The infant will have watery stool.
What kind of stool does an infant have who is formula feeding?
The infant will have soft or seedy stools.
What do pre-schoolers go through when eating?
The pre-schoolers woll fluctuations where they have periods of overeating or refusal to eat. Very
normal but the parents can get upset.
Dehydration
Occurs whenever total output of fluid exceeds intake.
Dehydration Clinical Manifestations and Therapeutic Management
Tachycardia, hypotension, decreased tears specific in children, weight loss (monitor daily), thirst,
irritability, sunken eyes and fontanels.
Fluid replacement, electrolyte monitoring & replacement, and safety considerations.
What will be elevated in a child who is dehydrated?
The sodium, potassium, and creatinine
Blood Urea Nitrogen (BUN) range for child
5-18 mg/dL
Sodium (Na) range for child
135-145 mEq/L
,Potassium (K) range for child
3.4-4.7 mEq/L
Creatinine range for child
0.3-0.7 mg/dL
What do we need to look out for with kids with dehydration?
Diarrhea, skin break down, falls risk, dizziness, failure to thrive and grow.
Cyclic Vomiting Syndrome
Intense nausea and vomiting 4 times an hour. 5 attacks total or 3 attacks in over 6 months. Could
be caused by infection, psychological stress, dietary changes, menstruation, migraines. These
individuals will vomit then be okay for the rest of the day then vomit again during later in day.
Cyclic Vomiting Syndrome: Clinical Manifestations
Vomiting for 24-48 hr, occurs at night or early morning hours, severe abdominal pain, retching
throwing up where there is nothing put clear fluid coming up, nausea, diarrhea, headache, vertigo
Cyclic Vomiting Syndrome- Diagnosis
Rule out other condition and lab studies. Need to get a good history and ask if they are
asymptomatic and is eat episode the same and do you have at least 3 of them.
Cyclic Vomiting Syndrome- Prevention
Balanced nutrition (no cheese, cured meat, and chocolate), get a lot of sleep and rest, and void
triggers, and do stress management.
, Cyclic Vomiting Syndrome- Therapeutic Management
Supportive management (meeting with a therapist), fluid replacement (IV fluids), rest,
pharmacotherapy (Zofran)
Cyclic Vomiting Syndrome- Patient/Family Education
Increase exercise, balanced diet, good hydration, sleep routines, avoid triggers (need to keep a
health food diary along with sleep and food cycles).
Acute Diarrhea
Increased frequency of bowel along with vomiting, fever, pain. Occurs from diet, toxic
substances, infections(viral infection, eye infection), and medications that may be used.
Acute Diarrhea Diagnosis
Need to get a history on the patient and see if they have traveled anytime in the past, do a
physical exam on the abdomen and look for skin breakdown around the perineum.
Acute Diarrhea Prevention
Good hand hygiene, good and clean food handing, making sure the diapers are changed right
away and clothes are clean properly. Give Metronidazole (Flagyl) if it caused by bacteria, give
Lactobacillus probiotics, monitor strict I & O, monitor electrolytes can give PEDOLIGHT, give
IV and PO fluids risk for dehydration, daily weight needs to be taken naked or with the least
amount of clothes on with the same scale and first thing in the morning.
How can we tell that child is improving from acute diarrhea?
When they withhold a stable weight and have stable fluid intake.
QUESTIONS AND CORRECT VERIFIED
ANSWERS (DETAILED ANSWERS)|ALREADY
GRADED A+ | 2026 UPDATE
Meningitis Therapeutic Management
Give immunizations, assess neuro status & response to therapy with every 2 hours if stable and
every hour if not stable. Make sure we have a stable a calm environment. If bacterial give
antibiotics and make sure they take all of them. Make sure the child is in seizure precautions,
give NSAIDs for pain. Need to teach parents about early detection of complications and how to
prevent it along with medical follow-up if on sz meds.
Steps that should always be used when assessing a child GI system
First step should be to inspect the child.
Second we are going to auscultation.
Third is percuss.
Fourth is palpate the area through the clothing due to the child being ticklish.
What do we need to worry about then it comes to children and medication?
Liver and pancreas do not mature until about 6 months of age so we need to be concern about
toxicity.
Why should we not give children under 1 cows milk?
The pancreatic lipase dose not get adequately secreted until age 1, which means the body can't
absorb fats such as those present in cow's milk.
,What kind of stool does an infant have who is breast feeding?
The infant will have watery stool.
What kind of stool does an infant have who is formula feeding?
The infant will have soft or seedy stools.
What do pre-schoolers go through when eating?
The pre-schoolers woll fluctuations where they have periods of overeating or refusal to eat. Very
normal but the parents can get upset.
Dehydration
Occurs whenever total output of fluid exceeds intake.
Dehydration Clinical Manifestations and Therapeutic Management
Tachycardia, hypotension, decreased tears specific in children, weight loss (monitor daily), thirst,
irritability, sunken eyes and fontanels.
Fluid replacement, electrolyte monitoring & replacement, and safety considerations.
What will be elevated in a child who is dehydrated?
The sodium, potassium, and creatinine
Blood Urea Nitrogen (BUN) range for child
5-18 mg/dL
Sodium (Na) range for child
135-145 mEq/L
,Potassium (K) range for child
3.4-4.7 mEq/L
Creatinine range for child
0.3-0.7 mg/dL
What do we need to look out for with kids with dehydration?
Diarrhea, skin break down, falls risk, dizziness, failure to thrive and grow.
Cyclic Vomiting Syndrome
Intense nausea and vomiting 4 times an hour. 5 attacks total or 3 attacks in over 6 months. Could
be caused by infection, psychological stress, dietary changes, menstruation, migraines. These
individuals will vomit then be okay for the rest of the day then vomit again during later in day.
Cyclic Vomiting Syndrome: Clinical Manifestations
Vomiting for 24-48 hr, occurs at night or early morning hours, severe abdominal pain, retching
throwing up where there is nothing put clear fluid coming up, nausea, diarrhea, headache, vertigo
Cyclic Vomiting Syndrome- Diagnosis
Rule out other condition and lab studies. Need to get a good history and ask if they are
asymptomatic and is eat episode the same and do you have at least 3 of them.
Cyclic Vomiting Syndrome- Prevention
Balanced nutrition (no cheese, cured meat, and chocolate), get a lot of sleep and rest, and void
triggers, and do stress management.
, Cyclic Vomiting Syndrome- Therapeutic Management
Supportive management (meeting with a therapist), fluid replacement (IV fluids), rest,
pharmacotherapy (Zofran)
Cyclic Vomiting Syndrome- Patient/Family Education
Increase exercise, balanced diet, good hydration, sleep routines, avoid triggers (need to keep a
health food diary along with sleep and food cycles).
Acute Diarrhea
Increased frequency of bowel along with vomiting, fever, pain. Occurs from diet, toxic
substances, infections(viral infection, eye infection), and medications that may be used.
Acute Diarrhea Diagnosis
Need to get a history on the patient and see if they have traveled anytime in the past, do a
physical exam on the abdomen and look for skin breakdown around the perineum.
Acute Diarrhea Prevention
Good hand hygiene, good and clean food handing, making sure the diapers are changed right
away and clothes are clean properly. Give Metronidazole (Flagyl) if it caused by bacteria, give
Lactobacillus probiotics, monitor strict I & O, monitor electrolytes can give PEDOLIGHT, give
IV and PO fluids risk for dehydration, daily weight needs to be taken naked or with the least
amount of clothes on with the same scale and first thing in the morning.
How can we tell that child is improving from acute diarrhea?
When they withhold a stable weight and have stable fluid intake.
