GALEN NURS 3600 GI DISORDERS EXAM 3 QUESTIONS AND VERIFIED ANSWERS

Pre-op interventions for pyloric stenosis (3)


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NPO
IV fluids
Assess hydration (surgery may be delayed to rebalance electrolytes if
dehydrated)

,Risk factors of pyloric stenosis


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1st born white males
Family hx




Causes of fluid excess (3)


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kidney disease
CHF
too much IV fluid




S/S of appendicitis


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periumbilical pain that radiates to RLQ
rebound pain to McBurney's point
vomiting
anorexia
constipation
small amount of mucus-like stools
inability to stand straight
fever with perf
decreased pain with perf

,Causes of acute diarrhea (4)


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infections
diet
meds
toxic material




Causes of Dehydration (5)


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vomiting
diarrhea
excessive sweating
insufficient fluid intake
fever




Interventions for vomiting (5)


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observation
positioning to prevent aspiration
fluids
oral hygiene
antiemetic medications

, Interventions for GERD (7)


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parent support
anticipatory guidance
thickened feeding
positioning (rt. side to increase gastric emptying)
assess growth
baseline respiratory status
HOB up




Appendicitis


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inflammation of the appendix d/t obstruction of fecal matter = distention
and potential ischemia/necrosis
most common abdominal surgery in children ages 6-10




Prevention of MSBP (3)


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sufficient pre/postnatal care
nutrition education
community resources (WIC)