NSG 3600 Exam 3
Best Review Guide
1. Rotavirus: Most common cause of acute diarrhea
2. Acute Diarrhea effects: Excessive Fluid and electrolyte loss in the stool
3. Acute Diarrhea assessment (think dehydration): Skin turgor, membrane
mois- ture, recent travel, perineal skin quality
4. Diarrhea prevention: hand hygiene, cook food properly, correct food
handling
5. diarrhea priority interventions: Administer Pedialyte (Restore electrolyte
imbal- ance). Least to most invasive methods for rehydration.
6. Cleft Lip Population: Males, Asians, and Native Americans
7. Cleft Lip/Palate RF: smoking, gestational diabetes, use of certain
medications, lack of folate
8. Cleft Lip/Palate Diagnosis: Ultrasound during
pregnancy Physical Observation
9. Cleft Lip Feedings: Long
Nipple Haberman's Feeder
10. Cleft Palate Feedings: Short
Nipple Haberman Feeder
11. Cleft Lip/Palate Feedings: Feed Upright, Burp Often
12. Cleft Lip/Palate repairs: Lip- 3 months or
younger Palate- Around six months, always before
,18 months
13. Cleft Lip/Palate repair priority: Protect sutures with Logan's
Bow Apply Petroleum Jelly to the Operative Site
GENTLE Elbow Restraints?
14. Cleft Lip/Palate Post-Op Feeding Tips: "Feed with syringe or dropper
until surgical site is healed."
Maintain same method used pre-operatively.
15. intussusception: Intestine folding into itself, telescoping.
16. intussusception RF: Cystic Fibrosis, Males, less than 18 months
17. intussusception s/s: Pulling Legs to
Chest JELLY LIKE STOOLS MIXED W
BLOOD
Vomiting
SAUSAUGE SHAPED MASS in RUQ
18. intussusception Symptom triad: Episodic Abdominal Pain with
Vomiting q. 5-30 min
Screaming and Drawing up Legs
Stool with blood
19. intussusception diagnosis: barium enema (#1) or surgery (last
resort) Or ultrasound
Air enema is strictly therapeutic
, 20. intussusception pre-operative care: NG-
Tube Monitor for Brown Stool Passing (Notify
PCP)
21. intussusception Fever: Fever > 99.5 = bad
22. Failure to Thrive: a condition in which babies do not grow and develop
properly due to deficit in caloric intake
23. Failure to Thrive Diagnosis: Weight is below the 5th percentile
24. Failure to Thrive Expected Labs: Decreased Albumin (Normal 4.5-9g/dl)
25. Failure to Thrive Nursing Requirements: Notify CPS
26. Appendicitis: lumen of the appendix becoming blocked by fecal matter,
lym- phoid tissue, tumor, parasite, etc.
27. Appendicitis s/s: RLQ abdominal pain or cramping, nausea, vomiting,
chills, low grade fever
28. Appendicitis Pain stops suddenly: Notify PCP ASAP, a rupture could
have occured
29. Appendicitis Post-operative Care: NPO 24/hrs
30. Appendicitis Perforation/Rupture Care: Antibiotics
31. Appendicitis Nursing Priority: Monitor for Peritonitis
32. Hirshsprungs Disease AKA: aganglionic disease
33. Hirshsprungs Disease: Lack of ganglionic cells resulting in decreased
motility and mechanical obstruction of the bowels
34. Hirshsprungs Disease cause: birth defect
35. Hirshsprungs Disease s/s: No meconium within 48 hours
birth Ribbon Like Stools
Abdominal Distension
Vomiting Bile,
constipation Failure to
Thrive
Palpable Fecal Mass
36. Hirshsprungs Disease Diagnosis: X-Ray
barium Enema
37. Hirshsprungs Disease treatment: removal of ganglionic section,
colostomy, anastomosis
38. Hirshsprungs Disease Pre-operative care: NPO and NG-Tube
39. Hirshsprungs Disease Priority:
40. Celiac Disease: Auto-immune disorder, which affects small bowel
mucosa and can lead to malabsorption of foods. No gluten.
41. Celiac Disease will...: not present until gluten is introduced to the diet
42. Celiac Disease Population: Women
43. Celiac Disease S/s: Failture to
Best Review Guide
1. Rotavirus: Most common cause of acute diarrhea
2. Acute Diarrhea effects: Excessive Fluid and electrolyte loss in the stool
3. Acute Diarrhea assessment (think dehydration): Skin turgor, membrane
mois- ture, recent travel, perineal skin quality
4. Diarrhea prevention: hand hygiene, cook food properly, correct food
handling
5. diarrhea priority interventions: Administer Pedialyte (Restore electrolyte
imbal- ance). Least to most invasive methods for rehydration.
6. Cleft Lip Population: Males, Asians, and Native Americans
7. Cleft Lip/Palate RF: smoking, gestational diabetes, use of certain
medications, lack of folate
8. Cleft Lip/Palate Diagnosis: Ultrasound during
pregnancy Physical Observation
9. Cleft Lip Feedings: Long
Nipple Haberman's Feeder
10. Cleft Palate Feedings: Short
Nipple Haberman Feeder
11. Cleft Lip/Palate Feedings: Feed Upright, Burp Often
12. Cleft Lip/Palate repairs: Lip- 3 months or
younger Palate- Around six months, always before
,18 months
13. Cleft Lip/Palate repair priority: Protect sutures with Logan's
Bow Apply Petroleum Jelly to the Operative Site
GENTLE Elbow Restraints?
14. Cleft Lip/Palate Post-Op Feeding Tips: "Feed with syringe or dropper
until surgical site is healed."
Maintain same method used pre-operatively.
15. intussusception: Intestine folding into itself, telescoping.
16. intussusception RF: Cystic Fibrosis, Males, less than 18 months
17. intussusception s/s: Pulling Legs to
Chest JELLY LIKE STOOLS MIXED W
BLOOD
Vomiting
SAUSAUGE SHAPED MASS in RUQ
18. intussusception Symptom triad: Episodic Abdominal Pain with
Vomiting q. 5-30 min
Screaming and Drawing up Legs
Stool with blood
19. intussusception diagnosis: barium enema (#1) or surgery (last
resort) Or ultrasound
Air enema is strictly therapeutic
, 20. intussusception pre-operative care: NG-
Tube Monitor for Brown Stool Passing (Notify
PCP)
21. intussusception Fever: Fever > 99.5 = bad
22. Failure to Thrive: a condition in which babies do not grow and develop
properly due to deficit in caloric intake
23. Failure to Thrive Diagnosis: Weight is below the 5th percentile
24. Failure to Thrive Expected Labs: Decreased Albumin (Normal 4.5-9g/dl)
25. Failure to Thrive Nursing Requirements: Notify CPS
26. Appendicitis: lumen of the appendix becoming blocked by fecal matter,
lym- phoid tissue, tumor, parasite, etc.
27. Appendicitis s/s: RLQ abdominal pain or cramping, nausea, vomiting,
chills, low grade fever
28. Appendicitis Pain stops suddenly: Notify PCP ASAP, a rupture could
have occured
29. Appendicitis Post-operative Care: NPO 24/hrs
30. Appendicitis Perforation/Rupture Care: Antibiotics
31. Appendicitis Nursing Priority: Monitor for Peritonitis
32. Hirshsprungs Disease AKA: aganglionic disease
33. Hirshsprungs Disease: Lack of ganglionic cells resulting in decreased
motility and mechanical obstruction of the bowels
34. Hirshsprungs Disease cause: birth defect
35. Hirshsprungs Disease s/s: No meconium within 48 hours
birth Ribbon Like Stools
Abdominal Distension
Vomiting Bile,
constipation Failure to
Thrive
Palpable Fecal Mass
36. Hirshsprungs Disease Diagnosis: X-Ray
barium Enema
37. Hirshsprungs Disease treatment: removal of ganglionic section,
colostomy, anastomosis
38. Hirshsprungs Disease Pre-operative care: NPO and NG-Tube
39. Hirshsprungs Disease Priority:
40. Celiac Disease: Auto-immune disorder, which affects small bowel
mucosa and can lead to malabsorption of foods. No gluten.
41. Celiac Disease will...: not present until gluten is introduced to the diet
42. Celiac Disease Population: Women
43. Celiac Disease S/s: Failture to
