Peds Final Exam NR 328; Questions & Answers 100%
Correct
Dehydration S/S CORRECT ANSWER-Prolonged/Extended cap refill
Tenting (groin)
Abnormal respiration's - Tachypnea
ABdominal Assessment ORDER CORRECT ANSWER-Inspection
Auscultate every quadrant (1 minute per quadrant)
Palpation
Circumference
Crohn's Disease CORRECT ANSWER-Intestines are inflamed and not absorbing
"skip lesions"
Weight Loss
Ulcerative Colitis CORRECT ANSWER-Much more bleeding than Crohn's
Lower down in GI tract
"U" for LOWER in the alaphabet and lower in the GI Tract
What is the medication for Crohn's disease CORRECT ANSWER-Mesalamine
(Antiinflammatory)
Corticosterroids
Mercaptopurine (Actually a chemo med but used @ a low dose to shut down bowel)
, Peds Final Exam NR 328; Questions & Answers 100%
Correct
What is the diet for Crohn's disease? CORRECT ANSWER-High protein, high calorie when
they feel good
Vitamin supplementation
Possibly night NG tube feedings
Possible ileostomy and colostomy
What is the order for NG placement? CORRECT ANSWER-Child in supine with head
slightly hyperflexed (sniffing)
Measure and mark tube-nose, ear, midxiphoid umbilicus
Lubricate with water based lubricant
Command Child to swallow
Confirm placement with xray (most accurate) or color/pH is useful in predicting placement
Stabilize by tape
Feeding with NG Tube - how should we feed infants? CORRECT ANSWER-Infants should
be held and provided with nonnutritive sucking during procedure
Warm Formula to room temperature (but don't microwave)
What is the rate of formula via NG tube? CORRECT ANSWER-5 ml every 5-10 minutes in
premature and small infants
Rate should not exceed 10 ml/min in older infants and children
, Peds Final Exam NR 328; Questions & Answers 100%
Correct
Feeding should take 15-30 minutes
What do we need to do after feeding with NG tube? CORRECT ANSWER-Flush with
sterile water
Clamp indwelling tubes
Re-position child with HOB 30-45 degrees or on right side for 30-60 minutes
Record feeding including type and amount of residual, type and amount of formula and how it
was tolerated
What do we do with residual fluid ? CORRECT ANSWER-Refed to prevent electrolyte
imbalance and the amount is subtracted from the amount of feeding
Example: Infant is to receive 30 ml and 10 ml is aspirated before feeding, the 10 ml is refed
along with the 20 ml of feeding
Acetylcysteine medication - what is this for? CORRECT ANSWER-Acetaminophen
overdose - most common accidental drug poisoning
What is a toxic dose of acetaminophen? CORRECT ANSWER-150 mg/kg
What does a 3 day time period look like with a patient with acetaminophen overdose?
CORRECT ANSWER-0-24 hours = nausea/vomiting, sweating, pallor
24-72 hours = patient improves, may have UQ pain
Correct
Dehydration S/S CORRECT ANSWER-Prolonged/Extended cap refill
Tenting (groin)
Abnormal respiration's - Tachypnea
ABdominal Assessment ORDER CORRECT ANSWER-Inspection
Auscultate every quadrant (1 minute per quadrant)
Palpation
Circumference
Crohn's Disease CORRECT ANSWER-Intestines are inflamed and not absorbing
"skip lesions"
Weight Loss
Ulcerative Colitis CORRECT ANSWER-Much more bleeding than Crohn's
Lower down in GI tract
"U" for LOWER in the alaphabet and lower in the GI Tract
What is the medication for Crohn's disease CORRECT ANSWER-Mesalamine
(Antiinflammatory)
Corticosterroids
Mercaptopurine (Actually a chemo med but used @ a low dose to shut down bowel)
, Peds Final Exam NR 328; Questions & Answers 100%
Correct
What is the diet for Crohn's disease? CORRECT ANSWER-High protein, high calorie when
they feel good
Vitamin supplementation
Possibly night NG tube feedings
Possible ileostomy and colostomy
What is the order for NG placement? CORRECT ANSWER-Child in supine with head
slightly hyperflexed (sniffing)
Measure and mark tube-nose, ear, midxiphoid umbilicus
Lubricate with water based lubricant
Command Child to swallow
Confirm placement with xray (most accurate) or color/pH is useful in predicting placement
Stabilize by tape
Feeding with NG Tube - how should we feed infants? CORRECT ANSWER-Infants should
be held and provided with nonnutritive sucking during procedure
Warm Formula to room temperature (but don't microwave)
What is the rate of formula via NG tube? CORRECT ANSWER-5 ml every 5-10 minutes in
premature and small infants
Rate should not exceed 10 ml/min in older infants and children
, Peds Final Exam NR 328; Questions & Answers 100%
Correct
Feeding should take 15-30 minutes
What do we need to do after feeding with NG tube? CORRECT ANSWER-Flush with
sterile water
Clamp indwelling tubes
Re-position child with HOB 30-45 degrees or on right side for 30-60 minutes
Record feeding including type and amount of residual, type and amount of formula and how it
was tolerated
What do we do with residual fluid ? CORRECT ANSWER-Refed to prevent electrolyte
imbalance and the amount is subtracted from the amount of feeding
Example: Infant is to receive 30 ml and 10 ml is aspirated before feeding, the 10 ml is refed
along with the 20 ml of feeding
Acetylcysteine medication - what is this for? CORRECT ANSWER-Acetaminophen
overdose - most common accidental drug poisoning
What is a toxic dose of acetaminophen? CORRECT ANSWER-150 mg/kg
What does a 3 day time period look like with a patient with acetaminophen overdose?
CORRECT ANSWER-0-24 hours = nausea/vomiting, sweating, pallor
24-72 hours = patient improves, may have UQ pain
