NURS 461 Exam 3 Study Guide
Questions And Actual Answers.
care for an ileostomy - Answer properly clean the stoma and the skin surrounding the stoma
Use a skin guard to avoid tape irritation
Ensure the pouch fits the stoma correctly
Assess stoma (pink and moist)
reduced stomach capacity and a shorter length in small bowel - Answer What is the major difference
b/w children and adults in the GI system?
projectile vomiting - Answer common symptom seen in pyloric stenosis
Administration of an Enema - Answer Position infant and toddler on abdomen with knees bent
Lay child or adolescent on left side with right leg flexed toward chest.
Admin:
-250 or less for infant
-250-500 for toddler and school aged child
Nursing care and education about enemas - Answer assess for signs of constipation and withholding
behaviors
positive reinforcement techniques
high-fiber diets
proper medication administration
explain procedure in developmentally appropriate terms
awarding behaviors
s/s of intussusception - Answer currant-jelly stools
sudden onset of cramping
,severe pain
vomiting
diarrhea
lethargy
nursing care for intussusception - Answer offer emotional support to parents
administer IV fluids and antibiotics
Stoma care - Answer assess for skin breakdown
apply a barrier cream on the skin to prevent breakdown
do not use scented wipes or alcohol wipes because they dry out the skin and cause irritation
Assess for poor self-esteem and body image
Thrush - Answer If this condition is suspected in a breastfeeding baby, ask mom if nursing has been
painful
s/s of thrush - Answer fungal infection of the mouth
thick white patches on the tongue, mucosa, or palate
can interfere the infant's ability to feed
looks like curdled milk, but won't wipe off
nursing care for thrush - Answer administer anti fungal orally
educate family
administer medications to mom if she is infected (painful breastfeeding)
Teach appropriate hand washing, wash bottles and nipples as well as toys
Report any diaper rashes
formula for fluid maintenance - Answer 100 mL/kg for first 10 kg
, 50 mL/kg for next 10 kg
20 mL/kg for remaining kg
add together for total mL needed per 24-hour period
divide by 24 for ml/hour fluid requirement
0.5 to 2 mL/kg/hr. - Answer expected urine output on an infant or child
dehydration - Answer The most common result of GI illnesses in infants and children is __________.
Kool-Aid or juice - Answer Do not give ____________ as a oral rehydration measure because they
contain too much sugar
immunosuppressants - Answer Children taking __________ for nephrotic syndrome or for renal
transplant are at increased risk for the development of overwhelming infection.
Decreased BUN - Answer What type of lab value will you see in nephrotic syndrome
care after surgical repair for hypospadias - Answer double diaper technique to help maintain proper
position for drainage tubing
s/s of nephrotic syndrome - Answer significant proteinuria and edema
acute glomerulonephritis - Answer most often follows a group A streptococcal infection
s/s: hematuria, proteinuria, and hypertension.
Responses that alert nurses would be that the child just got over a head cold with laryngitis
E. coli - Answer The most common cause of hemolytic-uremic syndrome is
Questions And Actual Answers.
care for an ileostomy - Answer properly clean the stoma and the skin surrounding the stoma
Use a skin guard to avoid tape irritation
Ensure the pouch fits the stoma correctly
Assess stoma (pink and moist)
reduced stomach capacity and a shorter length in small bowel - Answer What is the major difference
b/w children and adults in the GI system?
projectile vomiting - Answer common symptom seen in pyloric stenosis
Administration of an Enema - Answer Position infant and toddler on abdomen with knees bent
Lay child or adolescent on left side with right leg flexed toward chest.
Admin:
-250 or less for infant
-250-500 for toddler and school aged child
Nursing care and education about enemas - Answer assess for signs of constipation and withholding
behaviors
positive reinforcement techniques
high-fiber diets
proper medication administration
explain procedure in developmentally appropriate terms
awarding behaviors
s/s of intussusception - Answer currant-jelly stools
sudden onset of cramping
,severe pain
vomiting
diarrhea
lethargy
nursing care for intussusception - Answer offer emotional support to parents
administer IV fluids and antibiotics
Stoma care - Answer assess for skin breakdown
apply a barrier cream on the skin to prevent breakdown
do not use scented wipes or alcohol wipes because they dry out the skin and cause irritation
Assess for poor self-esteem and body image
Thrush - Answer If this condition is suspected in a breastfeeding baby, ask mom if nursing has been
painful
s/s of thrush - Answer fungal infection of the mouth
thick white patches on the tongue, mucosa, or palate
can interfere the infant's ability to feed
looks like curdled milk, but won't wipe off
nursing care for thrush - Answer administer anti fungal orally
educate family
administer medications to mom if she is infected (painful breastfeeding)
Teach appropriate hand washing, wash bottles and nipples as well as toys
Report any diaper rashes
formula for fluid maintenance - Answer 100 mL/kg for first 10 kg
, 50 mL/kg for next 10 kg
20 mL/kg for remaining kg
add together for total mL needed per 24-hour period
divide by 24 for ml/hour fluid requirement
0.5 to 2 mL/kg/hr. - Answer expected urine output on an infant or child
dehydration - Answer The most common result of GI illnesses in infants and children is __________.
Kool-Aid or juice - Answer Do not give ____________ as a oral rehydration measure because they
contain too much sugar
immunosuppressants - Answer Children taking __________ for nephrotic syndrome or for renal
transplant are at increased risk for the development of overwhelming infection.
Decreased BUN - Answer What type of lab value will you see in nephrotic syndrome
care after surgical repair for hypospadias - Answer double diaper technique to help maintain proper
position for drainage tubing
s/s of nephrotic syndrome - Answer significant proteinuria and edema
acute glomerulonephritis - Answer most often follows a group A streptococcal infection
s/s: hematuria, proteinuria, and hypertension.
Responses that alert nurses would be that the child just got over a head cold with laryngitis
E. coli - Answer The most common cause of hemolytic-uremic syndrome is
