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1. What position should you have an Infant with GER that is vomiting ? 2:
Sitting up & back straight (may sleep like this as well)
2. What does it mean when you have aganglionic cells?: Causes a decrease in
movement > causes obstruction > vomiting bile
3. Rotavirus is considered as a bacterial infection.
TorF: False
Its a viral infection
4. What are 6 s/sx of Rotavirus?: Fever
Watery stools
Diarrhea for 5-7 days
Vomiting for 2 days Affects
all aged children
Most common cause for diarrhea for children <5yrs old
5. A nurse is reviewing the medical record of a 2-month-old infant who has
rotavirus. The nurse notes a hemoglobin level of 12 g/dL and a hematocrit of
,51%. Which of the following statements by the nurse indicates an understand- ing
of the laboratory values?
A. "The infant might be dehydrated."
B. "The infant might be anemic."
C. "The infant might have received too much fluid."
D. "The infant might have leukemia.": A."The infant might be dehydrated."
An increased hematocrit level indicates dehydration. Hematocrit levels rise when
blood volume is decreased during dehydration.
6. What are some client teaching for Rotavirus and state 4 things to avoid? (T=5):
-Parents should inform the child's school or day care of the infection/infesta- tion.
The child should stay home during the incubation period (48hrs)
-Avoid fruit juices, carbonated sodas, gelatin, and chicken/beef broth (too much
sodium/not enough carbs)
7. What is one intervention for Rotavirus and state process* (4)?: Oral rehydra- tion
therapy*:
-Start replacement with an oral replacement solution (ORS) of 75 to 90 mEq of
sodium/L at 40 to 50 mL/kg over 4 hrs
-Repeat if needed
-Maintenance therapy w/ ORS of 40-60 mEq of sodium/L and limit 150 mL/kg/day
-Replace each diarrheal stool w/ 10 mL/kg of ORS for ongoing diarrhea.
,8. Salmonella is considered as a viral infection.
TorF: False
Its a bacterial infection
9. What are 10 s/sx of Salmonella?: -Mild to severe n/v
-abd cramping
-bloody diarrhea
-fever
-diarrhea (up to 2-3 weeks)
-headaches
-confusion
-drowsiness
-seizures
-Can lead to meningitis or septicemia
10. How is Salmonella transmitted? (2): -undercooked meats and poultry
-person to person
11. What are 4 intervention for Salmonella and state process*?: - Assess/Mon- itor
I&O
- Avoid antibiotics
- Avoid antimotility
-Oral rehydration therapy*
>Start replacement with an oral replacement solution (ORS) of 75 to 90 mEq of
sodium/L at 40 to 50 mL/kg over 4 hrs
>Repeat if needed
, >Maintenance therapy w/ ORS of 40-60 mEq of sodium/L and limit 150 mL/kg/day
>Replace each diarrheal stool w/ 10 mL/kg of ORS for ongoing diarrhea.
12. A nurse is caring for a toddler who has gastroenteritis caused by Salmo-
nella. Which of the following is the priority action for the nurse?
A. Weigh the child
B. Initiate contact precautions
C.Establish a skin care routine
D.Obtain a recent food history: B.Initiate contact precautions
Salmonella is a type of bacteria that is transmitted via contaminated feces, making
contact precautions essential for preventing transmission. This client is at greatest
risk for transmission of Salmonella to others; therefore, contact precautions are the
nurse's priority.