NSG 3600 Exam 3 – Questions With Verified
Solutions (Galen College of Nursing)
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Terms in this set (207)
Rotavirus Most common cause of acute diarrhea
Acute Diarrhea effects Excessive Fluid and electrolyte loss in the stool
Acute Diarrhea assessment (think Skin turgor, membrane moisture, recent travel,
dehydration) perineal skin quality
Diarrhea prevention hand hygiene, cook food properly, correct food
handling
diarrhea priority interventions Administer Pedialyte (Restore electrolyte imbalance).
Least to most invasive methods for rehydration.
Cleft Lip Population Males, Asians, and Native Americans
Cleft Lip/Palate RF smoking, gestational diabetes, use of certain
medications, lack of folate
Cleft Lip/Palate Diagnosis Ultrasound during pregnancy
Physical Observation
Cleft Lip Feedings Long Nipple
Haberman's Feeder
Cleft Palate Feedings Short Nipple
Haberman Feeder
Cleft Lip/Palate Feedings Feed Upright, Burp Often
,Cleft Lip/Palate repairs Lip- 3 months or younger
Palate- Around six months, always before 18 months
Cleft Lip/Palate repair priority Protect sutures with Logan's Bow
Apply Petroleum Jelly to the Operative Site
GENTLE Elbow Restraints?
Cleft Lip/Palate Post-Op Feeding Tips "Feed with syringe or dropper until surgical site is
healed."
Maintain same method used pre-operatively.
intussusception Intestine folding into itself, telescoping.
intussusception RF Cystic Fibrosis, Males, less than 18 months
intussusception s/s Pulling Legs to Chest
JELLY LIKE STOOLS MIXED W BLOOD
Vomiting
SAUSAUGE SHAPED MASS in RUQ
intussusception Symptom triad Episodic Abdominal Pain with Vomiting q. 5-30 min
Screaming and Drawing up Legs
Stool with blood
intussusception diagnosis barium enema (#1) or surgery (last resort)
Or ultrasound
Air enema is strictly therapeutic
intussusception pre-operative care NG-Tube
Monitor for Brown Stool Passing (Notify PCP)
intussusception Fever Fever > 99.5 = bad
Failure to Thrive a condition in which babies do not grow and develop
properly due to deficit in caloric intake
Failure to Thrive Diagnosis Weight is below the 5th percentile
, Failure to Thrive Expected Labs Decreased Albumin (Normal 4.5-9g/dl)
Failure to Thrive Nursing Requirements Notify CPS
Appendicitis lumen of the appendix becoming blocked by fecal
matter, lymphoid tissue, tumor, parasite, etc.
Appendicitis s/s RLQ abdominal pain or cramping, nausea, vomiting,
chills, low grade fever
Appendicitis Pain stops suddenly Notify PCP ASAP, a rupture could have occured
Appendicitis Post-operative Care NPO 24/hrs
Appendicitis Perforation/Rupture Antibiotics
Care
Appendicitis Nursing Priority Monitor for Peritonitis
Hirshsprungs Disease AKA aganglionic disease
Hirshsprungs Disease Lack of ganglionic cells resulting in decreased
motility and mechanical obstruction of the bowels
Hirshsprungs Disease cause birth defect
Hirshsprungs Disease s/s No meconium within 48 hours birth
Ribbon Like Stools
Abdominal Distension
Vomiting Bile, constipation
Failure to Thrive
Palpable Fecal Mass
Hirshsprungs Disease Diagnosis X-Ray
barium Enema
Solutions (Galen College of Nursing)
Save Groups
Terms in this set (207)
Rotavirus Most common cause of acute diarrhea
Acute Diarrhea effects Excessive Fluid and electrolyte loss in the stool
Acute Diarrhea assessment (think Skin turgor, membrane moisture, recent travel,
dehydration) perineal skin quality
Diarrhea prevention hand hygiene, cook food properly, correct food
handling
diarrhea priority interventions Administer Pedialyte (Restore electrolyte imbalance).
Least to most invasive methods for rehydration.
Cleft Lip Population Males, Asians, and Native Americans
Cleft Lip/Palate RF smoking, gestational diabetes, use of certain
medications, lack of folate
Cleft Lip/Palate Diagnosis Ultrasound during pregnancy
Physical Observation
Cleft Lip Feedings Long Nipple
Haberman's Feeder
Cleft Palate Feedings Short Nipple
Haberman Feeder
Cleft Lip/Palate Feedings Feed Upright, Burp Often
,Cleft Lip/Palate repairs Lip- 3 months or younger
Palate- Around six months, always before 18 months
Cleft Lip/Palate repair priority Protect sutures with Logan's Bow
Apply Petroleum Jelly to the Operative Site
GENTLE Elbow Restraints?
Cleft Lip/Palate Post-Op Feeding Tips "Feed with syringe or dropper until surgical site is
healed."
Maintain same method used pre-operatively.
intussusception Intestine folding into itself, telescoping.
intussusception RF Cystic Fibrosis, Males, less than 18 months
intussusception s/s Pulling Legs to Chest
JELLY LIKE STOOLS MIXED W BLOOD
Vomiting
SAUSAUGE SHAPED MASS in RUQ
intussusception Symptom triad Episodic Abdominal Pain with Vomiting q. 5-30 min
Screaming and Drawing up Legs
Stool with blood
intussusception diagnosis barium enema (#1) or surgery (last resort)
Or ultrasound
Air enema is strictly therapeutic
intussusception pre-operative care NG-Tube
Monitor for Brown Stool Passing (Notify PCP)
intussusception Fever Fever > 99.5 = bad
Failure to Thrive a condition in which babies do not grow and develop
properly due to deficit in caloric intake
Failure to Thrive Diagnosis Weight is below the 5th percentile
, Failure to Thrive Expected Labs Decreased Albumin (Normal 4.5-9g/dl)
Failure to Thrive Nursing Requirements Notify CPS
Appendicitis lumen of the appendix becoming blocked by fecal
matter, lymphoid tissue, tumor, parasite, etc.
Appendicitis s/s RLQ abdominal pain or cramping, nausea, vomiting,
chills, low grade fever
Appendicitis Pain stops suddenly Notify PCP ASAP, a rupture could have occured
Appendicitis Post-operative Care NPO 24/hrs
Appendicitis Perforation/Rupture Antibiotics
Care
Appendicitis Nursing Priority Monitor for Peritonitis
Hirshsprungs Disease AKA aganglionic disease
Hirshsprungs Disease Lack of ganglionic cells resulting in decreased
motility and mechanical obstruction of the bowels
Hirshsprungs Disease cause birth defect
Hirshsprungs Disease s/s No meconium within 48 hours birth
Ribbon Like Stools
Abdominal Distension
Vomiting Bile, constipation
Failure to Thrive
Palpable Fecal Mass
Hirshsprungs Disease Diagnosis X-Ray
barium Enema
