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NSG-434 Exam 2 2024/2025 Exam Questions and Answers | 100% Pass

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NSG-434 Exam 2 2024/2025 Exam Questions and Answers | 100% Pass mild dehydration -

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NSG-434 Exam 2 2024/2025 Exam
Questions and Answers | 100% Pass



mild dehydration - 🧠ANSWER ✔✔loss of less than 5% in infants and 3% in

children


moderate dehydration - 🧠ANSWER ✔✔loss of 5-10% in infants and 3-6%

in children


severe dehydration - 🧠ANSWER ✔✔loss of more than 10% in infants and

6% in older children


children are _ with moderate dehydration - 🧠ANSWER ✔✔irritable


children are __ with severe dehydration - 🧠ANSWER ✔✔lethargic


the earliest sign of dehydration in children is usually - 🧠ANSWER

✔✔tachycardia


clinical manifestations of fluid loss - 🧠ANSWER ✔✔-change in LOC


-altered response to stimuli

-decreased skin turgor (won't be present in an infant)


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,-prolonged cap refill

-tachycardia

-sunken eyes and fontanels

-may not have tears when crying


lab tests for dehydration - 🧠ANSWER ✔✔serum bicarbonate


mild-moderate dehydration tx - 🧠ANSWER ✔✔oral rehydration with

Pedialyte


severe dehydration tx - 🧠ANSWER ✔✔IV fluids to expand fluid volume and

replace deficits


most pathogens that cause diarrhea are spread by: - 🧠ANSWER ✔✔the

fecal oral route

be cautious of pathogens spread through the fecal-oral route in

__________ - 🧠ANSWER ✔✔day care centers since there is close contact


what is the most important cause of serious gastroenteritis among children

- 🧠ANSWER ✔✔rotavirus


most children are infected with ____ at least once by 5 years old -

🧠ANSWER ✔✔rotavirus

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,acute diarrhea - 🧠ANSWER ✔✔sudden increase in frequency and a

change in consistency of stools


chronic diarrhea - 🧠ANSWER ✔✔increase in stool frequency and

increased water content with a duration of >14 days


diarrhea care management - 🧠ANSWER ✔✔-oral rehydration


-early reintroduction to normal diet

-education on s/s

-skin care to prevent excoriation

-edu regarding prevention


constipation is often associated with - 🧠ANSWER ✔✔-painful bowel

movements

-blood streaked or retained stool

-abdominal pain

-lack of appetite


structural disorders causing constipation - 🧠ANSWER ✔✔Hirsphsprung's

disease and strictures



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, meds causing constipation - 🧠ANSWER ✔✔antacids, diuretics,

antiepileptics, antihistamines, opioids, iron supplements


encopresis - 🧠ANSWER ✔✔repeated and involuntary defecation in a child

older than 4


management of encopresis - 🧠ANSWER ✔✔-high fiber diet


-exercise

-reg toileting habits after meals

-stool softeners

-emotional support (help child feel in control)

Hirschsprung disease is most commonly observed in - 🧠ANSWER

✔✔neonates


hirschsprung disease in a neonate is characterized by - 🧠ANSWER

✔✔failure to pass meconium within 24-48hrs of birth, bilious vomiting


Hirschsprung disease in infancy and childhood is characterized by -

🧠ANSWER ✔✔-constipation


-recurrent diarrhea




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