Alterations in Gastrointestinal Function
Exam Review Qs&As 2025 A+
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Alterations in Gastrointestinal Function Exam Review Qs&As 2025 A+ 1. A nurse manages the interdisciplinary care for an infant born with an omphalocele. What is an accurate description of the care for an omphalocele? A: At birth, protect the exposed bowel by gently manipulating it back into the abdominal cavity. B:Obtain IV access to give fluid resuscitation and correct any electrolyte abnormalities. C: Administer corticosteroids as prescribed—either oral prednisone or pred nisolone or as IV methylprednisolone. D: Insert an NG tube to decompress the stomach and to prevent gastric distention.: ANS: B Rationale: For an omphalocele, protect the bowel by wrapping the exposed viscera with warm saline-soaked gauze and cover and seal with a plastic wrap or place in a "bowel bag" which will contain the defect, torso, and legs, to prevent heat and fluid loss from the exposed viscera. Obtain IV access. Give fluid resuscitation and correct any electrolyte abnormalities. Oral prednisone or prednisolone, or IV methylprednisolone, are administered for irritable bowel syndrome. An NG tube may be placed to decompress the stomach to prevent gastric distention when severe emesis is present with pancreatitis. 2. A school-aged girl with Crohn's disease will receive total parenteral nu trition (TPN) for the next 6 weeks. Which would best help her accept the treatment plan?
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