NUR 4010- Exam III Questions With Verified Answers

NUR 4010- Exam III Questions With Verified Answers what is intussusception - answerproximal segment of the bowel "telescopes" into a more distal segment what is the cause of intussusception - answerunknown in children what is used for diagnosis of intussusception - answer- health hx - physical exam what is apart of the health hx for intussusception - answerpresent illness and chief complaint what is apart of the physical exam for intussusception - answerpalpate abd for presence of sausage-shaped mass in upper mid abd what are the labs for intussusception - answerair or barium enema what is the s/s of intussusception - answer- sudden onset of intermittent, crampy, severe abd pain - vomiting, diarrhea - currant-jelly stools, gross blood, hemoccult positive stools - lethargy - sx typically flare and regress; no sx between episodes what are the nursing interventions for intussusception - answer- IV fluid and abx - lab tests: WBCs, lytes - post op care - emotional support - education what are the complications of intussusception - answer- edema, vascular compromise, and potentially partial or total bowel obstruction - most common cause of bowel obstruction in children 2 yo what are the medications for intussusception - answerbarium enema what is done is a barium enema is unsuccessful - answerreduced surgically what is done is bowel necrosis occurs - answerbowel resection what can occur with intussusception and what is needed incase this occurs - answerperf may occur, have surgeon avail what type of GI disorder is intussusception - answeracute what is short bowel syndrome - answersyndrome of nutrient malabsorption and excessive intestinal fluid and lyte losses what does short bowel syndrome occur following - answermassive small intestinal loss or surgical resection what does short bowel syndrome severity depend on - answeramt and type of small intestine loss what are the causes of short bowel syndrome - answer- necrotizing enterocolitis - small intestinal atresia - gastroschisis - malrotation w volvulus - trauma what is used for diagnosis of short bowel syndrome - answer- health hx - pysical what is apart of the health hx for short bowel syndrome - answerpast hx of bowel loss or resection what is apart of the physical for short bowel syndrome - answer- hydration status - stool: consistency, color, volume what labs are used for short bowel syndrome - answer- lytes for hydration status - liver function tests: eval cholestasis d/t long term TPN use what is the primary sx of short bowel syndrome - answerdiarrhea what are the nursing interventions for short bowel syndrome - answer- encourage adequate nutrition - promoting effective family coping how does a nurse intervene with encouragement of adequate nutrition - answer- long term TPN, long term IV access, monitor for infection - long term feeding tubes, special formulas to promote absorption - initiate and admin enteral feeding slowly - assess for abd distention or discomfort - strict I&O, assess stool - admin vit and mineral supp, antidiarrheals, and abx how does a nurse intervene with promoting effective family coping - answer- anxiety r/t initial bowel resection - long term hospitalization - encourage parents to become experts on child's needs how can parents become experts on the child's needs - answer- education - encourage participation in cares what are complications of short bowel syndrome - answer- bacterial overgrowth - vit deficiency - poor intestinal motility what is the goal of treatment for short bowel syndrome - answerminimize bacterial growth and maximize nutritional status what are the medications for short bowel syndrome - answer- abx: treat bacterial overgrowth - antidiarrheals: decrease stool output - nutritional status - intestinal and liver transplantation d/t irreversible liver damage from long term TPN how is nutritional status treated for short bowel syndrome - answer- vit and mineral supplementation - TPN/lipids for extended period to achieve adequate growth - SLOW progression to enteral feedings depending on intestines response how is the prognosis of short bowel syndrome - answerimproving, some will not do well what kind of GI disorder is short bowel syndrome - answerchronic