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Exam (elaborations)

NURS 3900 Final Exam Guide With Complete Solution

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NURS 3900 Final Exam Guide With Complete Solution...

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  • August 2, 2024
  • 38
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 3900
  • NURS 3900
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Newsolution
NURS 3900 Final Exam Guide With
Complete Solution

Failure to thrive: What it is - ANSWER Failure to grow related to an inability
to obtain or use calories required for growth

Failure to thrive: classifications - ANSWER Organic (25%): disease process or
congenital or genetic disorders that inhibit feeding, digestion, absortion or
transport of nutrients to tissues; includes CHD, GI disorders, neuro problems,
CF, etc

Nonorganic (50%): may be due to complex set of interactive patterns
between the infant and caregiver (picky eater)

FTT: manifestations - ANSWER -weight below 5th percentile

-sudden decerlation in growth

-delay in developmental milestones

-muscle hypotonia, decreased muscle mass

-generalized weakness, ab distension

FTT: nursing interventions - ANSWER 1. Note feeding patterns, assess
tolerance to approriate foods, schedule mealtimes

2. Initiate correct diet

3. Monitor intake and weight gain

4. Teach good mealtime behaviors

,5. Organic: address underlying health condition

GERD: what it is - ANSWER Transfer of gastric contents into esophagus

GERD: nursing interventions - ANSWER 1. Positioning: hold infant in upright
position after feeding, prone ok but not while asleep; older kids stand after
eating, elevate HOB

2. Meds: PPI

3. Comfort measures

4. Education: most kids grow out of it

Pyloric stenosis: what it is - ANSWER constriction of pyloric sphincter with
obstruction of the gastric outlet

Pyloric stenosis: treatment - ANSWER -preoperative care

-surgical intervention: pyloromytomy

-postop care

Intussusception: what it is - ANSWER Intestine folds in on itself with cause
unknown

Intussusception: manifestations - ANSWER -occurs suddenly

-episodic, severe abdominal pain (very cyclic)

-abdominal distension

-vomiting

-"currant jelly" stools

Intussusception: nursing interventions - ANSWER Barium enema: can

,diagnose or treat

-bowel prep preoperatively

-stools may be light colored for a few days

What is rebound tenderness? - ANSWER pain upon releasing the palpating
hand pushing on the abdomen (think appendicitis)

Hirschsprung disease: what it is - ANSWER *dilating colon*

mechanical obstruction of intestine from inadequate motility of intestine due
to absence of ganglion cells in colon; aganglionic segment usually includes
rectum and proximal colon

Hirschsprung disease: treatment - ANSWER Surgery: pull through operation
which is surgical resection of aganglionic bowel and anastomosis of
ganglionic bowel to distal rectum

GI obstruction: symptoms - ANSWER abdominal pain and vomiting

When do you no longer need NG tube to suction? - ANSWER when there are
bowel sounds and passing gas

Should someone vomit if patient has NG tube to suction? - ANSWER No;
check patency of suction

Signs of dehydration - ANSWER -dry oral mucosa

-tenting skin

-alert to comatose

-sunken fontanels

-deeply sunken orbits

, -increased HR

-hypotension

-cool, mottled skin with delayed cap refill

-UO <1 ml/kg/hr

What is gastroenteritis? - ANSWER *inflamed stomach*

Intestinal infection marked by watery diarrhea, abdominal cramps, N/V and
vomiting. Usually caused by the rotavirus

Urinalysis: lab values - ANSWER -pH: 5-9

-*Specific gravity: 1.001-1.030*

-*Protein: <20 mg/dL*

-urobilinogen: up to 1 mg/dL

-no: glucose, ketones, RBCs, HgB, WBCs, casts, nitrates

-*production 1-2 cc/kg/hour*

UTI: Etiology - ANSWER -alteration of defense mechanisms increases risk of
UTI

-female anatomy is predisposing factor

-organisms usually introduced via ascending route from urethra from
urologic instrumentation, sex, or other

-E. coli, streptococci, staphylococcus saprophysticus

-fungal and paristic pathogens

UTI: manifestations - ANSWER -no sx or nonspecific sx: fatigue,

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