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NURS 4040 GI TEST WITH COMPLETE SOLUTION
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NURS 4040 GI TEST WITHCOMPLETE SOLUTION
What is some nursing management for dehydration? - ANSWER Monitor I/O
VS q 2-4 hours
Skin and neuro assessment
What are some S/Sx of dehydration? - ANSWER Weight loss
Elevated HR, pulse, BP
Dry mucous membranes
No tears
Cap refill 3-4 seconds
Decreased skin turgor
Oliguria/Decreased UOP
Increased thirst
How is diarrhea spread? - ANSWER Fecal/oral route
Contaminated food, water, person to person spread
What is the most common cause of viral diarrhea? - ANSWER Rotavirus
Viral diarrhea occurs at what ages? - ANSWER Under 5 years old
How long does viral diarrhea persist for? - ANSWER 5 to 7 days
,What is the most common cause of bacterial diarrhea? - ANSWER E. coli
How long does bacterial diarrhea persist for? - ANSWER 1 to 2 days
Bacterial diarrhea is also sometimes known as? - ANSWER Traveler's diarrhea
Isotonic dehydration means? - ANSWER Electrolyte and water deficits are
present in approximately balanced proportions
What is a major cause of C. diff? - ANSWER Overuse of antibiotics
What is a major symptom of C. diff? - ANSWER Watery diarrhea
What are some S/Sx of Salmonella? - ANSWER N/V
Bloody diarrhea
Abdominal pain
What is some nursing management for diarrhea? - ANSWER Assess and
monitor I/O
Daily weights
Initiate IV fluids (NPO initially)
Administer antibiotic (Flagyl)
Administer ORT
What is ORT? - ANSWER Oral rehydration therapy
How is ORT done? - ANSWER Slowly
No caffeine
What is encopresis? - ANSWER Stool in the pants
, Constipation is defined as? - ANSWER Several days of not passing stool easily
How is constipation managed? - ANSWER Diet (high fiber, high fluid)
Medications (Colace, Miralax)
Exercise
Journal of poop cycle
What is the number one sign of pinworms? - ANSWER Itching
What are some things that contribute to contracting pinworms? - ANSWER
Lack of personal hygiene
Overcrowded areas
After contracting pinworms, the patient may do what? - ANSWER Begin
bedwetting
What is the Tape Test, and what is it used for? - ANSWER Place a piece of
tape over the anus at night
Take off the tape in the morning
Place the tape in an envelope and take it to the physician
How are pinworms treated? - ANSWER Vermox
Treat the whole household
What is Hirschsprung's disease? - ANSWER Mechanical obstruction caused by
inadequate motility of part of the intestine
What are some S/Sx of Hirschsprung's disease? - ANSWER Ribbon-like,
foul-smelling stool
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