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NURS 461 Exam 3 Study Guide Questions And Actual Answers.
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care for an ileostomy - Answer properly clean the stoma and the skin surrounding the stoma Use a skin guard to avoid tape irritation Ensure the pouch fits the stoma correctly Assess stoma (pink and moist) reduced stomach capacity and a shorter length in small bowel - Answer What is the...

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  • November 4, 2024
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  • 2024/2025
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NURS 461 Exam 3 Study Guide
Questions And Actual Answers.
care for an ileostomy - Answer properly clean the stoma and the skin surrounding the stoma

Use a skin guard to avoid tape irritation

Ensure the pouch fits the stoma correctly

Assess stoma (pink and moist)



reduced stomach capacity and a shorter length in small bowel - Answer What is the major difference
b/w children and adults in the GI system?



projectile vomiting - Answer common symptom seen in pyloric stenosis



Administration of an Enema - Answer Position infant and toddler on abdomen with knees bent

Lay child or adolescent on left side with right leg flexed toward chest.

Admin:

-250 or less for infant

-250-500 for toddler and school aged child



Nursing care and education about enemas - Answer assess for signs of constipation and withholding
behaviors

positive reinforcement techniques

high-fiber diets

proper medication administration

explain procedure in developmentally appropriate terms

awarding behaviors



s/s of intussusception - Answer currant-jelly stools

sudden onset of cramping

,severe pain

vomiting

diarrhea

lethargy



nursing care for intussusception - Answer offer emotional support to parents

administer IV fluids and antibiotics



Stoma care - Answer assess for skin breakdown

apply a barrier cream on the skin to prevent breakdown

do not use scented wipes or alcohol wipes because they dry out the skin and cause irritation



Assess for poor self-esteem and body image



Thrush - Answer If this condition is suspected in a breastfeeding baby, ask mom if nursing has been
painful



s/s of thrush - Answer fungal infection of the mouth

thick white patches on the tongue, mucosa, or palate

can interfere the infant's ability to feed

looks like curdled milk, but won't wipe off



nursing care for thrush - Answer administer anti fungal orally

educate family

administer medications to mom if she is infected (painful breastfeeding)

Teach appropriate hand washing, wash bottles and nipples as well as toys

Report any diaper rashes



formula for fluid maintenance - Answer 100 mL/kg for first 10 kg

, 50 mL/kg for next 10 kg

20 mL/kg for remaining kg

add together for total mL needed per 24-hour period

divide by 24 for ml/hour fluid requirement



0.5 to 2 mL/kg/hr. - Answer expected urine output on an infant or child



dehydration - Answer The most common result of GI illnesses in infants and children is __________.



Kool-Aid or juice - Answer Do not give ____________ as a oral rehydration measure because they
contain too much sugar



immunosuppressants - Answer Children taking __________ for nephrotic syndrome or for renal
transplant are at increased risk for the development of overwhelming infection.



Decreased BUN - Answer What type of lab value will you see in nephrotic syndrome



care after surgical repair for hypospadias - Answer double diaper technique to help maintain proper
position for drainage tubing



s/s of nephrotic syndrome - Answer significant proteinuria and edema



acute glomerulonephritis - Answer most often follows a group A streptococcal infection



s/s: hematuria, proteinuria, and hypertension.



Responses that alert nurses would be that the child just got over a head cold with laryngitis



E. coli - Answer The most common cause of hemolytic-uremic syndrome is

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