NSG 434 Actual Exam Health Disorder Symptoms Assessment Questions and 100% correctly verified Solutions Latest version 2024/2025
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Course
NSG
Institution
NSG
NSG 434 Actual Exam Health Disorder Symptoms Assessment Questions and 100% correctly verified Solutions Latest version 2024/2025
Gastroesophageal reflux - correct answer
-the presence of abnormal amounts of gastric contents in the esophagus, upper airways, and tracheobronchial area.
-the re...
NSG 434 Actual Exam Health Disorder
Symptoms Assessment Questions and 100%
correctly verified Solutions Latest version
2024/2025
Gastroesophageal reflux - correct answer
-the presence of abnormal amounts of gastric contents in the esophagus,
upper airways, and tracheobronchial area.
-the reflux of gastric contents can lead to inflammation and stricture of the
esophagus
-resulting effects:
•aspiration of gastric contents
•recurrent pneumonia
•pulmonary disease
•esophagitis
•esophageal stricture
-resolution of ger is often a maturational process
-peak incidence is 4 months of age. 85% of infants outgrow by 12 months
-the child may require surgery if they do not respond to medical management
-predisposed: preterm infants and bronchopulmonary dysplasia
-diagnostic: weight, length, ofc, chest x-ray for respiratory symptoms, ph
probe, sometimes endoscopy
-ranitidine, zantac, prevised, prilosec given to kids
Conservative treatment:
-feeding thickened formula
,-feeding small, frequent meals
-positioning: elevating head of the bed, hold infant in an upright position for 30
minutes following a feeding
-acid suppression and neutralization medications:
•decreases stomach acid so it will not be as irritating if the child spits up
•administer ppis 30 minutes before breakfast and if a second dose is
prescribed, 30 minutes before the evening meal.
•remind parents that they may not see results right away as it takes several
days for a steady state of acid suppression.
•ranitidine - zantac, lansoprazole - prevacid, omeprazole - prilosec
Surgical treatment:
-nissan fundoplication
•upper end of stomach (fundus) is wrapped around the lower portion (inferior)
of the esophagus creating a lower esophageal sphincter or cardiac sphincter
•lower 2-3 cm of esophagus
•laparoscopic
•this surgery is irreversible
Appendicitis - correct answer early symptoms:
-develop slowly, over a 12 hour period
-anorexia
-child doesn't seem "normal"
-n&v, low grade fever
-knees bent
-pain is diffuse at first then gradually localizes to rlq (rebound tenderness)
-mcburney's point: a point midway between the anterior superior iliac crest
and the umbilicus; doesn't hurt when you press there, hurts when you let go
,-if pain is suddenly relieved without intervention, suspect perforation
Diagnostic testing:
-cbc
-ua
-ct
Pre-op:
-npo, iv therapy (antibiotics, fluids, and electrolytes)
-position of comfort
-prepare for surgery (laparoscopic if non-perforated)
Post-op:
-monitor vs
-maintain iv and then advance diet as tolerated
-assess for pain
-encourage ambulation
-monitor incisional site(s)
-discharge teaching
Ruptured appendix:
-peritonitis:
•iv antibiotics
•npo, ng tube to low continuous suctioning
•may have a drain placed in surgery
•pain management
, •longer hospital stay
•requires 7-14 days of antibiotics
Inflammatory bowel disease - correct answer -two gastrointestinal
conditions:
•ulcerative colitis
•crohn's disease
-autoimmune
-etiologies are unknown
-prognosis is dependent on:
•age of onset and rapidity of onset
•response to medical treatment
•extent of involvement
Similar initial signs:
-diarrhea
-rectal bleeding
-abdominal pain
-fever
-malaise
-anorexia and weight loss
-anemia
-may include vague symptoms:
•growth failure
•joint pains (due to inflammation)
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