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WCC NUR 106: Exam Study Guide for Modules G4, G6, and G10 - Pediatric Nursing Essentials $7.99   Add to cart

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WCC NUR 106: Exam Study Guide for Modules G4, G6, and G10 - Pediatric Nursing Essentials

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WCC NUR 106: Exam Study Guide for Modules G4, G6, and G10 - Pediatric Nursing Essentials -failure to thrive -spitting up, regurgitation -constipation - -Impaired functional integrity -nausea, vomiting -diarrhea -GI track anomalies - -GI losses of fluid; absorption disorders The passage of ...

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  • November 10, 2024
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WCC NUR 106: Exam Study Guide for
Modules G4, G6, and G10 - Pediatric
Nursing Essentials
-failure to thrive

✅✅
-spitting up, regurgitation
-constipation - -Impaired functional integrity

-nausea, vomiting

✅✅-GI losses of fluid; absorption disorders
-diarrhea
-GI track anomalies -


✅✅
The passage of black , tarry stools suggestive of bleeding from the upper GI tract
- -melena is


✅✅
Bleeding from the perianal area, hemorrhoids, or lower GI tract would be bright
red - -Rectal bleeding is

60-70% water - ✅✅-Dehydration
-diarrhea
-sweating
-fever
-DKA
-renal disease, cardiac anomalies

✅✅
-drugs
-trauma - -Conditions in which dehydration can develop quickly are

Clues to the extent of dehydration - ✅✅-What do clinical signs of dehydration
provide

-appropriate for use when the child is alert, awake, and not in danger
-treats mild to moderate dehydration in children
-management at home for mild cases of dehydration

,*Ondansetron known as Zofran to reduce emesis - ✅✅-Oral rehydration
management or oral rehydration therapy

-initiated when child is unable. To ingest sufficient amounts of fluid and
electrolytes
-treats pts with severe dehydration- uncontrolled vomiting, unable to drink,

✅✅
severe gastric distention
-example:Pedialyte - -Parenteral Fluid Therapy


✅✅-Acute
sudden increase in frequency and change in consistency of stools
-*the leading cause of illness in children younger than 5yrs of age -
diarrhea


✅✅
The most common viral pathogen to cause acute diarrhea in children -
-Rotavirus

Parasite that causes acute diarrhea - ✅✅-Giardia lamblia
-glucose intolerance-watery, explosive stools
-foul smelling, greasy, bulky stools- fat malabsorption
-diarrhea developing after introducing cow's milk, fruits, or cereal-enzyme
deficiency or protein intolerance

✅✅
-neutrophils or RBCs in the stool- indicate bacterial gastroenteritis or IBD -
-Chronic diarrhea diagnostic evaluations


✅✅-Chronic diarrhea
-oral rehydration solutions 1st then moderate dehydration
-administered in small quantities at frequent intervals -
therapeutic management

No!!!! - ✅✅-Are antidiarrheal meds recommended for acute diarrhea?
-rotavirus vaccine
-teach personal hygiene
*Most diarrhea is spread by the fecal-oral route

✅✅
Make sure water supply is clean and protected from contamination and prepare
food carefully - -Chronic diarrhea prevention

, -accurate I/O measurement
-provide perianal skin care
-avoid taking temp rectally; this stimulates the bowel, increasing passage of stool

✅✅
-educate family about proper hand washing and disposal of solid diapers,
clothes, and bed linens - -Chronic diarrhea nursing considerations

Person to person transmission most common in children - ✅✅-Protozoa-
Giardiasis

Cramps and diarrhea - ✅✅-Protozoa- Giardiasis clinical manifestations
-Metronidazole or Flagyl, Tinidazole or Tindamax
-Encourage meticulous sanitary practices

✅✅
-Discourage infected children or those with diarrhea from swimming in pools or
lakes until they are infection free - -Protozoa-Giardiasis therapeutic
management


✅✅
-crowded conditions, such as in classrooms or daycare centers
-infection begins when the eggs are ingested or inhaled - -Helminths or
Pinworms patho

Tape test to obtain la specimen for fecal smear - ✅✅-Clinical manifestations of
helminths

-Mebendazole or Vermox
-all bed linens and clothes must be washed in hot water

✅✅
-encourage hand washing after toileting and before eating, keeping a child's
fingernails short, daily showering rather than tub - -Helminth therapeutic tx

An alteration in frequency, consistency, or ease of passage of stool
-may be secondary to other disorders
-idiopathic constipation has no known cause

✅✅
-chronic constipation may be due to environmental or physiological factors -
-Constipation patho

-antacids
-diuretics

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