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21 Cards in this Set
- Front
- Back
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An infant's vomit with a history of pyloric stenosis would contain gastric contents and?
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mucus and streaks of blood
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What is a priority nursing diagnosis for an infant with hypertrophic pyloric stenosis?
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deficient fluid volume related to prolonged vomiting
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What is the first thing a nurse should do when an infant arrives to the hospital with pyloric stenosis?
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weigh the infant
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What is pyloric stenosis?
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an enlarged muscle below the sphincter
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Telescoping of the bowel is called _______.
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intussusception
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Infants with pyloric stenosis frequently have low ____ levels due to vomiting.
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potassium
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When can parents start feeding their child after pyloric stenosis surgery?
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clear liquids containing glucose and electrolytes are usually prescribed 4-6 hours after surgery
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How can pain be assessed in an infant with intussusception?
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experiences acute episodes of colic-like abdominal pain; the infant screams and draws the knees to the chest
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What is the appearance of stools with an infant with intussusception?
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currant jelly like because of intestinal inflammation and hemorrhage
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What are significant clinical findings of inguinal hernia?
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abdominal distention and reddened area
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What is the most common complication after inguinal hernia repair in an infant secondary to possible wound contamination with urine and stool?
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wound infection
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The absence of ____ is typically found with moderate dehydration.
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tears
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What is the initial treatment for an infant admitted with gastroenteritis?
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NPO to rest GI tract
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Once the infant has been NPO long enough to control the gastroenteritis, what is the next step?
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introduce clear liquids for a period of time
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How can the nurse prevent spread of gastroenteritis?
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initiate standard precautions (good handwashing PPE such as gloves, gowns, googles
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Before administering potassium chloride to a child, what should the nurse assess first?
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the child's ability to void--> potassium chloride is readily excreted in the urine
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What is an early sign of circulatory overload?
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moist crackles on auscultation
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What are common findings associated with appendicitis?
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periumbilical pain, vomiting, abdominal tenderness on palpation
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What is the priority assessment after an appendectomy?
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dressing over surgical site to determine whether there is any drainage or bleeding (should be clean, dry, intact)
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After an appendectomy, the client who develops peritonitis typically has what in place?
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NG tube
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What is Hirschsprung's disease?
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the nerves at the end of the large colon are missing
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