Exam (elaborations)
ECU NURS 3340 Final Questions with Complete Solution1.
- Course
- NURS 3340
- Institution
- East Carolina University
ECU NURS 3340 Final Questions with Complete Solution1.
[Show more]
Content preview
ECU NURS 3340 Final Questions with Complete SolutionsFeeding techniques for cleft palate/lip Correct Answer-Feed slowly in upright position and burp frequently. Position infant with HOB up on back or side after feedings. Limit feedings to 20-30 minutes and watch for a pattern of sucking and swallowing.
Post-op interventions for cleft palate/lip Correct Answer-Position supine
or position side-lying on the side opposite the surgery. Nothing in mouth
for 7-10 days. Elbow immobilizers to prevent rubbing the surgical site.
ESSR feeding technique Correct Answer-Enlarge the nipple. Stimulate the suck reflex. Swallow fluid appropriately. Rest when infant signals with facial expression.
What does the ESSR feeding technique do? Correct Answer-It significantly increases the weight of a child with cleft lip/palate before surgery and gives them time to develop their own rhythm of sucking, swallowing, and resting.
What are the 2 goals of pre-op care for a child with cleft palate/lip? Correct Answer-Maintain nutrition and prevent aspiration.
Esophageal atresia Correct Answer-Esophagus doesn't go into the stomach. Key sign is drooling. Tracheoesophageal fistula Correct Answer-Abnormal connection between the esophagus and the trachea. Key signs are coughing, choking, and cyanosis.
What's the treatment for esophageal atresia and tracheoesophageal fistula? Correct Answer-Thoracotomy and anastomosis
Pyloric stenosis Correct Answer-Narrowing of the opening of the stomach to the duodenum. Key signs are projectile vomiting 30-60 minutes after eating (non-bilious), olive-size mass RUQ, visible peristaltic waves from left to right, dehydration, very hungry/fussy baby.
Diagnositic tests and treatment for pyloric stenosis Correct Answer-
Abdominal ultrasound, barium swallow, blood tests for metabolic alkalosis. Treatment is pyloromyotomy. Treat dehydration and electrolyte imbalances.
GERD Correct Answer-Immaturity of lower esophageal sphincter that causes reflux of gastric contents.
Clinical manifestations of GERD in infants Correct Answer-Failure to thrive, poor weight gain, recurrent spits, regurgitation, cranky/crying/irritable, BRUE, erosive esophagitis, anemia.
Clinical manifestations of GERD in children Correct Answer-
Heartburn/chest pain, asthma-type symptoms or stridor, ear infections, sinus problems, asthma/pneumonia, abdominal pain, dysphagia. Which complications/symptoms of GERD are the most life-threatening? Correct Answer-Breathing problems, BRUE, or bleeding in the esophagus
Nursing care for GERD Correct Answer-Position infant upright, right side with head elevated. Burp frequently while feeding, smaller amount of feeding with shorter intervals, allow to rest after feeding.
Surgical treatment for GERD Correct Answer-Nissen fundoplication. Fundus is wrapped around esophageal sphincter. Permanent, child theoretically can't vomit anymore.
Tums Correct Answer-Medication for GERD. Antacid neutralize stomach acid.
Zantac, Pepcid Correct Answer-Medication for GERD. Histamine 2 receptors inhibit gastric acid secretion
Prevacid, Prilosec, Nexium Correct Answer-Medication for GERD. Proton pump inhibitors block gastric acid secretion
Reglan, low dose erythromycin (EES) Correct Answer-Medication for GERD. Prokinetic agents increase the rate gastric emptying, stimulate GI motility.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now