Exam (elaborations)
ECU NURS 3340 Final Questions with complete solutions.
- Course
- NURS 3340
- Institution
- East Carolina University
ECU NURS 3340 Final Questions with complete solutions.
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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.
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