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Peds Final Exam NR 328; Questions & Answers 100% Correct $12.99   Add to cart

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Peds Final Exam NR 328; Questions & Answers 100% Correct

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  • NR 328

Peds Final Exam NR 328; Questions & Answers 100% Correct Dehydration S/S CORRECT ANSWER-Prolonged/Extended cap refill Tenting (groin) Abnormal respiration's - Tachypnea ABdominal Assessment ORDER CORRECT ANSWER-Inspection Auscultate every quadrant (1 minute per quadrant) Palpation Circumfe...

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  • August 8, 2024
  • 29
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR 328
  • NR 328
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GOLDTUTORS
Peds Final Exam NR 328; Questions & Answers 100%
Correct
Dehydration S/S CORRECT ANSWER-Prolonged/Extended cap refill

Tenting (groin)

Abnormal respiration's - Tachypnea




ABdominal Assessment ORDER CORRECT ANSWER-Inspection

Auscultate every quadrant (1 minute per quadrant)

Palpation

Circumference




Crohn's Disease CORRECT ANSWER-Intestines are inflamed and not absorbing

"skip lesions"

Weight Loss




Ulcerative Colitis CORRECT ANSWER-Much more bleeding than Crohn's

Lower down in GI tract

"U" for LOWER in the alaphabet and lower in the GI Tract




What is the medication for Crohn's disease CORRECT ANSWER-Mesalamine
(Antiinflammatory)

Corticosterroids

Mercaptopurine (Actually a chemo med but used @ a low dose to shut down bowel)

, Peds Final Exam NR 328; Questions & Answers 100%
Correct

What is the diet for Crohn's disease? CORRECT ANSWER-High protein, high calorie when
they feel good

Vitamin supplementation

Possibly night NG tube feedings

Possible ileostomy and colostomy




What is the order for NG placement? CORRECT ANSWER-Child in supine with head
slightly hyperflexed (sniffing)

Measure and mark tube-nose, ear, midxiphoid umbilicus

Lubricate with water based lubricant

Command Child to swallow

Confirm placement with xray (most accurate) or color/pH is useful in predicting placement

Stabilize by tape




Feeding with NG Tube - how should we feed infants? CORRECT ANSWER-Infants should
be held and provided with nonnutritive sucking during procedure

Warm Formula to room temperature (but don't microwave)




What is the rate of formula via NG tube? CORRECT ANSWER-5 ml every 5-10 minutes in
premature and small infants

Rate should not exceed 10 ml/min in older infants and children

, Peds Final Exam NR 328; Questions & Answers 100%
Correct
Feeding should take 15-30 minutes




What do we need to do after feeding with NG tube? CORRECT ANSWER-Flush with
sterile water

Clamp indwelling tubes

Re-position child with HOB 30-45 degrees or on right side for 30-60 minutes

Record feeding including type and amount of residual, type and amount of formula and how it
was tolerated




What do we do with residual fluid ? CORRECT ANSWER-Refed to prevent electrolyte
imbalance and the amount is subtracted from the amount of feeding

Example: Infant is to receive 30 ml and 10 ml is aspirated before feeding, the 10 ml is refed
along with the 20 ml of feeding




Acetylcysteine medication - what is this for? CORRECT ANSWER-Acetaminophen
overdose - most common accidental drug poisoning




What is a toxic dose of acetaminophen? CORRECT ANSWER-150 mg/kg




What does a 3 day time period look like with a patient with acetaminophen overdose?
CORRECT ANSWER-0-24 hours = nausea/vomiting, sweating, pallor

24-72 hours = patient improves, may have UQ pain

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