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WCC Nur 106 G4,G6,10 Exam Questions With Correct answer
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WCC Nur 106 G4,G6,10 Exam Questions With Correct answer
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WCC Nur 106 G4,G6,10 ExamQuestions With Correct answer
Impaired functional integrity - correct answer -failure to thrive
h h h h h h h h h
-spitting up, regurgitation h h
-constipation
GI losses of fluid; absorption disorders - correct answer -nausea, vomiting
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-diarrhea
-GI track anomalies
h h
melena is - h h
correct answer The passage of black , tarry stools suggestive of bleeding from the upp
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er GI tract
h h
Rectal bleeding is - h h h
correct answer Bleeding from the perianal area, hemorrhoids, or lower GI tract would b
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e bright red
h h
Dehydration - correct answer 60-70% water h h h h h
Conditions in which dehydration can develop quickly are - correct answer -diarrhea
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-sweating
-fever
-DKA
-renal disease, cardiac anomalies
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-drugs
-trauma
What do clinical signs of dehydration provide -
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correct answer Clues to the extent of dehydration
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Oral rehydration management or oral rehydration therapy - correct answer -
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appropriate for use when the child is alert, awake, and not in danger
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-treats mild to moderate dehydration in children
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-management at home for mild cases of dehydration h h h h h h h
*Ondansetron known as Zofran to reduce emesis h h h h h h
Parenteral Fluid Therapy - correct answer - h h h h h h
initiated when child is unable. To ingest sufficient amounts of fluid and electrolytes
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-treats pts with severe dehydration-
h h h h
huncontrolled vomiting, unable to drink, severe gastric distention h h h h h h h h
-example:Pedialyte
LECTENDRREW
, Acute diarrhea - h h
hcorrect answer sudden increase in frequency and change in consistency of stools
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-*the leading cause of illness in children younger than 5yrs of age
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Rotavirus - h
correct answer The most common viral pathogen to cause acute diarrhea in children
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Giardia lamblia - correct answer Parasite that causes acute diarrhea
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Chronic diarrhea diagnostic evaluations - correct answer -glucose intolerance-
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watery, explosive stools h h
-foul smelling, greasy, bulky stools- fat malabsorption
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-diarrhea developing after introducing cow's milk, fruits, or cereal-
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enzyme deficiency or protein intolerance
h h h h
-neutrophils or RBCs in the stool- indicate bacterial gastroenteritis or IBD
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Chronic diarrhea therapeutic management - correct answer -
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oral rehydration solutions 1st then moderate dehydration
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-administered in small quantities at frequent intervals
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Are antidiarrheal meds recommended for acute diarrhea? - correct answer No!!!!
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Chronic diarrhea prevention - correct answer -rotavirus vaccine
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-teach personal hygiene h h
h*Most diarrhea is spread by the fecal-oral route
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Make sure water supply is clean and protected from contamination and prepare food ca
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refully
Chronic diarrhea nursing considerations - correct answer -accurate I/O measurement
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-provide perianal skin care h h h
-avoid taking temp rectally; this stimulates the bowel, increasing passage of stool
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-
educate family about proper hand washing and disposal of solid diapers, clothes, and b
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ed linens
h
Protozoa- Giardiasis - h h
correct answer Person to person transmission most common in children
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Protozoa- Giardiasis clinical manifestations - correct answer Cramps and diarrhea
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Protozoa-Giardiasis therapeutic management - correct answer - h h h h h h
Metronidazole or Flagyl, Tinidazole or Tindamax h h h h h h
-Encourage meticulous sanitary practices h h h h
-
Discourage infected children or those with diarrhea from swimming in pools or lakes unt
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il they are infection free
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Helminths or Pinworms patho - correct answer - h h h h h h h
crowded conditions, such as in classrooms or daycare centers
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-infection begins when the eggs are ingested or inhaled
h h h h h h h h
LECTENDRREW
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