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Exam 3 - NURS4010 |Complete Questions with A+ Graded Answers

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Exam 3 - NURS4010 |Complete Questions with A+ Graded Answers what is intussusception proximal segment of the bowel "telescopes" into a more distal segment what is the cause of intussusception unknown in children what is used for diagnosis of intussusception - health hx - physical exa...

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  • May 8, 2024
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  • 2023/2024
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Exam 3 - NURS4010 |Complete Questions with A+
Graded Answers
what is intussusception
proximal segment of the bowel "telescopes" into a more distal segment


what is the cause of intussusception
unknown in children


what is used for diagnosis of intussusception
- health hx
- physical exam


what is apart of the health hx for intussusception
present illness and chief complaint


what is apart of the physical exam for intussusception
palpate abd for presence of sausage-shaped mass in upper mid abd


what are the labs for intussusception
air or barium enema


what is the s/s of intussusception
- sudden onset of intermittent, crampy, severe abd pain
- vomiting, diarrhea
- currant-jelly stools, gross blood, hemoccult positive stools
- lethargy
- sx typically flare and regress; no sx between episodes


what are the nursing interventions for intussusception
- IV fluid and abx
- lab tests: WBCs, lytes
- post op care
- emotional support
- education


what are the complications of intussusception
- edema, vascular compromise, and potentially partial or total bowel obstruction
- most common cause of bowel obstruction in children < 2 yo


what are the medications for intussusception
barium enema


what is done is a barium enema is unsuccessful
reduced surgically

, what is done is bowel necrosis occurs
bowel resection


what can occur with intussusception and what is needed incase this occurs
perf may occur, have surgeon avail


what type of GI disorder is intussusception
acute


what is short bowel syndrome
syndrome of nutrient malabsorption and excessive intestinal fluid and lyte losses


what does short bowel syndrome occur following
massive small intestinal loss or surgical resection


what does short bowel syndrome severity depend on
amt and type of small intestine loss


what are the causes of short bowel syndrome
- necrotizing enterocolitis
- small intestinal atresia
- gastroschisis
- malrotation w volvulus
- trauma


what is used for diagnosis of short bowel syndrome
- health hx
- pysical


what is apart of the health hx for short bowel syndrome
past hx of bowel loss or resection


what is apart of the physical for short bowel syndrome
- hydration status
- stool: consistency, color, volume


what labs are used for short bowel syndrome
- lytes for hydration status
- liver function tests: eval cholestasis d/t long term TPN use


what is the primary sx of short bowel syndrome
diarrhea


what are the nursing interventions for short bowel syndrome

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