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PEDS GI

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Question
Answer
cHILD'S EXTRA CELLULAR COMPONENTS THAT ARE LOST EASIER COMPARED TO ADULTS ARE _______& ___________   NA AND WATER  
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MORE FLUIDS ARE LOST THUR THE _________ THAN THE __________ ON CHILDERN   SKIN KIDNEYS  
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INFANTS HAVE THE INABILITY TO CONSERVE WATER BECAUSE OF ______________   IMMATURE KIDNEYS  
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WHAT DISTURBANCE IN THE GI SYSTEM WILL YOU OFTEN SEE   VOMITING & DIARRHEA  
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EXCESSIVE LOSS OF BODY WATER - FLUID VOLUME DEFICIT =   DEHYDRATION  
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DEHYDRATION CAN BE _______,________,________   MILD, MODERATE OR SEVERE  
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WEIGHT LOSS OF _______-_________%CAN HELP IDENTIFY SEVERITY OF DEHYDRATION   5-15  
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A CHILD WITH DEHYDRATION THE NURSE WILL ASSESS WHAT 4 THINGS TO THE SKIN   SKIN TURGOR DECREASED , SKIN COLOR PALE, SKIN TEMP COOL, MUCOUS MEMB DRY,  
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A CHILD WITH DEHYRATION THE NURSE WILL ASSESS WHAT FOR KIDNEY FUNCTION   URINE OUT PUT AND BUN/SPEC GRAVITY WILL BE INCREASED  
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NAME 3 THINGS THAT YOU WILL ASSESS ON A SMALL CHILD OR INFANT WITH DEHYDRATIONQ   SUNKEN FONTANEL, DECREASED TEARS, INCREASE PULSE  
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WHAT FOUR THINGS DO WE ASSESS ON A CHILD FOR HYPOVOLEMIC SHOCK   RAPID, WEAK PULSE, DECREASED B/P, CHANGES IN LOC  
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WHAT NURSING CARE WOULD BE DONE ON A CHILD WITH DEHYDRATION   ASSESS HYDRATION STATUS FREQASSESS VITAL SIGNSMONITOR I & OADMINISTER FLUIDS ORAL OR IV  
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WHAT MUST YOU DO BEFORE GIVING POTASSIUM IN IVFs   MAKE SURE THE KIDNEYS ARE PRODUCING URINE  
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WHAT LABS ARE YOU ASSESSING A CHILD WITH DEHYDRATION   SERUM PH STUDIESELECTROLYTE STUDIES BMP CMPHCT LEVELSBUN LEVELSURNE SPECIFIC GRAVITY  
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WHEN A CHILD IS VOMITING WHAT ELECTROLYTE IMBALANCES CAN OCCUR   NACL HCL  
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WHEN A CHILD IS VOMITING THE PH SHIFT IS ___________   ALKALOSIS  
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WHAT 3 THINGS CAN BE THE CAUSE OF VOMIITNG IN A CHILD/INFANT   ILLNESS,IICP,FORMUAL INTOLERANCE  
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WHEN A CHILD HAS DIARRHEA WHAT ELECTROLYTE IMBALANCES CAN OCCUR   SODIUM BICARBONATE  
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WHEN A CHILD HAS DIARRHEA THE PH SHIFT IS _____________   ACIDOSIS  
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WHAT MEDICATIONS CAN BE GIVEN TO A CHILD WITH VOMITING   PHENERGAN TIGAN  
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WHAT IS THE NURSING CARE FOR A CHILD VOMITING AND WANTS A DRINK   HOLD OFF ON PO INTAKE FOR 1 HOUR AFTER LAST VOMITING ESPISODE,OFFER ELECTROLYE ENRICHED DRINK 1-2 OZ AT A TIME AS TOLERATED CAN REPEART EVERY 30 MIN AS LONG AS TOLERATED  
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DIARRHEA IS CAUSED BY WHAT INFECTIONS   BACTERIAL OR VIRAL  
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WHAT 4 CAUSES CAN CONTRIBUTE TO DIARRHEA   INFECTIONS,MALABSORPTION PROBLEMS,INFLAMMATION DISEASES OR DIETARY FACTORS  
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WHAT THE NURSING CARE FOR DIARRHEA   BRATY DIET,IVFs if needed, ADMINISTER ABX ,COLLECT STOOL FOR CULTURE  
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WHAT IS THE NO NO WITH DIARRHEA   NO RECTAL TEMP  
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WHEN VOMITING/DIARRHEA FLUIDS AND FOODS TO AVOID ARE   HI NA, HI SUGAR, NO JUICES,CAFFEINATED,CARBONATED,MILK,BUTTER,  
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WHAT ACTIONS DOES NA HAVE ON GI SYSTEM WHEN VOMITING/DIARRHEA OCCURS   PULLS FLUID INTO BOWEL  
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WHAT ACTIONS DOES SUGAR HAVE ON GI SYSTEM WHEN VOMTING/DIARRHEA OCCURS   IRRITATES BOWEL LINING  
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WHAT ACTIONS DOES CAFFEINATED DRINKS HAVE ON THE GI SYSTEM WHEN VOMITING/DIARRHEA OCCURS   IRRITATES BOWEL LINING  
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WHAT ACTIONS DOES MILK/BUTTER HAVE ON THE GI SYTEM WHEN VOMITING/DIARRHEA OCCURS   IRRITATES BOWEL LINING AND CURDLES  
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WHAT IS TRACHEOESOPHOGEAL FISTUAL (TEF)   CONGENITAL ANOMALY IN WHICH THE TRACHEA & ESOPHOGUS ARE CONNECTED OR FAIL TO SEPARETE PROPERLY  
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WHAT DOES THE NURSE ASSESS TO FIND (TEF)   OCCURS WITH FIRST FEEDING, COUGHING,CHOKING, CYANOSIS, ABD DISTENTION,INCREASED SALIVATION,INCREASED RR, EFFORT, ABNORMAL BREATH SOUNDS  
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WHAT IS THE MEDICAL TREATMENT FOR (TEF)   EMERGENCY SURGERY GASTROSTOMY TUBE  
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WHAT IS THE NURSING CARE FOR A INFANT WITH (TEF)   INFANT NPO,SUCTION OF AIRWAY, HOB 30 DEGREES, MONITOR RESP STATUS, PROVIDE 02  
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WHAT IS IMPERFORATE ANUS   THE LOWER END OF GI TRACT AND ANUS CONGENITALLY MALFORMED  
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NURSING ASSESSMENT FOR IMPERFORATE ANUS   ANAL DIMPLE, FIALURE FOR NB TO PASS MECONIUM STOOL, APPEARING FROM FISTULA OR IN URINE  
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MEDICAL TREATMENT FOR IMPERFORATED ANUS   INITIALLY TEMPORARY COLOSTOMY,SUBSEQUENT SURGERY CAN REESTABLISH PATENCY OF ANAL CANAL  
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WHAT ARE PRE-OP NURSING CARE FOR INFANT WITH IMPERFORATED ANUS   ASSESS FOR MECONIUM, IVFs, NPO,MONITOR I&O  
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WAT IS POST-OP NURSING CARE FOR IMPERFORATED ANUS   KEEP CLEAN, ASSESS FOR REEDA, ROVIDE COLOSTOMY CARE  
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WHAT IS PYLORIC STENOSIS   NARROWING OF THE PYLORIC SPHINCTER AT LOWER END OF STOMACHPYLORIC MUSCLE GRADUALLY ENLARGES AND PREVENTS STOMACH FROM EMPTYING PROPERLYMAY LEAD TO OBSTRUCTION  
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PYLORIC STENOSIS INCIDENCE   2-3 WEEKS, GENETIC TENDENCY,OCCURS MORE OFTEN IN MALES  
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WHAT ARE THE NURSING ASSESSMENTS FOR PYLORIC STENOSIS   WT LOSS, OLIVE SIZED MASS FOUND IN URQ OF ABD, PERISTALTIC WAVES , EXCESSIVE HUNGER,SS OF DEHYRATION ; SUNKEN FONTANEL,DECREASED URINE OUTPUT,POOR SKIN TURGORMETABOLIC ALKALOSIS, LOSS OF NA AND +K  
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PRE-OP FOR PYLORMYOTOMY   UPPER GI RESULTS,ASSESS FOR DEHYDRATION,IVFs, MONITOR I&0, DAILY WT  
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POST-OP FOR PYLORMYOTOMY   FEEDINGS GLUCOSE/ELECTROLYTES WITHIN 4 HOURS OF SURGERY GRADUAL INCREASE TO FULL STRENGTH , PLACE INFANT ON RT SIDE SLIGHTLY ,SEMI FLWLER TO AID GRAVITY  
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WHAT IS CELIAC DISEASE   DISEASE OF SMALL INTESTINE, UNABLE TO TOLERATE FOODS WITH GLUTEN OR PROTEIN  
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CELIAC DISEASE LEADS TO ______________ PROBLEMS   MALABSORPTION  
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WHAT AGE DOES CELIAC DISEASE 1ST APPEAR   6M-2 YEARS  
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WHAT LABS ARE DONE WHEN DX CELIAC DISEASE   SERUM IGA, SMALL BOWEL BIOPSY,SWEAT CHLORIDE TEST TO RULE OUT CF  
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WHAT ASSESSMENTS WILL THE NURSE DO ON THE CHILD WITH CELIAC DISEASE   ABD/DISTENTION BUTTOCKS/WASTING STEATORRHEAINABILITY TO ABSORB NUTRIENTS SECONDARY EFFECTS VIT DEFICEIENCIES,EXCESSIVE BLEEDING DUE TO DECREASED VIT K  
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WHAT IS THE NURSING CARE FOR A CHILD WITH CELIAC DISEASE   DIET: RESTRICT BROW VIT SUPORTSTEROID THEAPY, TPN IS SEVERELY MALNOURISHED CHECK FOR CHVOSTEK'S SIGN  
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WHAT IS HIRSCHSPRUNG'S DISEASE   CONGENTIAL ABSENCE OF GANGLIONIC NERVE CELLSSIGMOID PORTION OF THE BOWEL CAUSING LACK OF NORMAL PERISTALSIS  
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WHAT ARE THE CAUSES OF HIRSCHSPRUNG'S DISEASE   UNKNOWN  
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WHAT ARE THE NURSING ASSESSMENTS FOR HIRSCHSPRUNG'S DISEASE   NO MEC STOOL FOR 1ST 24 HOURS, RIBBON LIKE STOOLS,CHRONIC CONSTIPATION,DISTENTED ABD, BOWEL SOUNDS NONE IN AFFECTED PORTION OF BOWEL  
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WHAT IS MEDICAL TREATMENT FOR HIRSCHSPRUNG   RESTORATION OF PERISTALIS TEMPORARY COLOSTOMY RESCETION ANASTOMOSIS  
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WHAT IS THE MONITOR DIAGNOSTIC TEST FOR HIRSCHSPRUNG   BARIUM ENEMA, RECTAL BIOPSY  
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WHAT IS THE PRE-OP NURSING CARE FOR A CHILD WITH HIRSCHSPRUNG   LOW FIBER DIET, LAXATIVES,ENEMAS,FEEDING ARE PARENTERAL,IVFs,OBSERVE FOR BOWEL PERFORATION  
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WHAT ARE THE POST-OP NURSING CARE FOR HIRSCHSPRUNG   MONITOR V/S,IVFs,MONTIOR I &O, CARE OF NG TUBE, ASSESS SITE AND DRSG,ASSESS BOWEL SOUNDS  
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WHAT IS INTUSSUSCEPTION   TELESCOPING OR INVAGINATION OF BOWEL INTO ITSELF  
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MOST COMMONLY SEEN AT THE ____________ VALVE WHERE THE ______________ INTO THE ____________   ILEOCECAL SMALL INTESTINE ASCENDING COLON  
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WHEN ASSESSING A CHILD WITH INTUSSUSCEPTION THE STOOLS WILL BE LIKE _____________. A _______________ WILL BE FOUND IN THE RUQ OF THE ____________   CURRANT JELLY ; SAUSAGE SHAPED MASS ABDOMEN  
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WITH INTUSSUSCEPTION THE NURSE MIGHT FIND THE CHILD VOMITING _______________. THE ABDOMEN WILL BE _____________WITH ACUTE _______________ ABD PAIN   GREEN YELLOW BILE; RIGID ; INTERMITTENT  
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THE NURSE WILL MONITOR FOR COMPLICATIONS OF __________________& ________________,WHICH THE SYM ARE ________,____________,___________.   BOWEL PERFORATION, SHOCKINCREASED PULSEINCREASED RESPDECREASED B/P  
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THE NURSING CARE FOR THE NURSE WILL BE TO MONITOR __________ AND ADMINISTER ___________   I & O ; IVFs  
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NAME THE 3 TYPES OF HERNIAS   REDUCIBLE,INCARCERATED, STRANGULATED  
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WHAT IS A REDUCIBLE HERNIA   A HERNIA THAT CAN BE PUT BACK INTO PLACE MANUALLY BY USING GENTLE PRESSURE  
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WHAT IS A INCARCERATED HERNIA   NOT REDUCIBLE OR CANNOT BE PUT BACK INTO PLACE MANUALLY  
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WHAT IS A STRANGULATED HERNIA   SS; VOMITING,IRRITABILITY, PAIN, DISCOLORATIONCALL DR STAT  
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WHAT IS COLIC   AN OTHERWISE HEALTHY WELL FED BABY INCONSOLABLE CRYING FOR MORE THAN 3 HOURS A DAY; MORE THAN 3 DAYS A WK; MORE THAN 3 WEEKS  
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WHEN DOES COLIC START   A FEW WEEKS AFTER BIRTH  
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WHAT IS THE CAUSE OF COLIC   UNKNOWN  
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MEDICATIONS THAT CAN BE GIVEN FOR COLIC   ANTIFLATULENTS, GRIPE WATER, SEDATIVES, ANTISPASMODICS  
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TIPS FOR TEACHING FOR COLIC   WALK,ROCK,WING,CAR RIDE,BURP FREQ,SIT UP AFTER FEEDING ,GIVE PACIFIER ,WARM BATH AND ABD MASSAGES,WHITE NOISE AND PLAY RELAXATION TAPES  
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WHAT IS APPENDICITIS   INFLAMMATION OF THE APPENDIX DUE TO OBSTRUCTION/BACTERIA AND PARASITES  
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WHAT CAN APPENDICITIS LEAD TO _________ & __________   PERFORATION PERITONITIS  
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WHAT DOES THE NURSE ASSESS WITH A APPENDIX PATIENT   MCBURNEY POINT, N/V, PERIUMBILICAL PAIN LOCALIZING TO ABD TENDERNESS IN RLQ  
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WHAT TESTS ARE DONE TO DX APPENDICITIS   CT, WBC, US, STOOL CULTURE  
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WHAT POST OP CARE IS GIVEN TO A PATIENT WITH APPENDICITIS   ABX,IVFs,NPO,ANALGESICS,MONITOR I&O,BOWEL SOUNDS,CARE FOR DRAINS,REEDA,  
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