Pediatric Gastrointestinal Disorders NUR 2310 Flashcards
the nurse assess a baby. the infant has Dry mucous membranes, Absence of tears and Sunken fontanel. what does the nurse suspect?
a. increased ICP
b. hypoglycemia
c. dehydration
Late signs
Rapid pulse
Decreased blood pressure
Decreased peripheral circulation
Decreased urinary output
**Weight loss
Best indication of hydration
Increased specific gravity
Decreased skin turgor
Dry mucous membranes
Absence of tears
Sunken fontanel in infants
the nurse prepares an IVF for the dehydrated infant. what type of fluid will be used
a. dextrose 5%
b. Normal saline 0.45%
c. Lactated Ringer’s
Lactated Ringer’s is an isotonic solution and are the best for dehydration
the parent was educated on the liquids that can be given to their dehydrated infant. which option shows understanding of the teaching
a. my child loves chocolate milk, so ill give her that
b. since my child is dehydrated, I must increase her water intake
c. i will buy Pedialyte, Infalyte, or Ricelyte to drink
d. i heard chicken broth is very good for dehyrdation
Oral rehydration solution (ORS) should contain
75 mmol/L sodium chloride
13.5 g/L glucose
Standard ORS solutions include Pedialyte, Infalyte, and Ricelyte
NOT appropriate for oral rehydration:
Tap water
Milk
Undiluted fruit juice
Soup
Broth
Mild to moderate dehydration: requires 50 to 100 mL/kg of ORS over 4 hours
what is the best way to prevent diarrhea
a. eating cold food
b. washing hands
c. wash veggies with soap to destroy germs
Teach personal hygiene
Most diarrhea is spread by the fecal-oral route
Make sure the water supply is clean and protected from contamination
Prepare food carefully
Wash hands
the nurse notice the child didn’t pass a stool today. she knows that child goes once a day. she thinks the child is constipated. what is the rational behind her diagnosis?
a. there is a change in the frequency of bowel movement
b. the child may be scared of something
c. the child may be rebelling against the nurse
An alteration in frequency, consistency, or ease of passage of stool
May be secondary to other disorders
Idiopathic (functional) constipation has no known cause
Chronic constipation may be due to environmental or psychosocial factors
what is A fissure of the upperlipto the side of the midline, which may vary from a slight notch to a complete separation extending into the nostril; may be unilateral or bilateral.
cleft lip
a colleague states that her pt keeps passing feces on the bed. she asked and the child said she didnt feel the urge to use the restroom. what is this condition called
Encopresis is inappropriate passage of feces, often with soiling
