NURS 341 Peds Exam 2 Solution Latest Update Score 100% (Questions with Answers)

NURS 341 Peds Exam 2 Solution Latest Update Score 100% (Questions with Answers) Assess whether the hernia can be reduced. Notify the surgeon if the hernia will not reduce. Incarceration is extremely rare, but when it does occur, the child will report abdominal pain, tenderness, or redness at the umbilicus (Fig. 20.10). NURSING MANAGEMENT Since operative repair is not as likely with umbilical hernias as with inguinal hernias, the aim of nursing management is education. Teach the child and family how to reduce the hernia. The child may have some self-esteem issues related to the large protrusion of the unrepaired umbilical hernia. Teach the child coping skills to help relieve anxiety. The use of home remedies to reduce an umbilical hernia should be discouraged b. pyloric stenosis, volvulus and intussusception, appendicitis, - pyloric stenosis- - SIGNS AND SYMPYOMS- Projectile vomiting "Classic", Dehydration, FTT, Palpable "olive- like" mass. - Nursing Management Preoperative management of infants with pyloric stenosis is aimed at fluid management and correcting abnormal electrolyte values. Family anxiety is high during this time because of the impending surgery for an otherwise healthy infant. Provide emotional support to the family. Teach them about the surgical procedure and what to expect postoperatively. After surgery, infants usually resume oral feedings after 1 to 2 days. -volvulus and intussusception- - - Volvulus:Smalboweltwistingcausingablockageoftheintestin e.Reducedblood supp lyleadingtoischemiaandnecrosisofthebowel. -SIGNS/SYMPTOMS - + Volvulus:Abdominalpainthatcausestheinfantodrawupthe legs,vomitingofbile,swolenabdomen,bloodystoo ls,tachycardia,tachypnea. -DIAGNOSIS-- Volvulus: Physical exam, imagining studies including abdominal x-ray, upper gastrointestinal endoscopy, contrast enema. - -TREATMENT-Volvulus: Surgical repair to untwist the intestine! Intussusception:Partoftheintestineslidesintoanadjacentpartoftheint estine.This "telescoping"oftenblocksfoodorfluidfrom passingthroughtheintestine.