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
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
