NURS 307 Week 4 Chapter 22 GI
What are pediatric differences that affect the function of their GI? - answer1. Poor
swallowing control
2. Increased peristalsis
3. Smaller stomach
4. Enzyme deficiencies
5. Immature liver function
a. limit in bilirubin conjugation
b. gluconeogenesis
c. deamination
d. plasma proteins
e. ketone formationterm-0
You are teaching an adolescent client who has type 1 DM about managing
hypoglycemia. What should you teach them about food and managing hypoglycemia? -
answerYou should drink 4 oz or OJ if you experience hypoglycemia following the 15-15
rule and OJ is good as its a fast-acting carbohydrate.
A pt with DM 1 comes to the ER complain of ab pain and lethargy. DKA is dx. What
preparation should the nurse plan to give IV infusion? - answerStart with Normal saline
for rehydration
A school age child with DM 1 has soccer practice and the school nurse provides
instructions regarding how to prevent hypoglycemia. What should the school nurse tell
the child do? - answerEat a small box of raisin or drink a cup of orange juice before
soccer practice
The nurse would impekentnt what interventions for a child YOUNGER THAN 2 with DM
1 who has a blood glucose level of 60 mg/dL? SATA
a. administer regular insulin
b. encourage child to ambulate
c. provide a teaspoon of honey
d. provide electrolyte replacement therapy IV
e. wait 30 minutes and confirm BG reading
f. prepare to administer glucagon SQ if unconsciousness occurs - answerC and F
provide a teaspoon of honey
prepare rot administer glucagon SQ if unconsciousness occurs
True or False?
, Breastfeeding is discouraged for HBV positive mothers after infant immunization. -
answerFalse
Which intervention is the most effective in preventing hepatitis transmission in pediatric
populations? - answerAdministering recommended hepatis vaccine
Which if the following is NOT a common source of transmission for Hep? SATA
a. water
b. food
c. semen
d. blood - answerc. semen
d. blood
By what age is the digestive tract completed? - answer2 years old
What are the three ways pediatric patients lose water? - answer1. Insensible loss
though skin and respiratory tract
2. Evaporation
3. Thru urine and stool
What conditions require a higher water intake in pediatric patients? - answer1. fever
2. vomiting
3. diarrhea
4. diabetes insipidus
5. diabetic ketoacidosis
What conditions require a lower water intake in pediatric patients? - answer1. heart
failure
2. syndrome of inappropriate antidiuretic hormone (SIADH)
3. Renal failure
types of dehydration - answerisotonic, hypotonic, hypertonic
What type of dehydration is most common? - answerisotonic (equal water and salt loss)
Normal serum sodium level in kids is - answer130-150
hypotonic dehydration - answerelectrolyte loss exceeds water loss
water moves into cell
NA < 130
Hypertonic dehydration - answerwater loss exceeds electrolyte loss
water moves OUT of cell
Na> 150
What are pediatric differences that affect the function of their GI? - answer1. Poor
swallowing control
2. Increased peristalsis
3. Smaller stomach
4. Enzyme deficiencies
5. Immature liver function
a. limit in bilirubin conjugation
b. gluconeogenesis
c. deamination
d. plasma proteins
e. ketone formationterm-0
You are teaching an adolescent client who has type 1 DM about managing
hypoglycemia. What should you teach them about food and managing hypoglycemia? -
answerYou should drink 4 oz or OJ if you experience hypoglycemia following the 15-15
rule and OJ is good as its a fast-acting carbohydrate.
A pt with DM 1 comes to the ER complain of ab pain and lethargy. DKA is dx. What
preparation should the nurse plan to give IV infusion? - answerStart with Normal saline
for rehydration
A school age child with DM 1 has soccer practice and the school nurse provides
instructions regarding how to prevent hypoglycemia. What should the school nurse tell
the child do? - answerEat a small box of raisin or drink a cup of orange juice before
soccer practice
The nurse would impekentnt what interventions for a child YOUNGER THAN 2 with DM
1 who has a blood glucose level of 60 mg/dL? SATA
a. administer regular insulin
b. encourage child to ambulate
c. provide a teaspoon of honey
d. provide electrolyte replacement therapy IV
e. wait 30 minutes and confirm BG reading
f. prepare to administer glucagon SQ if unconsciousness occurs - answerC and F
provide a teaspoon of honey
prepare rot administer glucagon SQ if unconsciousness occurs
True or False?
, Breastfeeding is discouraged for HBV positive mothers after infant immunization. -
answerFalse
Which intervention is the most effective in preventing hepatitis transmission in pediatric
populations? - answerAdministering recommended hepatis vaccine
Which if the following is NOT a common source of transmission for Hep? SATA
a. water
b. food
c. semen
d. blood - answerc. semen
d. blood
By what age is the digestive tract completed? - answer2 years old
What are the three ways pediatric patients lose water? - answer1. Insensible loss
though skin and respiratory tract
2. Evaporation
3. Thru urine and stool
What conditions require a higher water intake in pediatric patients? - answer1. fever
2. vomiting
3. diarrhea
4. diabetes insipidus
5. diabetic ketoacidosis
What conditions require a lower water intake in pediatric patients? - answer1. heart
failure
2. syndrome of inappropriate antidiuretic hormone (SIADH)
3. Renal failure
types of dehydration - answerisotonic, hypotonic, hypertonic
What type of dehydration is most common? - answerisotonic (equal water and salt loss)
Normal serum sodium level in kids is - answer130-150
hypotonic dehydration - answerelectrolyte loss exceeds water loss
water moves into cell
NA < 130
Hypertonic dehydration - answerwater loss exceeds electrolyte loss
water moves OUT of cell
Na> 150
