Author Question: The nurse is administering several medications to an infant with neurologic impairment and delay. ... (Read 53 times)

soccerdreamer_17 · **on:** Jun 27, 2018

The nurse is administering several medications to an infant with neurologic impairment and delay. The medication that is a proton pump inhibitor administered for gastroesophageal reflux is

1. omeprazole (Prilosec).
2. ranitidine (Zantac).
3. phenytoin (Dilantin).
4. glycopyrrolate (Robinul).

Question 2

A newborn has been diagnosed with Hirschsprung disease. The parents ask the nurse about the symptoms that led to this diagnosis. The nurse should explain that common symptoms are

1. acute diarrhea;dehydration.
2. failure to pass meconium;abdominaldistension .
3. currant jelly;gelatinous stools;pain.
4. projectile vomiting;alteredelectrolytes .

Mholman93 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

Answer:1
Rationale:Omeprazole (Prilosec) is the proton pump inhibitor that blocks the action of acid-producing cells and is used to treat gastroesophageal reflux. Ranitidine (Zantac) causes the stomach to produce less acid and may be used to treat gastroesophageal reflux,but it is a histamine-2 receptor blocker.Phenytoin
(Dilantin) is an anticonvulsant used to treat seizures,and glycopyrrolate (Robinul) is an anticholinergic agent used to inhibit excessive salivation.

Answer to Question 2

Answer:2
Rationale:Hirschsprung disease is the absence of autonomic parasympathetic ganglion cells in the colon that prevent peristalsis at that portion of the intestine. In newborns the symptoms include failure to pass meconium and abdominal distension. Acute diarrhea and dehydration are symptoms characteristic of gastroenteritis.Cur rant jelly,gelatinous stools,and pain are symptoms of intussusception, and projectile vomiting and altered electrolytes are symptoms of pyloric stenosis.