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Author Question: A 1-month-old infant is diagnosed with gastroesophageal reflux. Which intervention should the nurse ... (Read 91 times)

go.lag

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on: Jun 27, 2018
A 1-month-old infant is diagnosed with gastroesophageal reflux. Which intervention should the nurse teach the mother to help with the symptoms of this disorder?
 
  A) Hold in a horizontal position while feeding.
  B) Place on the back immediately after feeding.
  C) Feed with formula thickened with rice cereal.
  D) Administer prescribed medications before each feeding.

Question 2

A preschool-age child has been experiencing severe vomiting for over 24 hours. The child's respiratory rate is currently 10 breaths/min. On which health problem will the nurse focus when caring for this child?
 
  A) Overhydration
  B) Metabolic acidosis
  C) Metabolic alkalosis
  D) Hypertonic dehydration


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jaymee143

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Reply #1 on: Jun 27, 2018
Answer to Question 1

C
Feedback:
The traditional treatment of gastroesophageal reflux is to feed infants a formula thickened with rice cereal. The baby should be held in an upright position and then kept upright in an infant chair for 1 hour after feeding so gravity can help prevent reflux. Medication for gastroesophageal reflux is prescribed daily and not before each feeding.

Answer to Question 2

C
Feedback:
With vomiting, a great deal of hydrochloric acid is lost. When Cl ions are lost this way, the body has to decrease the number of H+ ions present so the number of positive and negative charges remains balanced. This causes the child to develop alkalosis. The lungs attempt to conserve carbon dioxide and water by slowing respirations. Overhydration generally occurs in children who are receiving IV fluid, ingestion of large quantities of tap water, or through the use of tap water enemas. Metabolic acidosis is more closely associated with diarrhea. Hypertonic dehydration occurs when water is lost in a greater proportion than electrolytes. This might occur in a child with nausea, fever, and profuse diarrhea.


go.lag

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Reply #2 on: Jun 27, 2018
Thank you


jaymee143

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Reply #3 on: Jun 27, 2018
No problemo


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