This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A 4-month-old infant has gastroesophageal reflux disease (GERD) but is thriving without other ... (Read 104 times)

ts19998

  • Hero Member
  • *****
  • Posts: 531
on: Jun 28, 2018
A 4-month-old infant has gastroesophageal reflux disease (GERD) but is thriving without other complications. What should the nurse suggest to minimize reflux?
 
  a. Place in Trendelenburg position after eating.
  b. Thicken formula with rice cereal.
  c. Give continuous nasogastric tube feedings.
  d. Give larger, less frequent feedings.

Question 2

Therapeutic management of most children with Hirschsprung's disease is primarily:
 
  a. Daily enemas.
  b. Low-fiber diet.
  c. Permanent colostomy.
  d. Surgical removal of affected section of bowel.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

softEldritch

  • Sr. Member
  • ****
  • Posts: 334
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: B
Giving small frequent feedings of formula combined with 1 teaspoon to 1 tablespoon of rice cereal per ounce of formula has been recommended. Milk thickening agents have been shown to decrease the number of episodes of vomiting and increase the caloric density of the formula. This may benefit infants who are underweight as a result of GERD. Placing the child in Trendelenburg position would increase the reflux. Continuous nasogastric feedings are reserved for infants with severe reflux and failure to thrive. Smaller, more frequent feedings are recommended in reflux.

Answer to Question 2

ANS: D
Most children with Hirschsprung's disease require surgical rather than medical management. Surgery is done to remove the aganglionic portion of the bowel, relieve obstruction, and restore normal bowel motility and function of the internal anal sphincter. Preoperative management may include enemas and low-fiber, high-calorie, high-protein diet until the child is physically ready for surgery. The colostomy that is created in Hirschsprung's disease is usually temporary.


ts19998

  • Member
  • Posts: 531
Reply 2 on: Jun 28, 2018
:D TYSM

emsimon14

  • Member
  • Posts: 344
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Prostaglandins were first isolated from human semen in Sweden in the 1930s. They were so named because the researcher thought that they came from the prostate gland. In fact, prostaglandins exist and are synthesized in almost every cell of the body.

Did you know?

Historic treatments for rheumatoid arthritis have included gold salts, acupuncture, a diet consisting of apples or rhubarb, nutmeg, nettles, bee venom, bracelets made of copper, prayer, rest, tooth extractions, fasting, honey, vitamins, insulin, snow collected on Christmas, magnets, and electric convulsion therapy.

Did you know?

You should not take more than 1,000 mg of vitamin E per day. Doses above this amount increase the risk of bleeding problems that can lead to a stroke.

Did you know?

Anesthesia awareness is a potentially disturbing adverse effect wherein patients who have been paralyzed with muscle relaxants may awaken. They may be aware of their surroundings but unable to communicate or move. Neurologic monitoring equipment that helps to more closely check the patient's anesthesia stages is now available to avoid the occurrence of anesthesia awareness.

Did you know?

About 80% of major fungal systemic infections are due to Candida albicans. Another form, Candida peritonitis, occurs most often in postoperative patients. A rare disease, Candida meningitis, may follow leukemia, kidney transplant, other immunosuppressed factors, or when suffering from Candida septicemia.

Pelvic inflammatory disease. Chlamydia or gonorrhea spreads up the vagina into the uterus and then t Pelvic inflammatory disease. Chlamydia or gonorrhea spreads up the vagina into the uterus and then t
Late onset of Huntington disease Late onset of Huntington disease
This 11-month old girl demonstrates one of the abilites of a child of this age group - creating a to This 11-month old girl demonstrates one of the abilites of a child of this age group - creating a to
Peptic ulcer disease (PUD). Peptic ulcer disease (PUD).
Diphtheria. The bacteria that cause this disease, called Corynebacterium diphtheriae, proliferate in Diphtheria. The bacteria that cause this disease, called Corynebacterium diphtheriae, proliferate in
Calculate the accumulated value of monthly payments of $100.00 made at the end of each month ... Calculate the accumulated value of monthly payments of $100.00 made at the end of each month ...
Video: hGH, Thyroid hormones & Aldosterone

For a complete list of videos, visit our video library