Shared Flashcard Set

Details

Nursing 111: Test 4 Objectives
Module III, Unit A
36
Other
Undergraduate 1
03/30/2009

Additional Other Flashcards

 


 

Cards

Term
What are some signs and symptoms of interference with nutrition?
Definition

Pain

Poor Skin Turgor / Dehydration

Brittle nails and bones

dull and dry hair

infection -- decreased immunity bc of lack of antibodies (made of proteins)

anemia

poor concentration

alteration in weight

Term
What is a cleft lip and palate?
Definition
Abnormal opening in lip, palate, and sometimes naval cavity.
Term
What are some factors that influence the development of cleft palate?
Definition
Environmental and genetic.
Term
When does cleft lip and cleft palate occur in fetal development?
Definition

Cleft lip -- 6th to 8th week

Cleft palate -- 7th to 12th week

Term
What are some outcomes of a child born with cleft lip and cleft palate?
Definition

inadequate nutrition

poor skin turgor

growth and development delays

Term
How does cleft lip occur?
Definition
Maxillary and median nasal process fail to fuse.
Term
What are the different kinds of cleft lip?
Definition
Unilateral, bilateral, or complete
Term
What are some issues that a family with cleft lip faces?
Definition

Emotional issues

Mouth breathing

Difficult sucking

Deformed dental structures

Term
What goes wrong in fetal development to create a cleft palate?
Definition
Failture of midline fissure to close properly
Term
What is the surgical procedure to close a cleft lip? Cleft palate?
Definition

Chelioplasty

Palatoplasty

Term
How is cleft lip/cleft palate therapeautically managed?
Definition
Modified feedings, special feeding techniques, frequnt burping
Term

What is cleft palate surgery performed? Cleft lip?

Definition
6-24 months (12-18 months), 3-6 months, repair 4-5 years
Term
What are some long term problems kids with cleft lip or palate may face?
Definition

speech issues

ear infections/scarred tubing

dental and emotional issues

Term
In what positions should children with cleft lip or palate be fed?
Definition
Upright.
Term
What is the ESSR feeding method for feeding a child with cleft lip or palate?
Definition

E - enlarge nipple

S - stimulate, with nipple at cheek

S - swallow small amount, slowly

R - rest and burp

 

be aware of excessive air

Term
What are homecare guidelines for a child who has undergone surgery for cleft lip or palate?
Definition

Elbow restraints - not tight, removed every 2 hours for 10-15 minutes, removed 1 at a time, observe for skin irritation, always be with child when removed

 

Do not brush teeth for 1-2 weeks

 

Give water after meals

 

Side or backlying position only

Term
What are therapeutic nursing interventions for a child with cleft lip or palate?
Definition

Teach parents ESSR method

Assess caloric intake

Ensure child is in a semi sitting position

Support parents

encourage parents to hold and bond with baby right away

Term
What is a tracheospohageal fistula?
Definition

Hole b/t esophogus and trachea

esophogus often ends in a pouch w/o reaching stomach

Term
What are the three C's of TEF?
Definition

choking

coughing

cyanosis

Term
When does TEF develop in the fetus?
Definition
4th or 5th week of fetal development
Term
What is the incidence of TEF?
Definition

1:2000-4500

30% premature

male = female

often present with other congenital defects

Term
What are the manifestations of TEF?
Definition

excessive salivation and drooling

coughing, choking, regurgitation

cyanosis

abdominal distenstion

risk of aspiration pnemonia

Term
How is TEF diagnosed?
Definition

suspected if NG tube cannot pass 10-11 cm beyond gum line

 

confirmed with abdominal XRay

Term
What is therapeautic management of TEF?
Definition

measure abdominal growth

continuouse or intermitten suction

medicate for pain

keep infant supine with head elevated to decrease chance of gastric secretions entering lungs

IV fluids essential -- NPO

assess resp status, choking, excessive secretions, cyanosis

Term
What is the surgery for TEF?
Definition

tie off fistula

insert G-tube

anistimosis

Term
What should be monitored post surgically in a child with TEF?
Definition

infection (antibiotics as ordered)

motility dysfunction

gastroesphogeal reflux

Term
Why is a pacifier extremely important for a baby with TEF?
Definition

sucking reflex

allows them to transition to regular eating after surgery

Term
What are some home care teachings for parents with child with TEF?
Definition

care of gastronomy site until esophogus is healed

keeping baby hydrated

administration of antibiotics - watch for clogging

assessment criteria for skin and or respirations, skin intact, etc

Term
What might the family of an anorexic/bulemic teen be like?
Definition

Anorexia - controlling

Bulemia - chaotic

 

usually family hx of affective disorder

Term
What are the clinical manifestations of anorexia?
Definition

preoccupation with food

extreme weight loss

intense fear of becoming fat

body image disturbance

weight decreased by 25%

dizziness, constipation, abdominal distenstion

irregular menses, ameorreah

malnutrition

hypothalmic suppression

fluid and electrolyte imblance

cardiac arrythmias

excessive exercise 4x per day

abuse of laxatives

Term
What are the clinical manifestations of bulemia?
Definition

erosion of tooth enamel

dental caries / gum recession

electrolyte disturbances

abdominal distension

esophageal tears and esophagitis

recurrent binge eating

awareness of abnormal eating

fear of not being able to stop eating

happy when eating, depressed after binge

laxative purging

Term
How is anorexia nervosa or bulemia diagnosed?
Definition

lab studies -- CBC, infection, liver studies, electrolytes

renal and thyroid studies

EKG

CXR

Term
How is anorexia or bulemia initially treated?
Definition

Focus on secondary effects of vomiting, diuretics/laxatives, and insufficient nutrients.

 

Electrolytes and body chemistry stabalized to prevent damage to lungs, heart, and GI system

Term
What type of therapy do pts with anorexia or bulemia undergo?
Definition

individualized, intensive, to help adolescents cope with complex issues of body image and misperceptions, issues of control and self managment

 

f/u for pt and family for several month to three years

Term
What are some nursing diagnoses for a child or adolescent with a eating disorder?
Definition

altered nutrition: less than body requirement r/t inadequate intake or malabsorption

anxiety, fear, powerlessness r/t weight gain, sense of inadequecy, lack of control over body or self image disturbance

deficient fluid volume r/t excessive use of diuretics/laxatives and or inadequate fiber and fluid intake

Term
What are some therapeutic nursing interventions for a diagnoses related to anorexia or bulemia? What are some evaluations?
Definition

Interventions: encourage eating, observe eating behaviors, administer meds as need

 

Evaluations: weight gain, normal bowel function, development of positive self image

Supporting users have an ad free experience!