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Infectious diarrhea is commonly referred to as gastroenteritis. What is Gastroenteritis?Infectious diarrhea is commonly referred to as gastroenteritis.
PathophysiologyThe 2 primary mechanisms responsible for acute gastroenteritis are:
Statistics and IncidencesGastroenteritis is prevalent in areas lacking adequate clean water and sanitation facilities.
CausesGastroenteritis may be caused by the following, yet it may be difficult to determine the causative factor in many instances:
Clinical ManifestationsGastroenteritis may present the following:
Assessment and Diagnostic FindingsThe vast majority of children presenting with acute gastroenteritis do not require serum or urine tests, as they are unlikely to be helpful in determining the degree of dehydration.
Medical ManagementMedical treatment for gastroenteritis include:
Pharmacologic ManagementThe goals of pharmacotherapy are to reduce morbidity, prevent complications, and provide prophylaxis.
Nursing ManagementNursing management in a child with gastroenteritis includes: Nursing AssessmentAssessment of a child with gastroenteritis include:
Nursing DiagnosesBased on the assessment data, the major nursing diagnoses are:
Nursing Care Planning and GoalsMain Article: 4 Gastroenteritis Nursing Care Plans The major goals for a child with acute gastroenteritis are:
Nursing InterventionsNursing interventions for the child with gastroenteritis are:
EvaluationGoals are met as evidenced by:
Documentation GuidelinesDocumentation in a child with gastroenteritis includes:
Practice Quiz: GastroenteritisPlease visit our nursing test bank page for more NCLEX practice questions. 1. Amikacin (Amikin) is given to a client with E-coli infection. The nurse advises the client to report which of the following symptoms immediately? A. Muscle pain 1. Answer: D. Hearing loss
2. Ricky is suffering from persistent vomiting for two days now. He appears to be lethargic and weak and has myalgia. He is noted to have dry mucus membranes and his capillary refill takes >4 seconds. He is diagnosed as having gastroenteritis and dehydration. Measurement of arterial blood gas shows pH 7.5, PaO2 85 mm Hg, PaCO2 40 mm Hg, and HCO3 34 mmol/L. What acid-base disorder is shown? A. Respiratory Alkalosis, Uncompensated B. Respiratory Acidosis, Partially Compensated C. Metabolic Alkalosis, Uncompensated D. Metabolic Alkalosis, Partially Compensated 2. Answer: C. Metabolic Alkalosis, Uncompensated
3. Baby Angela was rushed to the Emergency Room following her mother’s complaint that the infant has been irritable, difficult to breastfeed and has had diarrhea for the past 3 days. The infant’s respiratory rate is elevated and the fontanels are sunken. The Emergency Room physician orders ABGs after assessing the ABCs. The results from the ABG results show pH 7.39, PaCO2 27 mmHg and HCO3 19 mEq/L. What does this mean? A. Respiratory Alkalosis, Fully Compensated B. Metabolic Acidosis, Uncompensated C. Metabolic Acidosis, Fully Compensated D. Respiratory Acidosis, Uncompensated 3. Answer: C. Metabolic Acidosis, Fully Compensated
4. While preparing to discharge an 8-month-old infant who is recovering from gastroenteritis and dehydration, the nurse teaches the parents about their infant’s dietary and fluid requirements. The nurse should include which other topic in the teaching session? A. Nursery schools B. Toilet Training C. Safety guidelines D. Preparation for surgery 4. Answer C. Safety guidelines
5. When caring for an 11-month-old infant with dehydration and metabolic acidosis, the nurse expects to see which of the following? A. A reduced white blood cell count B. A decreased platelet count C. Shallow respirations D. Tachypnea 5. Answer D. Tachypnea
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