Question

NAME: Class Learning Activity #1 NURSING 110: CONCEPTS & PRACTICE I CONCEPT MODELI: UNIT H: ELIMINATION AND DIGESTION Pediatric Diarrhea Case Study Bobby is a 5-year-old white male who has been experiencing several bowel movements/day for the last 2 weeks. He is an active child who enjoys swimming and playing outside with his 2 older sisters. His Mom brings him to the primary care office today because he has lost 2 lbs in the last week and has been more listless and irritable lately. She reports he has been having 4-5 loose to watery bowel movements per day for about the last 2 weeks. She stated she thought it was just a 'stomach bug that would go away, but it has not. She stated that he seemed to have to move his bowels soon after eating 1. What risk factors does Bobby have for altered Gl elimination? 2. What assessment procedures will you perform on Bobby? 3. What findings would you expect on assessment? 4. What diagnostic tests might be ordered for Bobby? 5. What nursing interventions would be helpful to Bobby? 6. What collaborative management strategies would you expect for Bobby? 7. What are the interrelated concepts?

Answer 1

1, Risk factors include accidental drinking of contaminated water while playing in the swimming pool, poor sanitation, and poor hygiene.
2, The assessment includes collecting health history. physical examination should include to find out the level of dehydration by asking how long the child having diarrhea and type of diarrhea and look for child general condition whether it=rritable, unconscious and having sunken eyes, ability to child drinking fluids, duration of thirsty and pinch the child skin of the abdomen to find out the level of dehydration.
3, The child is more restless and irritable it indicates a child having mild dehydration.
4, Diagnostic tests include stool culture to find out the type of bacteria and blood test for signs of infection and inflammation.
5, Nursing intervention should rehydrate the child, encourage the child to have plenty of fluids, administer antibiotics and Intravenous solutions asper pediatrician order, Avoid solid foods till the normal bowel occurs. encourage hygiene before and after eating, after toileting, monitor child activity, and any abnormality.
6, Collaborative management strategies should include avoiding dehydration with appropriate fluid management therapy for rehydration. food supplements to improve microbial balance and improve nutrition and avoid malnutrition. Using probiotics for managing gastroenteritis pediatric infectious disease guidelines recommends oral rehydration, administering IV solutions, no testing, and medications and possible early refeeding.
7, Severe diarrhea related to physical and psychological wellbeing. dehydration causes poor nutriion and mental illness due to electrolyte imbalance. dehydration causes an electrolyte imbalance that makes the child with mental irritability and restlessness.when we correct the dehydration child psychological symptoms will reduce.