ATI Unit 2 - Cardiovascular and Hematological Disorders (Josh)

Question 1

– is acute systemic vasculitis.

Answer 1

Kawasaki Disease

Question 2

With epistaxis, seek medical care if bleeding lasts –

Answer 2

more than 30 mins

Question 3

With infants, hold Digoxin if pulse is less than —

In other kids, hold Digoxin if pulse is less than —

Answer 3

90/min

70/min

Question 4

Lab tests for Cholesterol

Answer 4

Lipid Profile (fast for 12 hours prior)

Fasting Blood Glucose

Question 5

With epistaxis, — can be inserted after a nose bleed to prevent crusting.

Answer 5

water-soluble jelly or petroleum

Question 6

Expected Hgb levels

Answer 6

2 months: 9-14

6-12 yrs: 11.5-15.5

12-18 yrs: 13-16 (male) / 12-16 (female)

Question 7

Gamma globulin administered IV in high dosage for —

Answer 7

kawasaki disease

Question 8

Prophylactic Antibiotics for RF

Answer 8

Penicillin G

Sulfadiazine

Question 9

Apply direct continuous pressure — above the catheter entry site to localize pressure over the location of the vessel puncture.

Answer 9

2.5 cm (1 in)

Question 10

Nursing considerations w/ Iron Supplements

Answer 10

Give 1 hr before or 2 hr after milk or antacid

GI upset is common but will decrease

Administer on empty stomach if tolerated

Give w/ Vit C to increase absorption

Use straw to prevent teeth staining (brush teeth afterwards)

Use Z-track and don’t massage

Expect tarry green stools

Question 11

Why assess client for febrile illness 3 weeks prior to cholesterol screening?

Answer 11

illness will alter results

Question 12

After Kawasaki Disease, avoid live immunizations for —

Answer 12

11 months

Question 13

Jones Criteria for RF

child needs 2 major, or one major and 2 minor to be positive for RF

Answer 13

Major:

• Carditis
• Erythema Marginatum
• Polyarthritis
• Chorea
• SubQ nodules

Minor:

• Fever
• Arthralgia

Question 14

To prevent Iron deficiency anemia, limit milk intake in toddlers to –

Answer 14

32 oz /day

Question 15

Don’t give ASA except with —

Answer 15

Kawasaki Disease

• high dosage

Question 16

What is Acute Chest Syndrome?

Answer 16

life-threatening complication from SCD

• chest, back, and abdominal pain
• fever 38.5 (101) or higher
• cough
• tachypnea
• dyspnea
• retractions
• decreased O2 sat

Question 17

What is the definitive diagnosis for SCD?

Answer 17

Hgb Electrophoresis

Question 18

Meds for Hemophilia

Answer 18

DDAVP

Factor VIII

Corticosteroids

NSAIDS

Question 19

Hyperlipidemia meds

• used in clients w/ LDL o1 190 or higher or 160 or higher if they have risk factors

Answer 19

Cholestyramine

Colestipol

Question 20

Rheumatic Fever is an inflammatory disease caused by —

Answer 20

Group A beta-hemolytic streptococcus (GABHS) infection of the throat

Question 21

Sources of Iron

Answer 21

Dry beans and lentils

Peanut Butter

Green, leafy veggies

Poultry

Red meat

Question 22

S/S of Kawasaki Disease

Answer 22

High Fever (38.9 / 102)

Red eyes w/ drainage

Bright red, chapped lips

Strawberry Tongue w/ white coating or red bumps

Red oral mucous membranes

Swelling of hand/feet w/ red palms/soles

Nonblistering rash

Bilateral joint pain

Enlarged Lymph Nodes

Question 23

Expected HCT levels

Answer 23

2 months: 28-42%

6-12 yrs: 35-45%

12-18 yrs: 37-49% (male) / 36-46% (female)

Question 24

S/S of Iron Deficiency Anemia

Answer 24

SOB

Pallor

Brittle, spoon-shaped fingernails

Fatigue, irritability, and muscle weakness

Systolic Hear murmor, cardiomegaly, and/or HF

Question 25

What is the med DDAVP

Answer 25

synthetic form of vasopressin that increases plasma factor VIII for hemophilia

Question 26

— and — are potassium wasting diuretics uses with Congential Heart Disease.

Answer 26

Furosemide

Chlorothiezide

Question 27

Rheumatic Fever usually occurs — following an untreated or partially treated URI (strep throat)

Answer 27

2-6 weeks

Question 28

Hemophilia A is treated with Factor —

Hemophilia B is treated with Factor —

Answer 28

VIII

IX

Question 29

When hypoxic, which position improves ventilation?

Answer 29

knee-chest position

Question 30

Why could Iron Deficiency cause HF?

Answer 30

increases demand on heart to supply O2 to tissues, overworking it

Question 31

Iron deficiency will result in decreased — levels in the blood.

Answer 31

Hgb