Comp 3

Question 1

Glomerulonephritis Causes

Answer 1

Immunological diseases
Autoimmune diseases
Antecedent group A streptococcal infection
Hx of pharyngitis or tonsillitis 2 to 3 weeks before symptoms

Question 2

Glomerulonephritis types

Answer 2

Acute: occurs 2 to 3 weeks after strep infection
Chronic: may occur after the acute phase or slowly over time

Question 3

Glomerulonephritis complications

Answer 3

Kidney failure
Hypertensive encephalopathy
Pulmonary edema
Heart failure

Question 4

Glomerulonephritis assessment

Answer 4

Periorbital and facial edema
Anorexia
Decreased urinary output
Cloudy, smoky, brown urine
Pallor, irritability, lethargy
headaches, abdominal pain, dysuria
hypertension
proteinuria
Azotemia
elevated BUN and creatinine levels
Increased strep titer

Question 5

Glomerulonephritis interventions

Answer 5

Monitor vital signs, I&O, characteristics of urine
Daily weights
limit activity
diet restriction of sodium
monitor for complications
administer diuretics and abts
seizure precautions
parents report bloody urine, headache, edema
educate appropriate treatment for infections

Question 6

Erik Erikson’s stages of psychosocial development
infancy
Birth to 18 months

Answer 6

Trust vs Mistrust

attachment to mother

Question 7

Erik Erikson’s stages of psychosocial development
early childhood
18 months to 3 years

Answer 7

Autonomy vs shame and doubt

gaining some basic control over self and environment

Question 8

Erik Erikson’s stages of psychosocial development
late childhood
3 - 6 years

Answer 8

Initiative vs guilt

becoming purposeful and directive

Question 9

Erik Erikson’s stages of psychosocial development
school age
6 - 12 years

Answer 9

Industry vs role confusion

developing social, physical, and learning skills

Question 10

Erik Erikson’s stages of psychosocial development
adolescence
12 - 20 years

Answer 10

identity vs role confusion

developing a sense of identity

Question 11

Erik Erikson’s stages of psychosocial development
early adulthood
20 - 35 years

Answer 11

intimacy vs isolation

establishing intimate bonds of love and friendship

Question 12

Erik Erikson’s stages of psychosocial development
middle adulthood
35 - 65 years

Answer 12

generativity vs stagnation

fulfilling life goals that involve family, career, and society

Question 13

Erik Erikson’s stages of psychosocial development
Later adulthood
65 years to death

Answer 13

integrity vs despair

looking back over one’s life and accepting its meaning

Question 14

Infant skills

2 to 3 months

Answer 14

smiles
turns head side to side
cries
follows objects
holds head in midline

Question 15

Infant skills

4 to 5 months

Answer 15

grasps objects
switches objects from hands
rolls over for the first time
enjoys social interaction
begins to show memory
aware of unfamiliar surroundings

Question 16

Infant skills

6 to 7 months

Answer 16

creeps
sits with support
imitates
exhibits fear of strangers
holds out arms
frequent mood swings
waves bye bye

Question 17

Infant skills

8 to 9 months

Answer 17

sits steadily unsupported
crawls
may stand while holding on
begins to stand without help

Question 18

Infant skills

10 to 11 months

Answer 18

can change from prone to sitting position
walks while holding on to furniture
stands securely
entertains self for periods of time

Question 19

Infant skills

12 to 13 months

Answer 19

walks with 1 hand held
can take a few steps without falling
can drink from a cup

Question 20

Infant skills

14 to 15 months

Answer 20

walks alone
can crawl upstairs
shows emotion such as anger and affection
will explore away from mother in familiar surroundings

Question 21

Sickle Cell Anemia

Interventions

Answer 21

Hydration - IV or oral
Oxygen
Blood transfusion
Pain medication
Keep extremities extended
position for comfort
Antibiotics
high calorie diet with folic acid supplement
monitor for complications

Question 22

Sickle Cell Anemia

Risk factors

Answer 22

African American descent

parents with hemoglobin s

Question 23

Sickle Cell Anemia

triggers

Answer 23

fever
dehydration
emotional or physical stress

Question 24

Celiac Disease

assessment

Answer 24

acute or insidious diarrhea
steatorrhea
anorexia
abdominal pain or distention
muscle wasting
vomiting
anemia
irritability

Question 25

Celiac Disease

foods allowed

Answer 25

beef, pork, poultry, and fish
eggs, milk, and some dairy products
fruits, vegetables, rice, corn, gluten-free flour
puffed rice, cornflakes, cornmeal, and pre-cooked gluten-free cereals

Question 26

Celiac Disease

prohibited food

Answer 26

commercially prepared ice cream, malted milk, prepared puddings, and grains or anything made from wheat

Question 27

Celiac crisis

Answer 27

precipitated by fasting, infection, or ingestion of gluten
causes profuse watery diarrhea and vomiting
can lead to rapid dehydration, electrolyte imbalance, and severe acidosis

Question 28

Celiac Disease

interventions

Answer 28

maintain a gluten-free diet
educate to eliminate gluten from the diet
administer mineral and vitamin supplements
inform parents about Celiac Sprue Association

Question 29

Causes of SIADH

Answer 29

Lung cancer
 damage to the hypothalamus or posterior pituitary gland
Trauma
stroke
medications
stress

Question 30

SIADH results in

Answer 30

increased intravascular volume
water intoxication
dilutional hyponatremia
may cause cerebral edema
seizure precautions
JVD

Question 31

SIADH interventions

Answer 31

monitor vital signs and cardiac and neurological status
provide a safe environment
monitor for ICP
implement seizure precautions
elevate head of bed to 10 degrees
monitor I&O and daily weight
monitor fluid and electrolyte balance
monitor serum and urine osmolality
restrict fluid intake
administer iv fluids(hypertonic iv fluids)
loop diuretics
vasopressin antagonists