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Nursing Process 2 > Exam 4 > Flashcards

Exam 4 Flashcards

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1
Q

In acute epiglottitis, using a tongue depressor could cause complete obstruction, T or F?

A

True

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2
Q

What croup syndrome is always considered a medical emergency?

A

Acute epiglottitis

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3
Q

In acute laryngeotracheobronchitis, the mother’s presence should be at the bedside to…

A

reduce anxiety and ease the child’s respiratory effort

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4
Q

Asthma is usually triggered by

A

a viral infection

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5
Q

In bronchial asthma, there is a…

A

heightened airway reactivity

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6
Q

Signs and symptoms of asthma

A

nonproductive cough and wheezing

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7
Q

What can develop with use of long-term inhaled steroids?

A

slowed growth

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8
Q

What do beta adrenergic agonists and methylxanthines do?

A

dilate the bronchioles

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9
Q

What sport can children with asthma participate in?

A

swimming

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10
Q

What medication is given in emergency treatment of an acute, severe asthma attack?

A

short acting beta 2 agonist

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11
Q

If a child has CF, both parents are…

A

carriers of the gene

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12
Q

What is the earliest manifestation of CF?

A

meconium ileus

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13
Q

What tests are used to diagnose CF?

A

sweat chloride test, stool for fat, and chest x-ray

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14
Q

Aerosolized bronchodilators should be given before..

A

chest physiotherapy

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15
Q

What is an adverse effect of DNase?

A

voice alters

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16
Q

How can pancreatic enzymes be given?

A
  • swallowed whole

- sprinkled on top of a small amount of food eaten at the beginning of a meal

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17
Q

What kind of diet should a CF patient have?

A

High in carbohydrates and protein

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18
Q

Normal D-dimer levels

A

Less than 250 mcg/L

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19
Q

How long does the nurse have to apply pressure after an ABG?

A

at least 5 minutes

20
Q

How often should you turn a tracheostomy patient?

A

every 2 hours

21
Q

How long should trach suctioning last?

A

10 - 15 seconds

22
Q

How is OME differentiated from AOM?

A

In OME, there is a feeling of fullness in the ear

23
Q

What are two ways to prevent otitis media?

A
  • keeping immunizations up to date

- avoid tobacco smoke

24
Q

In AOM, the parents should…

A

administer all of the prescribed medication

25
Q

What is the most common, serious complication of rheumatic fever?

A

cardiac valve damage

26
Q

What is a clinical manifestation of rheumatic fever?

A

polyarthritis

27
Q

What medication is given for therapeutic management in rheumatic fever?

A

Penicillin

28
Q

What can school nurses do to aid in prevention of rheumatic fever?

A

Refer children with sore throats for throat cultures

29
Q

What is the most common causative agent of bacterial endocarditis?

A

Streptococcus viridans

30
Q

What type of nodes may appear on the fingertips in bacterial endocarditis?

A

Osler nodes

31
Q

What is the main nursing intervention to prevent infective endocarditis?

A

Counsel parents of high-risk children about prophylactic antibiotics

32
Q

What is the therapeutic range for digoxin?

A

0.5-2

33
Q

Therapeutic management of Kawasaki disease includes…

A

administration of gamma globulin and aspirin

34
Q

What congenital heart defects increase pulmonary artery blood flow?

A
  • atrial septal defect
  • ventricular septal defect
  • patent ductus arteriosus
35
Q

What congenital heart defects decrease pulmonary artery blood flow?

A

coarctation of the aorta

36
Q

What congenital heart defects decrease pulmonary blood flow?

A

Tetralogy of Fallot

37
Q

What are the 4 structural defects in Tetralogy of Fallot?

A
  • right ventricular hypertrophy
  • overriding aorta
  • pulmonic stenosis
  • ventricular septal defect
38
Q

S/S of heart failure after a repaired tetralogy of fallot

A
  • decreased urine output
  • inappropriate sweating
  • fatigue
39
Q

What position do you put an infant in that is having a hypercyanotic spell?

A

knee-chest position

40
Q

What clinical manifestation of nasopharyngitis should a parent report to the physician?

A

Signs of earache

41
Q

ACEIs

A

decrease preload

42
Q

Angiotensin II

A

decrease preload

43
Q

Beta blockers

A

decrease chronotropy, heart rate, blood pressure, and contractility
Ex: metaprolol

44
Q

Diuretics

A

decrease preload and sodium and water retention

45
Q

Digoxin

A

increases contractility

46
Q

Nitrates

A

decreases afterload

Nursing Process 2 (5 decks)

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