LECTURE - RATIONALIZATION (3RD EXAM)

Question 1

Primary cause of meconium aspiration
syndrome.

Answer 1

fetal distress during labor

Question 2

8th month (boy) with suspected croup, what
imaging test is needed?

Answer 2

Chest X-Ray

Question 3

Cystic fibrosis (test to confirm)

Answer 3

carrier testing, newborn screening, sweat chloride testing, and clinical evaluation.

Question 4

Girl with cystic fibrosis (what system is
affected?)

Answer 4

respiratory system

Question 5

Breath sound (asthma) – high pitch whistling
sound.

Answer 5

Wheezing

Question 6

What triggers asthma exacerbations?

Answer 6

allergens and irritants

Question 7

CROUP pathogens

Answer 7

parainfluenza

Question 8

What gestational age has a higher risk of
developing RDS?

Answer 8

early preterm less than 38 weeks

Question 9

Common sign of RDS

Answer 9

cyanosis

Question 10

Nurse teaches how to use respiratory inhalers,
what statement of the client needs further
teaching?

Answer 10

inhales mist and quickly exhales

Question 11

In pregnant woman (28 weeks gestation) – what
is the purpose of antenatal corticosteroids in
preventing RDS?

Answer 11

Enhancing surfactant

Question 12

Infant experiencing tachypnea and nasal
flaring, this indicates?

Answer 12

respiratory distress syndrome

Question 13

School age with pneumonia (taking antibiotics)
what advice must the nurse give?

Answer 13

complete the full course of medication as
prescribed

Question 14

What is the factor why a toddler with
pneumonia needs hospitalization?

Answer 14

Age of the child

Question 15

Child with CROUP, what is the most priority
nursing intervention?

Answer 15

assess the child’s AB (airway and breathing)

Question 16

Pneumonia (diminish breath sounds indicates?)

Answer 16

Atelectasis

Question 17

GERD (backflow) the following are its
complications, EXCEPT.

Answer 17

pulmonary embolism

Question 18

What is the role of nurse in assessing the degree
of dehydration?

Answer 18

assessing skin turgor

Question 19

Common sign of anemia (decrease RBC)

Answer 19

Pallor

Question 20

Advised duration of exclusive breastfeeding.

Answer 20

6 months

Question 21

Not a nursing management for diarrhea.

Answer 21

Dispose diaper immediately

Question 22

What lab test is needed when there is a
persistent diarrhea?

Answer 22

Stool culture

Question 23

What should be assessed when there is a possible complication in fluid administration
(extracellular)?

Answer 23

Assessing BP (blood pressure)

Question 24

What medication is used in cancer which
manages nausea and vomiting during
chemotherapy?

Answer 24

Ondansetron

Question 25

What nursing intervention should be done when there is a prolong vomiting (inability to take prescribe IV fluid?)

Answer 25

monitor signs for fluid overload

Question 26

Pre and post blood transfusion (role of the nurse).

Answer 26

monitoring for signs of anaphylaxis

Question 27

Initial nursing intervention for patient with gastroenteritis (severe vomiting).

Answer 27

assessing signs of dehydration

Question 28

Fever, diarrhea and increase thirst (initial nursing intervention).

Answer 28

Initiating IV therapy

Question 29

The doctor order metoclopramide (Reglan) to treat GERD, what should you do as a nurse?

Answer 29

Give medication as ordered

Question 30

Nursing intervention when giving furosemide (to manage extracellular fluid excess).

Answer 30

Monitor serum electrolytes level

Question 31

Frequent nosebleed and ecchymosis (low platelets).

Answer 31

Implement bleeding precautions

Question 32

Nursing intervention for patient with sodium-restricted diet.

Answer 32

Providing a list of high-sodium foods to avoid.

Question 33

Nursing intervention for patient with GERD during enteral feedings.

Answer 33

Elevating head during feedings

Question 34

Sign of parasitic cause of diarrhea.

Answer 34

persistent itching around anus

Question 35

Transmission of rabies.

Answer 35

bite from infected animals

Question 36

Vaccine for preventing herpes zoster.

Answer 36

varicella vaccine

Question 37

What classification of coxsackievirus (painful oral sores)

Answer 37

Hand, feet and mouth disease

Question 38

Who are common to be affected with herpes zoster (w/ history of chickenpox).

Answer 38

adolescents

Question 39

Mumps (swelling of salivary glands).

Answer 39

parotitis

Question 40

Potential complications of pharyngitis.

Answer 40

Rheumatic fever

Question 41

Causative agent of chicken pox.

Answer 41

varicella zoster

Question 42

How to prevent the spread of chicken pox in children?

Answer 42

practice hand hygiene and avoid scratching

Question 43

Not immediate nursing intervention for animal bites.

Answer 43

Administer rabies vaccine

Question 44

Nursing intervention for a child with chickenpox (w/ complication).

Answer 44

Monitor for respiratory distress syndrome

Question 45

When does a child with herpes zoster can finally go back to school.

Answer 45

all lesions have crusted (should stay home)

Question 46

What diet is needed when there is pain and discomfort when chewing and swallowing.

Answer 46

diet with soft and bland foods

Question 47

What health teaching is needed when a patient is taking acetaminophen for pharyngitis.

Answer 47

administer with food or milk to minimize stomach upset.

Question 48

Precautionary measures to avoid spreading coxsackievirus in daycare.

Answer 48

proper hand hygiene.

Question 49

What should be monitored closely when a patient has a coxsackievirus with a possible complication of meningitis.

Answer 49

Seizures activity