QUIZ 7

Question 1

Epiglottitis

Answer 1

deadly medical emergency in which an inflammatory response to a bacterial infection causes sudden swelling of the epiglottis.

Question 2

Epiglottitis manifestations (sudden onset)

Answer 2

1. Anxiousness
2. Restless behavior
3. Stridor
4. Fever
5. Drooling
6. Tripod positioning
7. throat pain with swallowing or display a muffled voice or hoarseness

Question 3

croup s/s

Answer 3

A harsh
1. “Barking” cough
2. Increased temperature
3. Inspiratory stridor
4. Stuffy nose and laryngitis

Question 4

increase the child’s risk for developing epiglottitis is the client

Answer 4

2-6 years

Question 5

increase the child’s risk for developing epiglottitis in male child

Answer 5

true

Question 6

Being behind on immunizations increases the risk for epiglottitis, which can be caused by Hemophilus influenza (Hib).

Answer 6

true

Question 7

Medications used to help prevent organ rejection include

Answer 7

cyclosporine and corticosteroids.

Question 8

Signs and symptoms of organ rejection include

Answer 8

1. Abdominal or flank tenderness
2. Edema
3. Increased weight of approximately 2-4 pounds over 24 hours
4. Flu-like symptoms such as worsening fatigue, elevated body temperature, headache, chills, dizziness, body aches, nausea, and vomiting
   5 elevated bp

Question 9

Alport syndrome

Answer 9

a genetic condition characterized by kidneys disease, hearing loss and eyes abnormalities

Question 10

position for a transplanted kidney biopsy

Answer 10

Biopsying a transplanted kidney, the client should be positioned supine (lying on the back).

Question 10

regular renal biopsy position

Answer 10

prone (stomach)

Question 11

urinary tract infection (UTI) Symptoms

Answer 11

1. Worsening fatigue
2. Body aches
3. Abdominal tenderness
4. Malodorous, cloudy urine
5. Urinary urgency
6. Dysuria
7. Fever and chills (occasional)

Question 11

Which actions should the nurse take related to cyclosporine?

Answer 11

1. The nurse should notify the health care provider about any signs and symptoms of bleeding. Cyclosporine, an immunosuppressant, suppresses bone marrow, leading to anemia and a higher risk of bleeding.

2 Cyclosporine should be administered with meals to minimize GI upset.

3 Increased hair growth or hirsutism is an expected side effect and does not require HCP notification.

4 Grapefruit intake must be entirely avoided
since it increases cyclosporine levels, which could be very dangerous for the client.

5 Gingival hyperplasia is a common and expected side effect of cyclosporine. This is not an urgent concer

6 Cyclosporine can lead to hypomagnesemia.

Question 12

symptoms of hypomagnesemia

Answer 12

increased tiredness or weakness, muscle cramps or spasms (tetany), tingling or numbness in the feet or hands, and side-to-side eye movements (nystagmus).

Question 13

anaphylactic transfusion reaction symptoms(LIFE THEREATENING )

Answer 13

1. Hives (urticaria)
2. Fever
3. Pruritus
4. Severe symptoms include hypotension
   bilateral wheezing
   difficulty swallowing

Question 14

febrile transfusion REACTION( mild allergic )

Answer 14

1 fever,
2. hypotension, and
3. low back pain.

Question 15

Intimate partner violence (IPV)

Answer 15

1 Mistreatment or misuse of one person by another in an intimate relationship.
2 The relationship may be between partners (e.g., boyfriend, girlfriend, spousal) or estranged.
3 The abuse can be emotional, physical, sexual, or a combination, which is the most common

Question 15

caring for victims of IPV,

Answer 15

1 Assessing and meeting any physical needs,
2 the nurse should use therapeutic communication
3 and promote a safe environment for the client.

Question 16

homicide

Answer 16

harm to others

Question 17

Albuterol

Answer 17

inhaler used to immediately open the airway during an acute exacerbation

Question 18

Budesonide/formoterol

Answer 18

glucocorticoid and a bronchodilator used to reduce inflammation and cause bronchodilation.

Question 19

Montelukast

Answer 19

leukotriene receptor antagonist. It works by controlling and blocking the allergic responses that can cause worsening of COPD.

Question 20

Pancrelipase

Answer 20

combination of enzymes used to supplement or completely replace the enzymes from the pancreas

Question 21

Shoulder dystocia

Answer 21

fetal complication associated with cephalopelvic disproportion.

Question 22

evidence-based interventions to facilitate safe fetal birth WITH Shoulder dystocia

Answer 22

The McRoberts maneuver involves applying pressure to the laboring client’s pelvis.

Brachial plexus palsy is a known complication associated with shoulder dystocia; therefore, the nurse assesses the neonate for this condition by testing the Moro reflex.

Question 23

Cephalopelvic disproportion

Answer 23

when the size of the baby’s head is incompatible with the size of the mother’s pelvis.

Question 24

nuchal cord

Answer 24

the umbilical cord becomes wrapped or twisted around the baby’s neck while still in utero; manifestations may include decreased fetal movement or fetal heart rate decelerations with contractions during labor.

Question 25

Manifestations of placental abruption

Answer 25

dark red vaginal bleeding, severe and continuous abdominal pain, and a rigid and tender uterus

Question 26

precipitous birth

Answer 26

precipitous birth is the infant delivering within 3 hours of the client’s first contraction

Question 27

intravenous (IV)

Answer 27

30-60 seconds

Question 28

sublingual

Answer 28

3-5 minutes)

Question 29

inhalation

Answer 29

2-3 minutes

Question 30

intraosseous

Answer 30

30-60 seconds

Question 31

endotracheal

Answer 31

2-3 minutes)

Question 32

intramuscular (IM)

Answer 32

10-20 minutes

Question 32

subcutaneous (SC) route

Answer 32

15-30 minutes

Question 33

Rectal routes

Answer 33

5-20 minutes

Question 34

routes for administering the nitroglycerin

Answer 34

Sublingual
I V routes
Intranasal
transdermal routes.

Question 35

3 statements to include in the client’s teaching with oral insulin

Answer 35

Insulin taken orally is destroyed by stomach acid.

Subcutaneous insulin delivery is more predictable

Subcutaneous insulin administration absorbs more slowly.

Question 36

Macular degeneration

Answer 36

a condition that features central vision loss and blindness. most common cause of blindness in individuals over 60, this incurable condition

Question 37

Symptoms of macular degeneration

Answer 37

1. Distorted vision (a blurry spot in the middle of the eye, or straight lines that appear wavy)
2. Altered color perception
3. Difficulty seeing in dim lighting

Question 38

classification of Muscular degeneration

Answer 38

wet or dry.

Question 39

. The nurse educates the client on safety and activities to promote functional independence with impaired vision prior to discharge.

Answer 39

1. Wear sunglasses when outside.
2. Use magnifiers if vision is distorted.
3. Mark stairs and switches with bright colors.
4. Ensure the floor has clear paths to rooms and exits.
5. Turn the head to ensure objects are not in blind spots.

Question 40

Skin Traction”

Answer 40

Skin traction uses adhesive tape, straps, or plastic material that attaches to the skin. After that is in place, it is connected to a traction device by weights, bands, or strings via a pulley system. The traction force should cause pain relief and immobilization. Skin traction is typically used for simple sprains or fractures.

Question 41

Skeletal Traction”

Answer 41

Skeletal traction involves the surgeon inserting either pins or screws above and below the injured bone above. The pins or screws connect to the weight or pulley traction system via ropes, bands, or stings. Traction provides a force to the skeletal device, giving immobilization, bone alignment, and significantly decreasing pain.

Question 42

Manual Traction”

Answer 42

The provider completes manual traction, applying his hands and strength to pull on the injured extremity. Once the bones align, an immobilization device is applied to the injury. The client is usually sedated during this procedure. Manual traction may vary based on the mechanism of injury.