Respiratory, Gastrointestinal, and Genitourinary Dysfunction / Communicable Diseases

Question 1

When you first assess someone has impetigo what should you do

Answer 1

send them home bec its highly contagious

Question 2

Why would you not want to get a throat culture swab for a pat with airway obstrution signs like in acute epiglottiis

Answer 2

bec it may cause gag which could increase obsrtuction

Question 3

What is the most likely cause of acute epiglottitis

Answer 3

Hemophilis influenza

Question 4

What is a great way to protect your pat when they have a resp problem and have an xray ordered

Answer 4

to ask for a portible xray to be brought to the bedside

Question 5

What is the best way to prevent acute epiglotitis

Answer 5

routine immunizations of the HIB or HIV vaccine

Question 6

What is the biggest sign of hemorrhage after a tonsillectomy and why

Answer 6

frequent swallowing bec the bleeding triggers swallowing

Question 7

When is the most important time to monitor for hemorrhage after a tonsillectomy

Answer 7

when the child is sleepign

Question 8

What is the most important post op tonsilllect hemo care and why

Answer 8

contact surgeon, while the nurse can use suctioning and monitor vitals the only person that can fix the prob is the surgeon

Question 9

What is some post tonsillect nursing care

Answer 9

pain management- ice collar to swelling, IV or rectal meds bec PO would agrevate wound
no cough / blow nose
soft liq diet

Question 10

What is some post tonsillect dischage teaching

Answer 10

avoiding hot/coarse foods

Question 11

How long is mild ear pain and foul mouth odor normal post op for tonsillect

Answer 11

5-10 days

Question 12

Baby is 
sneezing 
coughing 
wheezing
poor feeding
runny nose 
and his symptoms are getting worse showing tachypnea and retractions 
What is the likely diagnosis what what causes it

Answer 12

brochiolitis from RSV

Question 13

What is used to diagnos bronchiolitis

Answer 13

nasal swab with ELISA test

Question 14

nursing care for bronchiolitis

Answer 14

resp support with humidified O2
freq suctioning, esp before feeding
epi and corticosteroids

Question 15

What type of isolation for Brochiolitis from RSV

Answer 15

contact and droplet

Question 16

What med is likely given to severe bronchio pats

Answer 16

ribovirin

Question 17

Who should not handle ribovirin

Answer 17

preg caregivers

Question 18

What is given to pats to prevent bronchio from RSV and what is the criteria of eligibility

Answer 18

synigis 
Criteria includes 
prematurity 
congen heart dis 
chronic lung dis

Question 19

What resp symps would NOT be present in a resp distress asthma pat

Answer 19

stridor
runny nose
fever

Question 20

What is the purpose of meter dose inhaler and what are the most important instructions

Answer 20

take slow deep breathes and hold for 5-10 secs

Question 21

What are some rec’s for asthma and exercise

Answer 21

well controled- unrestricted ex

poorly controled/exacerbation- less ex

Question 22

Peak flow meter cons

Answer 22

adaf

Question 23

What genotype are parents of CF

Answer 23

Cc

Question 24

What are the color ranking for peak flow meters

Answer 24

ewfdasf

Question 25

What is an abnormal sweat chloride test

Answer 25

above 60

Question 26

What type of nutrient is important to supp with CF pats

Answer 26

lipid soluble vits DEAK

Question 27

What type of nutrient is important to supp with CF pats

Answer 27

lipid soluble vits DEAK

Question 28

What is an early sign of dehydration

Answer 28

tachycardia

Question 29

What is the treatment for mild dehydration and diarrhea

Answer 29

oral rehydration therapy for infant that would be 10ml/kg for each diarrheal stool continue breast or bottle feeding

Question 30

Are antidiarrheal meds typically given to infants

Answer 30

no

Question 31

What electrolyte shouldnt be given for pats with decrease urine output with increased renal func tests (increased creatinine/BUN)

Answer 31

potassium

Question 32

What electrolyte shouldnt be given for pats with decrease urine output with increased renal func tests (increased creatinine/BUN)

Answer 32

potassium

Question 33

What are some common signs of hypertrophic pyloric stenosis

Answer 33

``` projectile vomiting oval mass in URQ weight loss ab distention metabolic alk inconsolable dry mucous membranes from dehydration ```

Question 34

What is a consideration for ab distention for hypertophic pyloric stenosis

Answer 34

it may not appear if the child doesn't have gas in their stomach at the moment

Question 35

What is a consideration for ab distention for hypertophic pyloric stenosis

Answer 35

it may not appear if the child doesn't have gas in their stomach at the moment

Question 36

What is the treatment for hypertrphic pyloric stenosis

Answer 36

suregery

Question 37

What are some signs of intussusception in babies

Answer 37

red jelly like substance in stool inconsolable severe pain

Question 38

What are some signs of intussusception in babies

Answer 38

red jelly like substance in stool inconsolable severe pain

Question 39

What would a low grade fever, severe ab pain, and diarrhea pat that suddenly lost all feelings of pain indicate

Answer 39

they may have had appendicitis that just ruptured

Question 40

What causes appendicitis

Answer 40

largely unkwn obst of the lumen of the appendix recent sickness in lymph tissue has travels over to the appendix pin worms

Question 41

Nursing care for post appendectomy

Answer 41

wound care | monitor for return of GI func

Question 42

What scenario/symptoms might indicate hirshsprungs

Answer 42

newborn not passing meconium severe ab distention Xray show dilated bowel gas pattern

Question 43

How is hirshsprungs diagnosed

Answer 43

rectal biopsy showing aganglionic colon

Question 44

What would be a sign of hirshsprungs if undiagnosed in an adult

Answer 44

foul smelling ribon like stool

Question 45

treatmant for hirshsprungs

Answer 45

surgery to remove area of colon that is aganglionic

Question 46

What are some risk factors for UTI's

Answer 46

female poor hygeine habits like wiping the wrong direction frequent swimming

Question 47

What are some s/s of UTI

Answer 47

fever incontinence decreased appetite

Question 48

What is used to diagnosis UTI

Answer 48

urine culture

Question 49

What is a good preventative measure for someone on antibiotics and why

Answer 49

to give probitoics bec it helps reduce risk for thrush

Question 50

What are the most important nursing care for someone with acute kidney injury

Answer 50

``` strict I/O monitor dietary sodium and potassium intake medication safety dail yweights monitoring BUN and creat ```

Question 51

What might be some treatment for someone with acute kid injury that is edematous and hypertensive

Answer 51

albumin followed be furosemide

Question 52

What is a consideration for a sodium and potass diet after discharge for an acute kid injury pat

Answer 52

make sure to have a diet with salt in it