NUR 243 FINAL EXAM QUESTIONS AND

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NUR 243 FINAL EXAM QUESTIONS AND

DETAILED ANSWERS 2024 -2025 VERIFIED

ANSWERS (CORRECT ANSWERS) | AGRADE

NOTE: ALL QUESTIONS START WITH THE ANSWERS IN BOLD

BCE A nurse is providing instructions to the parents of a 3-month-old with developmental dysplasia of the hip who is being treated with a Pavlik harness. Which statement by the parents demonstrates understanding of the instructions? Select all answers that apply.

• "We need to adjust the straps so that they are snug but not too tight."
• "We should change her diaper without taking her out of the harness."
• "We need to check the area behind her knees for redness and irritation."
• "We need to send the harness to the dry cleaners to have it cleaned."
• "We need to call the doctor if she is not able to actively kick her legs."

Hirschsprung disease This condition is characterized by lack of ganglionic cell in any portion of the digestive colon. Obstruction is caused by absence of motility.Hirschsprung disease

In newborns, this conditions manifests as:

Failure to pass meconium stool refusal to suck, bile stained vomit Hirschsprung disease In children, this condition manifests as: failure to gain weight, abdominal distention, vomiting, constipation alternating with diarrhea, ribbon-like foul smelling stools.

• Prepare the family for surgery. 1 / 4

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A nurse is caring for a child who has Hirschsprung disease. Which of the following is an appropriate action for the nurse to take?

• Encourage a high-fiber, low-protein, low-calorie diet.
• Prepare the family for surgery.
• Place an NG for decompression.
• Initiate bed rest.
• Having a wound, ostomy, and continence nurse meet with them

The parents of a boy diagnosed with Hirschsprung disease are anxious and fearful of the upcoming surgery. The mother states, "I'm worried about having to care for our son's ostomy." Which intervention would be most helpful for the parents?

• Explaining to them about the diagnosis and surgery
• Having a wound, ostomy, and continence nurse meet with them
• Reinforcing that the ostomy will be temporary
• Teaching them about the medications used to slow stool output

Hemolytic Uremic Syndrome (HUS) This condition is often preceeded by diarrheal illness

Damange is caused by microthrombotic events in the kidneys Hemolytic Uremic Syndrome (HUS) This condition is characterized by hemolytic anemia, thrombocytopenia, ARF

• Decreased platelets and leukocytosis

A child is diagnosed with hemolytic-uremic syndrome (HUS). Review of the child's laboratory test results would reveal which of the following?

• Decreased blood urea nitrogen (BUN) and creatinine
• Decreased platelets and leukocytosis 2 / 4

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• Hypernatremia and hypokalemia
• Respiratory acidosis and proteinuria

intussusception This condition is characterized by the telescoping of one portion of the bowel into another portion.

It is common in children 3mo - 6y intussusception

This condition manifests as:

Colicky abdominal pain Vomiting bile stained fecal emesis Currant-jelly like stools Tender distended abdomen Palpable sausage shaped mass in RUQ

• Currant jelly-like

The nurse is providing care to a child with an intussusception. The child has a bowel movement and the nurse inspects the stool. The nurse would document the stool's appearance most likely as which of the following?

• Greasy
• Clay-colored
• Currant jelly-like
• Bloody

Kawasaki's Disease This condition is an acute systemic vasculitis that primarily affects children <5 years of age Kawasaki disease 3 / 4

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This condition manifests as:

• a high fever for 5 days that is unresponsive to antipyretics or antibiotics
• chills
• headache
• malaise
• extreme irritability
• vomiting
• diarrhea
• abdominal and joint pain
• distinctive rashes (strawberry tongue, palmar erythema)
• desquamation of perineum, fingers and toes.

Kawasaki Disease

Treatment for this condition includes:

IVIG High dose of aspirin (acute) Low dose aspirin for up to 6 months

• Strawberry tongue

When conducting a physical examination of a child with suspected Kawasaki disease, which of the following would the nurse expect to assess?

• Hirsutism or striae
• Strawberry tongue
• Malar rash
• Café au lait spots
• / 4