NURS 629 EXAM 3 QUESTIONS AND ANSWERS
LATEST SOLUTION GUIDE 2023
Risk factors related to elevated cholesterol? - Correct Answer · Obesity · Diabetes · Hypertension
· Family history:
- Coronary heart disease prior to age 55
- Hyperlipidemia
- Diabetes
Most common cyanotic cardiac lesion (disorder) - Correct Answer Tetralogy of Fallot What is Tetralogy of Fallot? - Correct Answer a congenital heart condition involving four
abnormalities occurring together:
1) Pulmonary valve stenosis 2) RT vent hypertrophy 3)Vent septum Defect 4)Aorta overrides Vent Septum What would be seen on X-ray with TOF - Correct Answer Boot shaped heart and Rt vent hypertrophy What are the common s/s of tetralogy of Fallot? - Correct Answer *Cyanosis (hypoxia) *SOB w/exercise *clubbing fingers and toes *delayed growth *systolic and holosystolic murmurs What criteria would you have to consider inpatient admission in a patient with pneumonia - Correct Answer Comorbidities: lung dz, congenital Heart dz, DM, grunting child, O2 <92% What to expect of a 2-mo old visual acuity? - Correct Answer *Vision of 20/400 *Can fix and follow objects S/S of viral conjunctivitis - Correct Answer *Starts bilaterally *usually occurs with upper resp tract infection (adenovirus) *serous(watery) drainage *injected conjunctiva *Enlarged or tender preauricular nodes Clinical findings of of viral conjunctivitis - Correct Answer *Normal visual acuity *injected conjunctiva *Preauricular lymphadenopathy 1 / 2
Treatment of viral conjunctivitis - Correct Answer * Symptomatic only
- Warm or Cool compresses
- Strict eye/hand hygiene
- avoid contacts for a while
What do you do for a patient with an elevated B/P on initial visit? - Correct Answer *Repeat in 1-2 weeks and average over 3 visits *Pt to keep log for review *Encourage healthy lifestyle choices Asthma is disruptive several times during the night/interrupting sleep at least 3 times a week, what's the next step? - Correct Answer Moderate persistant; prescribe inhaled steroid (flovent) Causative organism of bronchiolitis - Correct Answer (RSV) Respiratory syncytial virus most likely cause what type of murmur is caused by normal blood flow thru normal cardiac structures in up to 80% children; Midsystolic; can come and go; Gets louder with fever, exercise, and anxiety - Correct Answer functional or innocent murmur When do innocent murmurs develop? - Correct Answer (book p 763) age 3-4; (module 10 lect) age 2-6 type of murmur caused by turbulent blood flow caused by a defect or abnormal cardiac structures; Dystolic; Grade ≥ IV; increases with sitting or standing - Correct Answer pathological murmur symptoms of croup - Correct Answer · Barking cough · Fever · URI symptoms s/s of bronchiolitis - Correct Answer · inspiratory and expiratory wheezing accompanied
by:
*fever *URI symptoms including profuse clear nasal discharge When to use inhaler to treat exercise induced asthma - Correct Answer Use rescue inhaler 15-30 minute prior to activity Condition caused by a defect or hole in the atrial septum - Correct Answer Atrial Septum Defect (ASD) When should children be screened for hyperlipidemia? - Correct Answer between 9-11 years then 17-21 years
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