NURS 307 Final Study Guide Exam Questions with 100% Correct Answers

Bronchiolitis: most common cause Correct Answer RSV How is RSV transmitted? Correct Answer -Transmitted predominantly through direct or close contact with contaminated respiratory secretions -Viable RSV live on environment surfaces for several hours and on hands for 30 minutes or more Tonsillectomy care Correct Answer -discourage from coughing frequently, clearing the throat, blowing the nose -ice collar -pain meds at regular intervals -tetracaine lollipops or ice pops, antiemetics, such as odansetron, or scopolamine patch (ages 12+) -cool water, crushed ice, flavored ice pops, or diluted fruit juice may be given -avoid fluids with red or brown color -suction equipment and oxygen should be available Bronchiolitis symptoms Correct Answer *fever *cough *rhinorrhea *wheezing -tachypnea or retractions -apneic spells -altered air exchange -diminished breath sounds RSV S/S Correct Answer lethargy, poor feeding, irritability Bronchiolitis: nursing care Correct Answer -provide humidified oxygen -suction nasopharynx -encourage fluid intake -contact and standard precautions Bronchiolitis: preventative measure Correct Answer -administer palivizumab (Synagis) to high-risk infants -given at onset of the RSV season and then monthly in an IM injection or IV infusion for max of 5 doses Candidates for Palivizumab (synagis) Correct Answer **prematurity, chronic lung, vent dependent, muscular dystrophy