100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NURS 629 -Exam 4 questions and Answers Latest Update Fully Solved 100% $7.99   Add to cart

Exam (elaborations)

NURS 629 -Exam 4 questions and Answers Latest Update Fully Solved 100%

 7 views  0 purchase
  • Course
  • NURS 629
  • Institution
  • NURS 629

Diagnostic testing for pyloric stenosis - US, upper GI series which can show a "string sign" which is a fine elongated pyloric canal "olive mass" palpable in epigastric area to right of midline Treatment is surgery (pyloromyotomy) Diagnostic for scoliosis - upright posteroanterior and lateral v...

[Show more]

Preview 3 out of 22  pages

  • August 10, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 629
  • NURS 629
avatar-seller
ACADEMICMATERIALS
NURS 629 -Exam 4

Diagnostic testing for pyloric stenosis - US, upper GI series which can show a "string sign" which is
a fine elongated pyloric canal

"olive mass" palpable in epigastric area to right of midline

Treatment is surgery (pyloromyotomy)



Diagnostic for scoliosis - upright posteroanterior and lateral view that include the cervical spin and
pelvis pg. 2670 AAP book



Atonic seizures - muscles suddenly become limp

eyelids may droop

head may drop forward

fall risk

typically lasts <15 seconds



Atypical absent seizures - starts with patient staring off, change muscle tone and movement

blinking repeatedly

smacking lips or chewing movements

rubbing fingers together or making other hand motions

lasts longer than absent >20 seconds



Blood glucose goals - Ages <= 6 yo keep to 100-180 and may need to give insulin after meals;
HBA1c 8.5%

Ages 7-12 tighten control to 90-180 before meals; HBA1c 8%

Adolescents tighten control to 70-150: HBA1c 7.5%

per PP and pg 1856 of AAP book

**other study guide states ideal glucose level for 4 yo is 90-130

,Characterization of Type 1 DM - child/adolescent

lean habitus

no acanthosis

5% family hx

most common in Caucasians

DKA is common/rapid

lifelong insulin dependence

common autoimmunity



Characterization of type 2 DM - adolescent or older

heavy habitus

acanthosis

positive family hx (75-100%)

likely non-caucasian

DKA is uncommon/insiduous

insulin dependence is episodic

autoimmunity uncommon



Clinical findings for Osgood-Sclatter disease - pain, swelling, tenderness at tibial tuberosity

knee pain that worsens with activity

tightness of the surrounding muscles, especially quads

pain varies from mild with activity to nearly constant and debilitating



Criteria to dx diabetes - symptoms of diabetes plus random plasma glucose >= 200 mg/dl

OR

fasting plasma glucose >=126 mg/dl

OR

, 2 hr plasma glucose >= 200 ml/dl during OGTT (1.75 gm/kg or max 75 gm glucose in water)



Diagnostic for depression - PHQ-9 can be used for ages 11 and up

-insomnia or hypersomnia, just like our adults; psychomotor agitation or retardation observable by
others; fatigue or loss of energy; feelings of worthlessness or excessive or inappropriate guilt; diminished
ability to think or concentrate or indecisiveness; and recurrent thoughts of death is another
characteristic

-criteria to meet the diagnosis of depression is 5 or more symptoms, most of the day nearly every day,
have been present during the same 2-week period



Diagnostic for SCFE - x-ray

Absent seizures - very quick, <10 seconds- often missed

generalized onset involving both sides of the brain at the same time

most common type

stops all activity then patient stares off

eyes may roll up

eyelids flutter



Diagnostic testing for appendicitis - CBC w/ diff- look for shift to left, *elevated WBCs usually 10-
20, neutrophils, elevated bands

UA

CT w/ contrast- highest accuracy

may use US/MRI

**surgery referral, emergent



Diagnostic testing for GERD - CBC w/ diff to r/o anemia and infection

upper GI series



Diagnostic testing for UTI - UA w/ culture

*E.Coli most common cause

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICMATERIALS. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $7.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

79271 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$7.99
  • (0)
  Add to cart