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NUR 336 Exam 1 Questions With Complete Solutions

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nur 336 exam 1 questions with complete solutions

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NUR 336 Exam 1 Questions With Complete Solutions

Galactosemia: findings, patho, dangers, treatment Correct
Answers - findings: tested for at birth; loose stools and
fussiness
- patho: enzyme deficiency prevents galactose conversion to
glucose
- dangers: mental retardation and failure to thrive (doesn't regain
birth weight)
- treatment: soy based formula and no dairy as age progresses

How can a nurse provide family centered care at the end of life?
Correct Answers - sibling care! aka play with siblings and
acknowledge their feelings
- culturally appropriate communication: consider culture at all
times
- developmentally appropriate communication: speak at
developmental level of siblings
- informative communication: inform about diagnosis, death,
and dying appropriately only if the fam wants to know
- honest communication: communicate outcomes without giving
false hope; ensure the family knows when death is imminent
- communicate with hospice/palliative and with fam about
hospice/palliative

How can nurses provide family centered care during death of a
ped patient? Correct Answers - fam involvement in
bathing/dressing deceased/dying
- allow more visitors
- accommodate religious/spiritual ceremonies and assist hospital
pastoral care if appropriate

,- allow fam to hold/lie next to child
- create tangible memories
- label and respect body
- DOCUMENT

How can we combat childhood obesity? Correct Answers -
educate on proper nutrition
- educate parents on lower caloric need in school age but raised
in adolescence
- provide nutrient dense food options like fruits, vegetables, and
home cooked meals low in processed foods
- encourage 1 hour of physical activity per day such as bike
riding, sports (including school sports), and playing on the
playground

How can we promote safety in children? Correct Answers -
head injury prevention: helmets and pads
- pedestrian safety: walk on sidewalks against traffic, look both
ways before crossing street
- adult supervision: school age can play with friends alone but
shouldn't be left unsupervised for extended period of time; by 12
the child can stay home alone while caregiver runs errands and
can begin babysitting; children may do dangerous activities to
gain independence (some danger is okay and important for
development)

How do you know a child is ready to potty train? Correct
Answers - 2-3 years
- shows interest
- can pull pants up and down
- doesn't like wet diaper

, - can vocalize need to use restroom

How should a family be handled if a patient is being coded?
Correct Answers - fam can be involved= family centered care
- communicate and decrease confusion among family members
- family seeing code helps them to let go but can be traumatic
- family bedside may not always be appropriate

Hyperbilirubinemia: findings, patho, dangers, treatment Correct
Answers - findings: bilirubin greater than 5.2 begin to see
discoloration, peak levels between 3-7 days of life; jaundice
- patho: pigment is released because of hemoglobin breakdown
but liver cannot yet make bilirubin water-soluble
- dangers: kernicterus (brain damage)
- treatment: greater than 15 indicated phototherapy

Phenylketonuria (PKU): findings, patho, dangers, treatment
Correct Answers - findings: tested for at birth in all 50 states;
must test between day 2-5
- patho: autosomal recessive deficiency preventing
phenylalanine from breaking down to tyrosine
- dangers: cognitive impairment from defective myelination and
degeneration of brain matter
- treatment: low protein diet for LIFE!!

Precocious Puberty: findings, patho, dangers, treatment Correct
Answers - findings: breast buds or testicular changes before the
age of 7/8 for girls and 9 for boys
- patho: premature release of gonadotropin hormone; can be
complete/true, incomplete, or caused by CNS injury or other
conditions

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