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NRNP 6541 WEEK 11 FINAL EXAM 3 LATEST VERSIONS 2024/2025 ACTUAL EXAM EACH VERSION CONTAINS 100 QUESTIONS AND CORRECT DETAILED ANSWERS

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NRNP 6541 WEEK 11 FINAL EXAM 3 LATEST VERSIONS 2024/2025 ACTUAL EXAM EACH VERSION CONTAINS 100 QUESTIONS AND CORRECT DETAILED ANSWERS Recommended treatment for RSV in a 7 month old (outpatient) - Answer️️ -Use of saline drops and suctioning of the nares. Indications of when to use antipyret...

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TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

NRNP 6541 WEEK 11 FINAL EXAM 3 LATEST VERSIONS
2024/2025 ACTUAL EXAM EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT DETAILED ANSWERS

Recommended treatment for RSV in a 7 month old (outpatient) - Answer✔️✔️-Use of

saline drops and suctioning of the nares. Indications of when to use antipyretics. Signs

of respiratory distress or dehydration. Guidelines for feeding an infant with signs of mild

respiratory distress which includes smaller more frequent feedings; monitoring of the

respiratory rate; and guarding against vomiting. The parents should be educated that

the child may have the symptoms over the course of 2-3 weeks

Epiglottitis s/s - Answer✔️✔️-Acute and rapid onset of high fever, chills, and toxicity.

Severe sore throat and drooling saliva. Will not eat or drink, muffled (hot potato) voice,

and anxiety. Sitting posture with hyperextended neck with open-mouth breathing.

Stridor, tachycardia, and tachypnea

Epiglottitis prevention - Answer✔️✔️-Haemophilus influenzae type B (Hib) vaccine

Steeple sign - Answer✔️✔️-a radiologic sign found on radiograph where the subglottic

tracheal narrowing produces a shape of a church steeple which supports a diagnosis of

croup

Foreign body aspiration antibiotic? - Answer✔️✔️-Depends on the nature of the material

aspirated, plus the location and degree of obstruction. Bronchial or laryngeal foreign

body aspiration, a bronchoscopy must be performed for removal of the foreign body

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

Antibiotics for bronchiolitis? - Answer✔️✔️-Use of saline drops and suctioning of the

nares. There is no evidence to support the routine use of antibiotics

Antibiotics for croup? - Answer✔️✔️-Nebulized epinephrine, corticosteroids

(dexamethasone oral or IM), blow by oxygen or heliox in severe croup. Racemic

epinephrine with the use of corticosteroids to limit rebound swelling

Antibiotics for epiglottitis? - Answer✔️✔️-Establish an airway preferably by nasotracheal

intubation. Administer IV antibiotics such as rocephin to cover H.influenzae. Administer

oxygen and respiratory support. Antibiotics should be continued for 10 days. Rifampin

prophylaxis 20 mg/kg in a single dose (maximum of 600 mg) for 4 days for infants and

children, 600 mg once a day for adults for 4 days. Should be provided for household

contacts who are at risk (Younger than 4 years old who is non-immunized or

incompletely immunized, children less than 12 months who have not received primary

series of Hib, and immunocompromised children.

Asthma treatment - Answer✔️✔️-The pharmacological management of asthma in children

is based on the severity of asthma and the child's age. After initial control, decrease

treatment to the least amount of medication needed to maintain control. Systemic

corticosteroids may be needed at any time and stepped up if there is a major flare-up of

symptoms.

Step 1 Asthma management for children 0-4 years old - Answer✔️✔️-Step 1: SABA

(Short acting beta2-agonist) PRN: With viral respiratory symptoms short acting beta 2-

agonist should be used every 4-6 hours up to 24 hours (longer with a physician consult).

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
Consider short course of oral systemic corticosteroids if severe exacerbation. Frequent

use of SABA may indicate the need to step up treatment

Step 2 Asthma management for children 0-4 years old - Answer✔️✔️-Step 2: Consider

consultation with asthma specialist. Low dose of inhaled corticosteroids.

Step 3 asthma mgmt for children 0-4 yrs - Answer✔️✔️-Step 3: Medium-dose of inhaled

corticosteroids

Steps 4-6 asthma mgmt for children 0-4 yrs - Answer✔️✔️-Step 4: Medium-dose ICS and

Long acting beta2-agonist or montelukast.

Step 5: High dose ICS and Long acting beta 2-agonist or montelukast.

Step 6: High dose of ICS and LABA or montelukast and oral corticosteroids

Steps 1-3 asthma mgmt for children 5-11 yrs - Answer✔️✔️-Step 1: SABA (Short acting

beta 2-agonist) PRN: Increasing the use of short-acting beta 2-agonist or use greater

than 2 days a week for symptom relief generally indicates inadequate control and the

need to step up treatment.

Step 2: Consider consultation with asthma specialist. Low dose of inhaled

corticosteroids.

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
Step 3: Low dose of inhaled corticosteroid and LABA. Or medium dose of inhaled

corticosteroids.

Steps 4-6 asthma mgmt for children 5-11 yrs - Answer✔️✔️-Step 4: Medium-dose ICS

and LABA or medium dose of inhaled corticosteroid and leukotriene receptor antagonist

or theophylline. .

Step 5: High dose ICS and LABA or high dose of inhaled corticosteroid and leukotriene

receptor antagonist or theophylline. .

Step 6: High dose of ICS and LABA and oral corticosteroids or high dose of inhaled

corticosteroids and leukotriene receptor antagonist or theophylline and oral

corticosteroids.

** Theophylline levels must be monitored.

Differentials for patient with sore throat - Answer✔️✔️-Strep pharyngitis

Peritonsillar abscess

Viral pharyngitis

Infectious mononucleosis

Epiglottitis

small-for-gestational-age infants: which type of chromosomal analysis should be

included? - Answer✔️✔️-Trisomy 18

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