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NURS 629 exam 4- Questions and Answers 100% Pass
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NURS 629 exam 4- Questions and Answers 100% Pass
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NURS 629 exam 4- Questions and Answers 100% Passslipped capital femoral epiphysis risk factors Correct Ans-Obesity, males, sports, femoral
retroversion, hypothyroidism, avg age presentation is 12y/o for females and 13y/o for males.
slipped capital femoral epiphysis clinical findings: Correct Ans-limping, knee/hip pain, pain
worse with activity, localized pain to ant thigh or knee. May be unable to bear wt all together,
loss of internal rotation of hip with flexion, affected extremity is usually shorter. Loss of
abduction and extension
slipped capital femoral epiphysis DX and TX Correct Ans--xray. Always refer to peds ortho.
Keep non wt bearing until surgical eval.
Scoliosis Correct Ans-most common type is idiopathic. *In order to confirm suspected, get
AP and lateral standing Xray view of spine
Bactrim Correct Ans-treatment of choice for UTI in children
TX for gastroenteritis Correct Ans-small, frequent amounts of oral rehydration solution
Appendicits Correct Ans-Constant periumbilical pain shifting to RLQ. Worsens over period
of 4hrs. Pain subsides as it migrates to RLQ and then worsens with movement, deep respir,
and coughing.Pain/Fever are late sign, leading to perforation. Vomiting. *Elevated WBC.
, NURS 629 exam 4- Questions and Answers 100% Pass
Neural mediated syncope Correct Ans-most common form of fainting/ frequent ED visits.
Happens in part of nervous system that regulates BP. Place pt reclining position to restore
blood flow/ consciousness. Situational syncope, vasovagal, reflex, neurocardiogenic part of it.
Residual findings are pallor, fatigue, diaphoresis
Cardiac syncope Correct Ans-causes: bradycardia, tachycardia, hypotension, exercise
triggered. Palpitations. Residual findings: incontinence, disorientation, or injury.
Goiter Correct Ans-commonly found on exam with hyperthyroidism
DM1 treatment goals Correct Ans-achieve normal growth/development. Achieve optimal
glycemic control. + psychosocial adjustment to diabetes. Hgb A1C < 7.5
DM managament Correct Ans-DM1= start on insulin. Check BG 6-10x/day. Monitor urine/
blood for ketones in prolonged hyperglycemia. Exercise moderate-vigorous & bone
strengthening 3x/week. BG goal during exercise 90-250 and have carbs available.
DM eye exams Correct Ans-at 10y/o or puberty and on, initial dilated and comprehensive
eye exam after having DM for 3-5 yrs. F/u recommended in opthamol Q2 years pending risk
level
E coli Correct Ans-most common cause of UTI in children
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