NURS 602 HEALTH ASSESSMENT FINAL EXAM
QUESTIONS AND ANSWERS A+ GRADED.
17-year-old male presents post lipid labs, his total cholesterol Level is 150.
What education would you provide?
✔✔This is an acceptable total cholesterol level (<170),
Will recheck in 3 years
Low birthweight and poor infant growth are risk factors for type two
diabetes. True or false?
✔✔True
When should body mass index be measured?
✔✔At age 2
A mother of a 14-month-old presents with concerns for her child being
overweight. When you review the growth chart the patient is in the 99th
percentile. What recommendation can be made?
✔✔Patient can be switched to reduced fat milk instead of whole milk.
A seven-year-old boy who plays football presents with complaints of left
knee pain. He denies any recent trauma but reports pain is worse with
activity or when applying pressure to the knee over tibial tubercle. He
endorses there has been intermittent swelling. What is the dx and tx?
✔✔Osgood-schlatter disease- common in athletic boys.
TX:
,-RICE
-Patellar tendon strap
-Stretching before activity
-NSAIDs
* Should resolve spontaneously in 12 to 18 months
3 year old female presents in March with diarrhea. Mother states started
with slight fever and vomiting which resolved. Mother concerned with
dehydration. What is the diagnosis and education?
✔✔Rotavirus
-usually last 3-8 days
-rotavirus vaccine
-hand hygiene
-s/s of dehydration
What test is used to confirm iron deficiency anemia?
✔✔Serum ferritin
Spoon-shaped Fingernails (koilonychia) is a presentation for which type
of anemia?
✔✔Iron deficiency deficiency list it
A 13-year-old female presents with the following labs: decreased Hgb &
Hct, decreased ferritin, Decreased serum iron, increased TIBC. What is
,the most likely type of anemia?
✔✔Iron deficiency anemia
A three year old female presents with her parents for a well visit. Upon
exam you note everything within normal limits. The parents mention that
the patient is eating odd things out of the yard like sticks and dirt. They
question whether this is a normal three-year-old behavior or something to
be concerned about. What is your response?
✔✔This may be pica a sign of iron deficiency anemia. We will get a
fingerstick to be sure.
What are signs and symptoms of iron deficiency anemia?
✔✔Headache, palpitations, dyspnea on exertion, pallor, chronic fatigue,
pale conjunctiva, murmurs, tachycardia, heart failure
*cheilits (fissures at corner of mouth)
*Koilonychia ( spooning of fingernails)
What is the gold standard diagnostic test for thalassemia?
✔✔Hemoglobin electrophoresis
What is amblyopia?
✔✔-Amblyopia, also known as lazy eye, is a condition in which one or
both eyes do not develop normal vision due to various factors that cause
the visual part of the brain to function abnormally. This weakens the eye
and can lead to long- term vision problems.
, TX: If recognized early, amblyopia generally responds well to treatment.
Amblyopia therapy can include glasses, patching, eye drops, and
sometimes surgery.
What is epiphora?
✔✔-Epiphora is the term for excessive tearing. Childhood epiphora is
often noted soon after birth, but can be acquired later.
CAUSES: When noted during infancy, it is usually due to blockage of the
tear drainage system.
-rare causes: glaucoma and ocular surface disease
TX: This type of tearing often improves spontaneously by 6 to 12 months
of age. Medical treatment includes tear sac massage and eye drops, but if
tearing persists, surgical probing of the drainage system may be required.
A 12 month old presents for a well visit, upon exam you notice a
cloudiness to the eye lens along with a white area in the pupil with
misalignment. What is the diagnosis and treatment?
✔✔Pediatric Cataract
*can cause blurry vision
TX:
Pediatric cataracts that significantly obstruct vision require surgery.
Patients subsequently require treatment with eyeglasses, bifocals, or
contact lenses, and eye-patching.
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