Exam (elaborations)
NR 602 Final exam questions with correct answer2.
- Course
- NURS 612
- Institution
- Maryville College
NR 602 Final exam questions with correct answer2.
[Show more]
Content preview
NR 602 Final exam questions with correct answersStep 1 Asthma approach-Intermittent Correct Answer-symptoms 2x or
less per week
asymptomatic and normal PED
requires SABA 2 days/week
no interference with normal activities
brief exacerbations
nighttime symptoms 2x or less a month
lung fx- FEV>80% predicted
Step 2 Asthma Approach-Mild persistent Correct Answer-Symptoms >2
x a week, less than once per day
requires SABA more than 2days/week, no more than once a day
exacerbations may affect activity
nighttime symptoms 3-4x a month
FEV> 80% predicted
Step 3 Asthma Approach-Moderate Persistant Correct Answer-daily
symptoms
daily use of SABA
some limitations
2x or more per week exacerbations
nighttime symptoms more than 1x per week, not nightly
,FEV >60% but <80%
Step 4 Asthma Approach-Severe Persistent Correct Answer-continual
symptoms
requires SABA multiple x a day
extremely limited activity
nighttime symptoms 7x a week
FEV <60%
Tx of asthma Correct Answer-Stepwise approach
step 1: SABA PRN
step 2: low dose ICS
Step 3: low dose ICS+ LABA or medium dose ICS
step 4: Medium dose ICS+LABA
Step 5: high dose ICS+ LABA
Step 6: High dose ICS+LABA + corticosteroid
Step 6 Asthma Approach Correct Answer-
Bulbar/palpebral conjunctival infection Correct Answer-May be
unilateral or bilateral
Leukocoria Correct Answer-abnormal appearance of a white film in the
pupil; immediate referral to pediatric ophthalmologist warranted
,Causes: retinal detachment, cataract, retinal dysplasia, newborn
retinoblastoma
Visual screening in children Correct Answer-At least once between ages
3-5 y/o according to USPSTF
AOM Correct Answer-RF: genetics, males, Native American, siblings,
low economic status, ages 6mo-3y, winter, supine bottle feeding,
daycare, tobacco smoke
S/S of AOM Correct Answer-erythema, otalgia, bulging TM, absent
cone of light
Dx of AOM Correct Answer-Audiometry, tympanometry, possible
lateral neck xray to r/o mass
TX of AOM Correct Answer-uncomplicated: supportive with
tylenol/ibuprofen; watchful waiting 48-72 in 6m-2y/o; <5 benzocaine
otic drops
1st line antx: amoxicillin 80-90mg/kg/day Q12 x 10days
if allergy to PCN- augmentin, cefuroxime
Bacterial rhinosinusitis Correct Answer-Preceded by URI-typically
worsens after 5-7 days- not resolved in 2 weeks
, Sx of bacterial rhinosinusitis Correct Answer-Purulant nasal congestion,
drainage, facial pain, headache, fever
No imaging required- if no improvement refer to ENT
Bronchiolitis Correct Answer-Usually caused by RSV
wheezing present
<2 y/o
other causes; influenza, adenovirus, rhinovirus
S/s of bronchiolitis Correct Answer-Increased work of breathing,
prolonged expiration, grunting, retractions, nasal flaring
Croup sx Correct Answer-Low grade fever, URI symptoms, barking
cough, inspiratory stridor can occur
Croup dx Correct Answer-Made from symptoms
Croup tx Correct Answer-Glucocorticoids possibly
0.6mg/kg-1mg/kg
humidified air
bronchodilators
Lead poisoning Correct Answer-Inactivated heme synthesis by
inhibiting insertion of iron-leads to microcytic hypochromic anemia
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 cracker. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now