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Rasmussen - MCN - Exam 3 Final 2022;Cumulative 125 Questions and Answers
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Rasmussen - MCN - Exam 3 Final2022;Cumulative 125 Questions and
Answers
• crackles
• harsh cough
• elevated temperature
• thick secretions - What is an expected assessment finding for bacterial pneumonia?
▪ remain with the patient for the first 15 minutes of the infusion - Safe practice in
administration of blood products
• "Strawberry" tongue
• edema of hands and feet
• conjunctivitis without exudate - S/S: *Kawasaki disease (KD)*
• cool-mist humidity
• steamy shower - Home Treatment: *Bronchiolitis*
• rheumatic fever
• glomerulonephritis (antibiotics decrease occurrence) - Pharyngitis causes increased
risk of developing____________ ________?
▪ Monitor for s/s of bleeding (clearing throat)
▪ Give clear, cool liquid or ice chips
▪ No red, citrus/acidic, carbonated or milk products
▪ Clear fluids are best
▪ No straws, forks
▪ Position for drainage - Nursing Care: *Post Tonsillectomy*
▪ inflammation of the pulmonary alveoli
▪ fever, cough, fine crackles
▪ viral - supportive care
▪ bacterial - antibiotics and supportive care - S/S: *Pneumonia*
upright - Epiglottitis position
,echocardiogram - Noninvasive diagnostic testing for the heart to see its structure and
function. Should be ordered first to evaluate a murmur.
• Non-weight bearing
• Activity limitations
• Cast education - Patient Education: Legg-Calve-Perthes Disease
Legg-Calve-Perthes Disease - • This is an avascular necrosis (lack of blood resulting in
destruction) of the proximal femoral epiphysis
• Child normally look well but may have a limp, guarding of hip while moving it
• Less than 6 - NSAIDs and containment device to keep head of femur in place
• Older than 6 - reconstructive surgery followed by cast application - Treatment: *Legg-
Calve-Perthes Disease*
▪ Machine like murmur heard at the *left sub clavicular margin*
▪ They may be asymptomatic or show signs of HF
▪ A widened pulse pressure and bounding pulses may be present - Symptoms: *Patent
Ductus Arteriosus*
▪ Indomethacin, a prostaglandin inhibitor
▪ Closed during cardiac catherization or surgical management - Treatment: *Patent
Ductus Arteriosus*
patent ductus arteriosus - a failure of the fetal ductus arteriosus to close within the first
weeks of life
▪ BP higher in the upper extremities than in the lower extremities
▪ Signs of HF may occur in infants
▪ Bounding pulses in the arms and weak or absent femoral pulses and cool extremities
may be present
**be sure to assess the femoral and radial pulses simultaneously** - S/S: *Coarctation
of the Aorta*
▪ balloon angioplasty
▪ surgical repair - Treatment: *Coarctation of the Aorta*
coarctation of the aorta - a localized narrowing near the insertion of the ductus
arteriosus
Place in a knee-chest position - If your patient has Tetralogy of Fallot and they become
cyanotic and dyspneic, what is your intervention?
• REST
, • HYDRATION
• PAIN CONTROL
• OXYGENATION - Nursing Interventions: *Sickle Cell Anemia*
▪ mottling
▪ increased capillary refill time
▪ turgor
▪ dry mucous membranes
▪ tachycardia - S/S: *Dehydration*
▪ oral rehydration - Tx: *Mild to Moderate Dehydration*
▪ IV fluids (LR) - Tx: *Severe Dehydration*
dehydration - Sickle-cell anemia safety precautions are to prevent ______.
risk takers and think nothing bad will happen to them - Adolescents are at a greater risk
for contracting STIs because they are ___________________
the nurse would insert a foley catheter for instillation of contrast - If a patient is
scheduled for a voiding cystourethrogram, what does the nurse need to do?
reduce socialization for infection control precautions - Kidney transplant post op care
would include
▪ bacterial - antibiotics
▪ viral - normally it is viral so treat symptoms
▪ cold air
▪ shower steam
▪ dexamethasone (Decadron)
▪ NO cough medications - it dries out and thickens secretions - Treatment: *Croup*
Racemic Epinephrine (MicroNEFRIN) - If a patient has croup and a stridor at rest, what
medication do you give?
Croup is a bark sound
Pertussis is a whoop cough - Croup vs. Pertussis
sunken fontanels - S/S: *Dehydration in an infant*
Group A beta-hemolytic streptococci - Acute glomerulonephritis and Rheumatic fever
are frequently caused by?
▪ bacterial - antibiotics (penicillins, cephalosporins)
▪ analgesics
▪ fluids
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