NURS 449 - Test 2 Nursing Management Revised Test Questions With 100% Verified Answers.

Defects that increase pulmonary blood flow - correct answer L-->R -ASD -VSD -PDA -AV Canal Obstructive defects - correct answer L-->R -Aortic Stenosis -Pulmonary Stenosis -Coarctation Defects that decrease pulmonary blood flow - correct answer R-->L -Tetralogy of Fallot (TOF) -Tricuspid Atresia Mixed disorders - correct answer R-->L -Transportation of the great vessels/arteries (TOGV/TOGA) -Trucus Arteriosis -Total anomalus pulmonary venous connection (TAPVC) -Hypoplastic Left Heart TET spell NM - correct answer Knee to chest, 100% O2, Morphine subq or existing IV, IVR replacement/volume expansion PRN, repeat morphine to calm Cardiac cath NM - correct answer Pre-op: accurate ht/wt, allergies (contrast iodine based), mark pulses w/ Xs, baseline O2 Post-op: pulse ox, cardiac monitor, *pulses below cath site, temp/color of extremity, frequent vitals (apical HR for 60 sec), BP, rest/comfort/pain mngmt, I&O (want >1mL/kg/hr), dressing for 24hr, assess drainage/bleeding, if bleeding: call doc & pressure above site Chest tube NM - correct answer monitor drainage q hour for color & quantity (immediate red, but change to serous yellow)/(notify doc if >3mL/kg/hr 3 hours or 5-10mL in any 1 hour), alert for cardiac tamponade Idiopathic Thrombocytopenia Purpura (ITP) NM - correct answer If platelets >50,000 but <150,000: avoid contact sports, aspirin, notify HCP any bleeding If platelets <50,000: corticosteroid therapy, IVIG Infective Endocarditis NM - correct answer high dose antibx 2-8 wks, surgery if poor response, --PREVENTION w/ prophylactic antibx only for highest-risk CHD pts. (admin 1 hr before dental work, invasive resp treatment, or procedures on soft tissue infections (not for GI/GU procedures) -Meticulous dental hygiene Rheumatic fever/HD NM - correct answer Prevention: tx of streptococcal tonsillitis/pharyngitis w/ antibx (penicillin G/V, sulfa, erythromycin) -recurrent RF might mix up antibxs Kawasaki NM - correct answer Tx: IVIG, aspirin, no live vaccines for <11 after IVIG, flu vaccine to reduce reyes syndrome Dx: must have -fever 5 or more days (unresponsive to antibx) -bacterial conjunctivitis w/o exudation -erythema of oral mucosa (strawberry tongue) -changes in extremities (peripheral edema & erythema w/ desquamation of palms & soles) -polymorphous rash -cervical lymphadenopathy Colic NM - correct answer decrease stimulation, colic carry, 5 S's: swaddle, swoosh, shhh, swing, swat FTT NM - correct answer positive feed environment (reduce stimuli), accurate ht/wt, assess development/behavior/social, vitamin supplement (multi & iron) Pica NM - correct answer education, prevention (iron intake), abnormal lead levels (paint, soil) - can affect growth Cleft lip NM - correct answer no suction, nothing in mouth (tongue depressor, straw), do not lay on side of repair, elevate HOB (decrease aspiration risk), logan's bow after surgery, help mom breastfeed if desired Esophageal atresia & trachoesophageal fistula NM - correct answer NPO, g button, TPN -preop: suction, supine (reduce reflux), rest assess & airway mngmt, parental nutrition, F&E mngmt -postop: thermoreg, suction parental, chest tube, suction only w/ premeasured cath careful, gastrostomy feeds until healed, avoid rest illness (hand wash) Biliary atresia NM - correct answer family support, education, bile obstruction (nutrition, vitamin/mineral supplement - ADEK) 1/3 live, 1/3 don't, 1/3 need liver transplant Gastroschisis & omphalocele NM - correct answer intact bowel covering, non-adherent dressing, moist towel, plastic drape (avoid fluid loss), parenteral nutrition, IVFs, antibx, NG/OG tube suction decompress, infection control, supine, thermoreg, bowel function, pain mngmt (no cry) Constipation NM - correct answer educate parents & child, bowel cleaning, diet modifications, high fiber, mngmt of obstruction may take 6-12 months of behavior/diet/pharm interventions, NO MINERAL OIL