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Galen College Of Nursing Pediatrics Exam 2 Final Exam – Questions & Solutions
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Galen College Of Nursing Pediatrics Exam 2 Final Exam – Questions & Solutions
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Galen College Of Nursing Pediatrics Exam 2 Final Exam– Questions & Solutions
Most common post op complication of tonsillectomy? Right Ans -
hemorrhage
Risk time for hemorrhage after tonsillectomy? Right Ans - 10 days to 2
weeks post op
Signs and symptoms of hemorrhage after tonsillectomy? Right Ans -
restlessness, swallowing frequently, low BP (late sign)
How should child lay post op to prevent hemorrhage from tonsillectomy?
Right Ans - side lying or on abdomen
What should the child avoid after a tonsillectomy post op? Right Ans -
coughing or blowing nose
How should xrays be taken to see the section of the lung behind the heart
(lingual)? Right Ans - Laterally
Why are lateral xrays needed to view the lingual area? Right Ans - a
common site for pneumonia
If a child is "barking" and has hoarseness and inspiratory stridor what might
they have? Right Ans - croup
What does inspiratory stridor sound like? Right Ans - a gasp
If stridor reduces in a child previously showing stridor, what can that mean?
Right Ans - blockage and imminent respiratory failure
Do not put anything in the __________ of a child with acute epiglottitis. Right
Ans - Mouth
, Acute LTB Right Ans - Croup symptoms, Inflammation mucosa lining
larynx & trachea causing narrowing airway-subglottic area narrowest part
causes respiratory acidosis
Diagnosis of Asthma is Right Ans - peak expiratory flow (PEF)
Treatment of Asthma is Right Ans - beta agonists such as albuterol to
relieve bronchospasms
Preventing chronic problems with Asthma treatment Right Ans - anti
imflammatories such as corticosteroids
treatment for an emergency with Asthma attack Right Ans - repeat dose
q15min twice, on 3rd dose call ambulance
Parents need education about beta agonists, what should a nurse advise?
Right Ans - don't give them around the clock, they should be prn, do not abuse
Common side effects of beta agonists Right Ans - nervousness, tachycardia
What is Cystic Fibrosis? Right Ans - Sludge, or increased viscosity of
mucous, a build up of thick, sticky mucus in the lungs
What diet should a patient with cystic fibrosis eat? Right Ans - high protein,
high calorie
Signs and symptoms of Increased Intracranial pressure Right Ans - High
pitched cry, difficult to soothe, tense and bulging fontanels, cranial sutures
separated, setting sun eyes, distended scalp veins, headache, vomiting,
seizures, diplopia, irritability/restlessness, drowsiness, indifference, decrease
in physical activity & motor skills, complaints of fatigue, somnolence, weight
loss
Late signs of increased ICP Right Ans - decreased LOC, decreased motor
response to command, decreased sensory response to painful stimuli, loss of
PERRLA, palliledema
Decorticate positioning Right Ans - all flexed
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