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CMN 568 Final Exam – Questions & Answers (Rated A+)
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CMN 568 Final Exam – Questions & Answers (Rated A+)
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CMN 568 Final Exam – Questions & Answers (Rated A+)Definition of fever Right Ans - greater than 100.4
rectal temperature most accurate
Tylenol dosage Right Ans - 10-15mg / kg PO every 4-6hr as needed for
fever Max doses: 5/24hr (4g/day) Infants & Children <12yr
Ibuprofen dosage Right Ans - 5-10mg / kg PO every 6-8hr as needed for
fever Max dose: 40mg/kg/day >6 months and older
What age and under should be admitted for fever? Right Ans - under 1
month of age, LP needed,
nontoxic appearance Right Ans - strong cry
consolable
alert, easy to arouse
toxic appearance Right Ans - Weak or high pitched cry
Inconsolable
Difficult to arouse
Pale, ashen, cyanotic, or mottled skin tones
Poor hydration; poor turgor, dry mucous membranes, no tears
No smile, listless, dull, infant won't alert to environment
Guidelines to see pt immediately Right Ans - less than 3 months old with
fever greater than 38
fever greater than 40.6
stiff neck
purple or dark spots on the skin
sickle cell disease, splenectomy, HIV, recieving chemo, organ transplant
See within 24 hrs Right Ans - child 3-6 mon with fever
fever exceeds 40C
burning or pain with urination
red reflex Right Ans - red glow that appears to fill the person's pupil when
first visualized through the ophthalmoscope
, white spot on eye (leukoria) on newborn? Right Ans - refer! can be
retinoblastoma or congenital cataracts
most important part of visual exam during well checks Right Ans - visual
acuity
when should child reach adult level of sight? Right Ans - between 3-5 years
old
when should you become concerned about misalignment of the eyes? Right
Ans - persistent past 6 months old
viral conjunctivitis Right Ans - pink eye
viral; can give eye drops
NEVER steroid drops
acute angle closure glaucoma Right Ans - middle age-elderly
blurred vision, severe unilateral eye pain, elevated IOP, and halos around
lights
referral!
Retinal detachment Right Ans - greater than 50 years old
nearsightedness
flashers/floaters
no eye redness
lay on side with vision loss side up for transport
Acute otitis media (AOM) Right Ans - middle ear infection
recent uri, smoking in th ehoushold,
presents with mod-severe bulging TM, redness, painful
watchful waiting with AOM? Right Ans - less than 6 months HAS to get abx
greater than 2 with bilateral/unilateral AOM without otorrhea
unilateral for patients 6mo-2yo without otorrhea
First line of treatment for AOM Right Ans - amoxicillin plus drops
pt presents with rash after amoxicillin administration? Right Ans - switch
to ceph drugs
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