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CEN REVIEW QUESTIONS AND ANSWERS
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CEN REVIEW QUESTIONS AND ANSWERS
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CEN REVIEW QUESTIONS AND ANSWERS4 Hallmark signs of a bowel obstruction - Answers-1) abdominal pain 2) Abdominal
distention 3) vomiting 4) Marked constipation. *Note: bowel sounds assessment is not
completely reliable
Treatment of superficial gastritis - Answers-a combination of treatments: If H. pylori is
the cause then antimicrobial therapy is initiated with an H2 receptor antagonist such as
ranitidine. 90% effectiveness is found with ranitidine, flagyl, and amoxicillin.
Factors that provoke gastritis - Answers-smoking, ASA, and parents with gastritis. Note:
meditation and exercise would decrease patient stress and decrease the risk of
developing gastritis
Most common cause of peptic ulcer disease - Answers-Helicobacter Pylori
CIAMPEDS (mneumonic for pediatric triage) - Answers-Chief complaint,
Immunizations/Isolation, Allergies, Medications/Medical history, Parent's impression of
the situation, Events surrounding, Diet/Diapers, Symptoms associated with illness/injury
PQRST (mneumonic to obtain Pt historyA) - Answers-Provocation, Quality, Region /
Radiation, Severity, Timing
AVPU (mneumonic to assess level of consciousness) - Answers-Alert, Voice - responds
to, Pain - responds to painful stimuli, Unresponsive
Pediatric assessment triangle - Answers-Appearance --> breathing --> circulation -->
The child who is mildly dehydrated should initially be treated with: - Answers-A balanced
electrolyte solution by mouth (as long as the child can tolerate oral fluids)
The emergency physician orders a barium enema for a child with intussusception. The
nurse knows that - Answers-A barium enema is diagnostic for intussusception and may
even reduce it and eliminate the need for surgery.
Which symptoms would best indicate that the appendix might have ruptured? -
Answers-A temperature spike may be seen a few hours after the appendix has ruptured.
Surprisingly, there may also be an initial relief of pain with an appendix rupture, then a
few hours later, fever and worsening abdominal pain
Cheyne-Stokes respirations - Answers-Respirations gradually become faster and
deeper - then become slower followed by periods of apnea.
Apneustic Respirations - Answers-Prolonged, gasping inspirations followed by short
expirations.
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