NR 602 FINAL EXAM 150 QUESTIONS AND VERIFIED ANSWERS 2024
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Course
NR 602
Institution
NR 602
NR 602 FINAL EXAM 150 QUESTIONS AND VERIFIED ANSWERS 2024NR 602 FINAL EXAM 150 QUESTIONS AND VERIFIED ANSWERS 2024NR 602 FINAL EXAM 150 QUESTIONS AND VERIFIED ANSWERS 2024V
NR 602 FINAL EXAM 150 QUESTIONS
AND VERIFIED ANSWERS 2024\2025
GRADED A+
Step 1 Asthma approach-Intermittent - ANSWER- symptoms 2x or less per week
asymptomatic and normal PED
requires SABA 2 days/week
no interference with normal activities
brief exacerbations
nighttime symptoms 2x or less a month
lung fx- FEV>80% predicted
Step 2 Asthma Approach-Mild persistent - ANSWER- Symptoms >2 x a week,
less than once per day
requires SABA more than 2days/week, no more than once a day
exacerbations may affect activity
nighttime symptoms 3-4x a month
FEV> 80% predicted
,Step 3 Asthma Approach-Moderate Persistant - ANSWER- daily symptoms
daily use of SABA
some limitations
2x or more per week exacerbations
nighttime symptoms more than 1x per week, not nightly
FEV >60% but <80%
Step 4 Asthma Approach-Severe Persistent - ANSWER- continual symptoms
requires SABA multiple x a day
extremely limited activity
nighttime symptoms 7x a week
FEV <60%
Tx of asthma - ANSWER- Stepwise approach
step 1: SABA PRN
step 2: low dose ICS
Step 3: low dose ICS+ LABA or medium dose ICS
step 4: Medium dose ICS+LABA
Step 5: high dose ICS+ LABA
Step 6: High dose ICS+LABA + corticosteroid
Step 6 Asthma Approach - ANSWER-
Bulbar/palpebral conjunctival infection - ANSWER- May be unilateral or bilateral
, Leukocoria - ANSWER- abnormal appearance of a white film in the pupil;
immediate referral to pediatric ophthalmologist warranted
Causes: retinal detachment, cataract, retinal dysplasia, newborn retinoblastoma
Visual screening in children - ANSWER- At least once between ages 3-5 y/o
according to USPSTF
S/S of AOM - ANSWER- erythema, otalgia, bulging TM, absent cone of light
Dx of AOM - ANSWER- Audiometry, tympanometry, possible lateral neck xray to
r/o mass
TX of AOM - ANSWER- uncomplicated: supportive with tylenol/ibuprofen;
watchful waiting 48-72 in 6m-2y/o; <5 benzocaine otic drops
1st line antx: amoxicillin 80-90mg/kg/day Q12 x 10days
if allergy to PCN- augmentin, cefuroxime
Bacterial rhinosinusitis - ANSWER- Preceded by URI-typically worsens after 5-7
days- not resolved in 2 weeks
Sx of bacterial rhinosinusitis - ANSWER- Purulant nasal congestion, drainage,
facial pain, headache, fever
No imaging required- if no improvement refer to ENT
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