NR 602 Final Exam Chamberlain Spring 2024 LATEST UPDATE!!
4 views 0 purchase
Course
NR 602
Institution
NR 602
COLIC - ANSWER Unknown abdominal discomfort;
"cries for more than 3 hours a day, for more than 3 days a week, and more than 3 weeks"
Colic Management - ANSWER Probiotics may be offered; Consideration of hydrolyzed protein formula
DEHYDRATION Management - ANSWER Commercially available oral hy...
NR 602 Final Exam Chamberlain Spring
2024 LATEST UPDATE!!
COLIC - ANSWER Unknown abdominal discomfort;
"cries for more than 3 hours a day, for more than 3 days a week, and more than 3 weeks"
Colic Management - ANSWER Probiotics may be offered; Consideration of hydrolyzed protein formula
DEHYDRATION Management - ANSWER Commercially available oral hydration solutions (ORS)
Continue breastfeeding with ORS supplementation
Offer young children 20 ml/kg per hour
Offer older children 100 mL of ORS every 5 minutes
Combine with IV therapy as needed
Reassess after 4 hours; repeat if needed
Avoid juice, soft drinks, and sports drinks
Appendicitis S/S - ANSWER Presence of involuntary guarding,
RLQ rebound tenderness, maximal pain over McBurney point
Heel-drop jarring test
inability to stand straight or climb stairs; winces when getting off examination table or riding in a car over
bumps;
child most comfortable with bent knees.
Positive psoas sign or obturator sign
Rovsing sign or rebound tenderness strongly suggests peritoneal irritation.
Tenderness and possibly a mass (abscess) on the right side on rectal examination.
McBurney point/sign - ANSWER Pain w/ palpation and release; Rebound tenderness is most reliable.
, 1.5 to 2 inches in from the right anterior superior iliac crest (on a line toward the umbilicus) on
abdominal examination (most reliable finding
positive psoas sign - ANSWER retract R thigh while on left side; illicit pain consistent with appendicitis
Monitor for proteinuria at each annual well child examination. - ANSWER An adolescent has 2+
proteinuria in a random dipstick urinalysis. A subsequent first morning voided specimen is negative.
What will the primary care pediatric nurse practitioner do to manage this condition?
Henoch Schönlein purpura - ANSWER A child has gross hematuria, abdominal pain, and arthralgia as well
as a rash. What diagnosis is most likely?
Phenazopyridine (Pyridium) - ANSWER may be given at 12 mg/kg/day for 6- to 12-year-olds and 200 mg
for those older than 12 years old, three times a day for dysuria
Refer the infant to a pediatric urologist or surgeon for possible orchiopexy - ANSWER A 6-month-old
infant has a retractile testis that was noted at the 2-month well baby exam. What will the primary care
pediatric nurse practitioner do to manage this condition?
Nitrites - ANSWER indirect measure of bacteria in the urine and the most specific marker for infection.
Proteinuria - ANSWER Possible indicative d/t renal disease or orthostactic
Refer immediately to a pediatric surgeon. - ANSWER A 9-month-old infant is brought to the clinic with
scrotal swelling and fussiness. The primary care pediatric nurse practitioner notes a tender mass in the
affected scrotum that is difficult to reduce. What is the correct action?
Negative leukocyte esterase and nitrites - ANSWER reasonably rule out a UTI; however, a culture is still
indicated
Obtaining serial measurements to assess patterns over - ANSWER The primary care pediatric nurse
practitioner evaluates children's growth to screen for endocrine and metabolic disorders. Which is a
critical component of this screening?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Lecchris. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
