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NUR 4445 ( LATEST 2024 / 2025 ) PEDS EXAM 3 | COMPLETE QUESTIONS & ANSWERS (SOLVED) 100% CORRECT
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NUR 4445 ( LATEST 2024 / 2025 ) PEDS EXAM 3 | COMPLETE QUESTIONS & ANSWERS (SOLVED) 100% CORRECT
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NUR 4445 PEDS Exam 31. Assessment for head injury
Answer
assess LOC (AVPU)
2. Decorticate posturing
Answer
flexor, lesions above brain stem
3. Decerebrate posturing
Answer
extensor, lesions in midbrain/brainstem
4. Clinical manifestations of head injury
Answer
LOC, amnesia, HA, NV, vertigo, fatigue, seizure, irritable
-behavior changes
-neuro eval, GCS/AVPU, CT
-increased ICP
5. acute care for head injury
Answer
ABCs, safe ICP intracranial monitoring
6. medication for head injury
Answer
mannitol; diuretic, reduces pressure on brain, give slowly, monitor tachycardia and low BP
7. What is a concussion?
Answer
temporary disturbance in brain function, stretching, compression, and tearing of nerve fibers
,resolves in 1-3wk
8. What can happen when there are repeated concussions?
Answer
Can cause cu- mulative neuropsychologic and neuroanatomic damage, damage even when the
incidents are separated by months or years
9. What is the treatment for concussion?
Answer
ED, referral to neurology, rest brain, has to be cleared to return to sports, can take wks
10. What is Duchenne Muscular Dystrophy?
Answer
Muscle fiber degeneration and muscle wasting (progressive)
11. What do you monitor with duchenne?
Answer
F/E
12. In Duchenne Muscular Dystrophy you want children to be an
.
Answer
independent as possible and active
13. What are DMD pt at risk for?
Answer
aspiration and pulmonary infections
14. Signs and symptoms for DMD
Answer
3-7y
hypertrophy to calves, weakness, especially lower extremities, waddling gait, de- layed walking,
may never run, positive Gower's maneuver, weak neck muscles, winging of scapula, possible
, intellectual disability
15. What is Gower's maneuver?
Answer
seen in DMD, difficult time rising from the floor to standing position
16. Diagnostics for DMD
Answer
blood (elevated creat. kinase), muscle biopsy, elec- tromyography, genetic testing
17. Tx for DMD
Answer
steroids (prednisone), may preserve muscle function
18. What team collabs in tx for DMD?
Answer
MD, RN, OT, PT, RT, RD, LSW, psych
19. What is meningomyelocele?
Answer
Type of spina bifida, failure of neural tube to close completely during 4wk gest. linked to folic
acid def in mother
20. S/S of Meningomyelocele
Answer
-partial/complete paralysis
-partial/complete lack of sensation of the lower extremities
-loss of bowel & bladder control
-meninges and spinal cord protrude, no translucency
21. Diagnostics for Meningomyelocele
Answer
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