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Exam (elaborations)

NR 602 Final exam Study Guide Solutions

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NR 602 Final exam Study Guide Solutions 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% predic...

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  • November 25, 2024
  • 42
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR602
  • NR602
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EmillyCharlotte
NR 602 Final exam Study Guide Solutions


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


Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 1/42

,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%



Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 2/42

,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
Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 3/42

, AOM - ANSWER✔✔-RF: genetics, males, Native American, siblings, low

economic status, ages 6mo-3y, winter, supine bottle feeding, daycare,

tobacco smoke


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


Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 4/42

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