Exam 3: NUR254/ NUR 254 ( Latest 2024/ 2023 Update ) Childbearing and Child Caring Families Review| 100% Correct| Grade A - Galen Q: aortic stenosis Answer: ACYANOTIC= Obstructive defect SXS: chest pain, syncope, fatigue, exercise intolerance Q: Pulmonic Stenosis Answer: ACYANOTIC= Obstructive defect Q: Tetraology of Fallot Answer: CYANOTIC= Decreased blood flow Issues with: pulmonic stenosis, overriding aortic arch, VSD, right ventricular hypertrophy SXS: squatting, cyanosis, clubbing, syncope NI: KNEES TO CHEST FIRST Q: Cardiac Cath Answer: Invasive - blood thinners prior to cath - contrast NI: - lay straight 4 -6 hrs - monitor VS (pulses) - no tub baths - if bleeding occurs hold pressure 1 cm above site - feed after procedure (monitor BS) Q: comfort scale Answer: used to assess pain and distress in critically ill pediatric patients, relies on six behavioral and two physiologic factors that determine the level of analgesia needed to adequately relieve pain in these children Q: cardiac meds Answer: Digoxin: increase contractility of heart - hold <90 -100 (toddler) - assess pulse - Older child hold <70 - do not miss meds lasix Q: rheumatic fever Answer: caused by group A strep untreated SXS: fever, joint pain, brain damage Dx: 2 major sxs/ 1 major and 1 minor sxs/ strep antibody Tx: penicillin, tx every month from 5 years until 21, follow up for life, pretreatment prior to surgery
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