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NURS 307 Final Exam – Questions With Guaranteed Solutions

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NURS 307 Final Exam – Questions With Guaranteed Solutions

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Practice questions for this set


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-abdominal thrusts for children old than 1 year of age
-chest thrust for children younger than 1 year old



Choose an answer



Foreign body airway obstruction:
1 Bronchiolitis: most common cause 2
therapeutic management



3 Autism: Diagnostic Evaluation 4 RSV S/S



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Terms in this set (172)



Bronchiolitis: most common cause RSV


How is RSV transmitted? -Transmitted predominantly through direct or close
contact with contaminated respiratory secretions
-Viable RSV live on environment surfaces for several
hours and on hands for 30 minutes or more

,Tonsillectomy care -discourage from coughing frequently, clearing the
throat, blowing the nose
-ice collar
-pain meds at regular intervals
-tetracaine lollipops or ice pops, antiemetics, such as
odansetron, or scopolamine patch (ages 12+)
-cool water, crushed ice, flavored ice pops, or
diluted fruit juice may be given
-avoid fluids with red or brown color
-suction equipment and oxygen should be available


Bronchiolitis symptoms *fever
*cough
*rhinorrhea
*wheezing
-tachypnea or retractions
-apneic spells
-altered air exchange
-diminished breath sounds


RSV S/S lethargy, poor feeding, irritability


Bronchiolitis: nursing care -provide humidified oxygen
-suction nasopharynx
-encourage fluid intake
-contact and standard precautions


Bronchiolitis: preventative measure -administer palivizumab (Synagis) to high-risk infants
-given at onset of the RSV season and then monthly
in an IM injection or IV infusion for max of 5 doses


Candidates for Palivizumab (synagis) **prematurity, chronic lung, vent dependent,
muscular dystrophy


Foreign body airway obstruction -small children (1-3 years) are prone to put FBs into
air passages (nose and mouth)
-i.e. beads, toys, paper clips, small magnets, or food
items which can be easily aspirated into the trachea

, Aspirated objects can obstruct the air atelectasis, emphysema, inflammation, abscess
passage, producing various changes
including...


FB in the air passage: S/S choking, gagging, wheezing, or coughing
**stridor, wheezing, sternal retraction, and cough
(=most common)


Foreign body airway obstruction: -abdominal thrusts for children old than 1 year of age
therapeutic management -chest thrust for children younger than 1 year old


Diagnostic criteria for autism -Two behavior domains:
*difficulties in social communication and social
interaction
*unusually restricted, repetitive behaviors, interest, or
activities


Autism: Diagnostic Evaluation -failure of social interaction and communication
development
-significant GI symptoms (i.e. constipation)
-communication impairment (any child who does not
display language skills such as babbling or gesturing
by 12 mths, single words by 16 mths, and two word
phrases by 24 mths old)


Obstructive sleep apnea syndrome is disorder of breathing during sleep with prolonged
defined as: partial upper airway obstruction and/or complete
obstruction that disrupts normal respiration during
sleep and normal sleep patterns


Common cause of obstructive sleep adenotonsillar hypertrophy
apnea

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