NUR 2513 MCH final exam-use this one

NUR 2513 MCH final exam-use this one 1. Expected findings for bacterial pneumonia a. Ronchi (crackles), SOB, fever 2. What reflects safe practice in administration of blood products a. Remain with the patient for the first 15 minutes of the infusion (2 nurse sign off) 3. Kawasaki Disease a. S/S: strawberry tongue, edema of hands and feet, conjunctivitis without exudate 4. Bronchiolitis home treatment a. Humidifier 5. Pharyngitis causes increased risk for developing a. Rheumatic fever 6. Post tonsillectomy, clear fluids are best a. Avoid carbonated beverages, acidic or red dyes 7. Signs and Symptoms of pneumonia a. SOB, crackles, using accessory muscles, diminished sounds 8. Epiglottitis position a. Upright 9. A new heart noninvasive diagnostic testing: a. First echocardiogram 10. Legg-Calve-Perthes disease a child may have: a. A non-weight bearing period 11. Symptoms associated with patent ductus arteriosus a. Machine like murmur head at the left sub clavicular margin 12. Contraction of aorta a. Be sure to assess femoral and radial pulses simultaneously 13. What to do when a tetralogy of Fallot patient becomes cyanotic and dyspneic a. Place in knee chest position 14. Initial nursing interventions for sickle cell anemia a. Hydration and pain management 15. What to do for severe dehydration a. IV fluids 16. Mild to moderate a. try oral hydration first 17. Adolescents are at greater risk for developing a STI because they are: a. Engaging in risky behaviors 18. A nurse would do what with a voiding cystourethrogram a. Insert foley catheter for instillation of contrast 19. Kidney transplant post op care would include: a. Reduce socialization, infection control precautions 20. Treatment for croup: a. Corticosteroids 21. S/S of dehydration in an infant a. Elevated HR, sunken fontanels 22. Acute glomerulonephritis is most frequently caused by: a. Group a beta-hemolytic streptococcus 23. How do you treat growth hormone deficiency? a. Growth hormone replacement 24. Most important for a newborn with a salt-losing form of congenital adrenal hyperplasia a. Dehydration 25. What causes Cushing syndrome and what does it look like a. Long term therapy with oral prednisone b. Will have purple striae on the abdomen form rapid weight gain 26. Type 2 diabetes mellitus disorder is associated with metabolic disturbances that results in: a. Insulin resistance 27. S/S of intracranial pressure a. Decreased LOC and decreased RR 28. Symptoms of hypocalcemia a. Jitteriness 29. Draw up short acting insulin into the syringe: a. First 30. Why does the nurse take axillary temp over rectal for someone with acute lymphocytic leukemia? a. Increase risk of bleeding if rectal 31. Iron deficiency anemia a. Iron supplement, IM Z track method, Vitamin C 32. Osteomyelitis treatment: a. Long term antibiotic therapy 33. Below 5th percentile means: a. Failure to thrive 34. Early signs of a worsening head injury a. Level of consciousness 35. S/S of asthma: a. Difficulty breathing, wheezing, anxiety, use of accessory muscles 36. A child is speaking, then suddenly stops and stares for about 5 seconds, what type of seizure is it a. Absent seizure 37. Babies with spastic cerebral palsy have: a. Strong Moro reflex when startled 38. When a child is in skeletal traction, it is important to: a. Engage the child in therapeutic play while confined to this position 39. Cast care includes: a. Cover the cast with a plastic bag to bathe b. do not put anything inside the cast c. Use the cool setting on the hair dryer to ease itchy skin d. Remain as active as possible with appropriate modifications 40. With Legg-Calve-Perthese disease a child may have: a. A non-weight bearing period 41. S/S of infection a. Lethargy, increased HR, increased temp 42. Intervention for a superficial burn a. Relieving pain and discomfort 43. Daily debridement for severe burns is important to: a. Decrease the risk for infection 44. Sickle Cell Anemia safety precautions a. Prevent dehydration 45. A terminally ill child wakes up at 2am and is putting on call light, you should: a. Sit with them until child falls asleep 46. Meningitis goal: a. Reduce pain related to nuchal rigidity 47. When does an infant get the measles vaccine? a. After 12 months of age 48. Describe chicken pox rash a. Starts as macules then turns into papules and then vesicles i. Will have high fever and fatigue 49. S/S of pertussis a. Loud brassy cough, violent rapid coughing 50. S/S of PTSD a. Sleep disturbances, hypervigilance, flashbacks, withdrawal from family