NURS 629 EXAM 3 Questions & Answers Latest Updated

Risk factors related to elevated cholesterol? - Answer · Obesity · Diabetes · Hypertension · Family history: o Coronary heart disease prior to age 55 o Hyperlipidemia o Diabetes Most common cyanotic cardiac lesion (disorder) - Answer Tetralogy of Fallot What is Tetralogy of Fallot? - Answer a congenital heart condition involving four abnormalities occurring together: 1) Pulmonary valve stenosis 2) RT vent hypertrophy 3)Vent septum Defect 4)Aorta overrides Vent Septum What would be seen on X-ray with TOF - Answer Boot shaped heart and Rt vent hypertrophy What are the common s/s of tetralogy of Fallot? - Answer *Cyanosis (hypoxia) *SOB w/exercise *clubbing fingers and toes *delayed growth *systolic and holosystolic murmurs What criteria would you have to consider inpatient admission in a patient with pneumonia - Answer Comorbidities: lung dz, congenital Heart dz, DM, grunting child, O2 <92% What to expect of a 2-mo old visual acuity? - Answer *Vision of 20/400 *Can fix and follow objects S/S of viral conjunctivitis - Answer *Starts bilaterally *usually occurs with upper resp tract infection (adenovirus) *serous(watery) drainage *injected conjunctiva *Enlarged or tender preauricular nodes Clinical findings of of viral conjunctivitis - Answer *Normal visual acuity *injected conjunctiva *Preauricular lymphadenopathy Treatment of viral conjunctivitis - Answer * Symptomatic only * Warm or Cool compresses * Strict eye/hand hygiene * avoid contacts for a while What do you do for a patient with an elevated B/P on initial visit? - Answer *Repeat in 1-2 weeks and average over 3 visits *Pt to keep log for review *Encourage healthy lifestyle choices Asthma is disruptive several times during the night/interrupting sleep at least 3 times a week, what's the next step? - Answer Moderate persistant; prescribe inhaled steroid (flovent) Causative organism of bronchiolitis - Answer (RSV) Respiratory syncytial virus most likely cause what type of murmur is caused by normal blood flow thru normal cardiac structures in up to 80% children; Midsystolic; can come and go; Gets louder with fever, exercise, and anxiety - Answer functional or innocent murmur