NURS 629 EXAM 3 2023 -2024 QUESTIONS AND ANSWERS LATEST SOLUTION GUIDE GRADED /A 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 t ogether: 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 an d 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 c onjunctivitis - 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 leas t 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 When do innocent murmurs develop? - ANSWER -(book p 763) age 3 -4; (module 10 lect) age 2 -6 type of murmur caused by turbulent blood flow caused by a defect or abnormal cardiac structures; Dystolic; Grade ≥ IV; increases with sitting or standing - ANSWER -
pathological murmur symptoms of c roup - ANSWER -· Barking cough · Fever · URI symptoms s/s of bronchiolitis - ANSWER -· inspiratory and expiratory wheezing accompanied by: *fever *URI symptoms including profuse clear nasal discharge When to use inhaler to treat exercise induced asthma - ANSWER -Use rescue inhaler 15-30 minute prior to activity Condition caused by a defect or hole in the atrial septum - ANSWER -Atrial Septum Defect (ASD) When should children be screened for hyperlipidemia? - ANSWER -between 9 -11 years then 17 -21 years
pathological murmur symptoms of c roup - ANSWER -· Barking cough · Fever · URI symptoms s/s of bronchiolitis - ANSWER -· inspiratory and expiratory wheezing accompanied by: *fever *URI symptoms including profuse clear nasal discharge When to use inhaler to treat exercise induced asthma - ANSWER -Use rescue inhaler 15-30 minute prior to activity Condition caused by a defect or hole in the atrial septum - ANSWER -Atrial Septum Defect (ASD) When should children be screened for hyperlipidemia? - ANSWER -between 9 -11 years then 17 -21 years
