NSG 460 Exam 1 Study Set

At the start of your shift, your patient complains of chest pain. You note that the previous shift reported all normal findings, vital signs, and diagnostic results. What would you do to follow up on this patients complaint? - Pt History (Ask questions-- Does it hurt? Where?) Physical exam Cardiac assessment Atrioventrical septal defect is a common finding for which chromosomal condition? - Down Syndrome Describe the normal findings on examination of the lymphatic system in a pediatric patient. - Soft and mobile. Sometimes kids can have enlarged neck nodes and that will be considered normal. Describe the pathophysiology and presentation of Reynaud's disease. - Vasospasm of small arteries that supply blood to skin constrict excessively and limit blood supply to an area. This can occur in fingers, toes, lips, ears and nipples. Often in response to cold temperatures or stress. (Lupus is a big cause, but can be idiopathic) Describe the procedure and expected findings when auscultating of the pediatric heart. - Infants have a faster heart rate and physiological murmur (S3 can occur), not uncommon for systolic murmur with no s/sx of cardiac disease, usually grades I-I. Chest is more horizontal and heart is at 4th ICS (until 7yrs of age) Describe where you would auscultate for, and what you would expect to hear, in a patient with mitral valve regurgitation. How would this be different if it were mitral valve stenosis? - Regurgitation sounds a little sluggy rather than a cler, natural whoosh. (Barely a sound) Mitral stenosis= loud/clear S1. Endanger of Pulmonary HTN & A. Fib. Differentiate the patient presentations of Kawasaki Disease and Scarlett Fever. - Kawasaki- No matter what, fever does not respond to antipyretics, non--specific rash, can get aneurysm, strawberry red tongue, swollen neck lymph nodes Scarlet- Tender lymph nodes, blach rash, petechiae, can lead to rheumatic fever, During your assessment you ask your patient to raise her legs and hold them up for 30 seconds. Upon returning her legs to a dangling position you note it takes greater than 15 seconds for her skin to return to her baseline color. You recognize this finding as a dysfunction in which system? - Arterial Deficit Explain how you would quantify the assessment findings of: an absent, a weak, a normal, and a bounding pulse. - Absent= +1