NURS 452 Exam 2 Questions And 100%
Correct Answers
Blood through the heart
-oxygen poor blood enters the hearts right atrium through the superior and inferior vena
cava
-blood flows through the tricuspid valve into the right ventricle
-the right ventricle pumps blood to the lungs through the pulmonary valve and artery.
-oxygen rich blood returns to the heart through the pulmonary veins and enters the left
atrium.
-blood flows through the mitral valve into the left ventricle
-the left ventricle pumps oxygen blood into the aorta and to the rest of the body
signs of foreign body aspiration
be alert for child who suddenly starts to drool
suspect in nose if only one side has drainage (in absence of illness)
kids stick things in open holes
nursing care: prevent kids from sticking things in wholes
Brainpower
Read More
child suddenly starts to drool
what to be alert for with foreign body aspiration
,Croup
inflammation of the upper airway
usually caused by a virus
Generally, occurs in kids 6 months-3 years of age and in late autumn/early winter
· Named according to the region of the airway that is affected epiglottitis,
laryngotracheobronchitis, tracheitis
LTB laryngotracheal bronchitis croup
"classic croup"
most common type of, preceded by a URI, gradual onset, low grade fever, symptoms
worse at night, cough is brassy, barky "seal like", inspiratory stridor, cough, vocal
hoarseness, x-rays not helpful in diagnosing
acute spasmodic laryngitis
"midnight croup"
paroxysmal attacks that occur at night, not preceded by an illness, kids go to bed fine,
then wake up with the barky cough, child is anxious, there is no fever
with epiglottitis there is absence of cough, difficulty swallowing and sicker appearance
What are the significant differences between LTB and epiglotitis?
what to do for croup
o Have emergency equipment available
,o Remain calm and reassuring
o Accompany the child to all tests
o Cool mist/humidified air
o Clear liquids- but hold all PO liquids in periods of respiratory distress or acute illness
croup meds
Steroids to decrease inflammation
o Racemic epinephrine via neb treatment
§ A-adrenergic med causing mucosal vasoconstriction, decreases edema
§ May repeat dose q20-30 minutes (teach parents that rebound effect may occur, as the
effect of this drug is short)
§ Side effects include tachycardia, tremors
o Heliox= combo of helium and oxygen
croup parental education
o Old school- warm, humid air
o Bring child outside into cool air, in front of freezer
o Expect that child may vomit after an episode (from swallowing mucus)
o If episode is not resolving or child appears to be getting sicker call emergency
services 911
bring child outside into cool air or in front of freezer
what to do to help a child for croup
, expect that the child may vomit
what to expect after croup episode?
causes of otitis media
Bugs: Strep pneumonia, H. influenza, M. Catarrhalis
· Viruses: RSV and influenza
· Infections caused by bacteria in a chronic manner are treated using long term
antibiotics with reevaluation on a monthly basis to check effusion
results from normal ear flora that goes awry when it gets wet
pull ear down and back
how to instill ear drops in a child under 3
pull ear up and back
how to instill ear drops in a child over 3
lidocaine
what should you mix with rocephin with to make it less painful?
bilateral myringotomy with tubes (BMT)
placed in kids with chronic infections
· Placed under sedation
· Help to equalize pressure in ear, and allow for drainage and ventilation of the middle
ear
§ Short procedure, recovery is quick and usually uncomplicated
§ Tubes usually fall out after 6-18 months and if not, removed
Correct Answers
Blood through the heart
-oxygen poor blood enters the hearts right atrium through the superior and inferior vena
cava
-blood flows through the tricuspid valve into the right ventricle
-the right ventricle pumps blood to the lungs through the pulmonary valve and artery.
-oxygen rich blood returns to the heart through the pulmonary veins and enters the left
atrium.
-blood flows through the mitral valve into the left ventricle
-the left ventricle pumps oxygen blood into the aorta and to the rest of the body
signs of foreign body aspiration
be alert for child who suddenly starts to drool
suspect in nose if only one side has drainage (in absence of illness)
kids stick things in open holes
nursing care: prevent kids from sticking things in wholes
Brainpower
Read More
child suddenly starts to drool
what to be alert for with foreign body aspiration
,Croup
inflammation of the upper airway
usually caused by a virus
Generally, occurs in kids 6 months-3 years of age and in late autumn/early winter
· Named according to the region of the airway that is affected epiglottitis,
laryngotracheobronchitis, tracheitis
LTB laryngotracheal bronchitis croup
"classic croup"
most common type of, preceded by a URI, gradual onset, low grade fever, symptoms
worse at night, cough is brassy, barky "seal like", inspiratory stridor, cough, vocal
hoarseness, x-rays not helpful in diagnosing
acute spasmodic laryngitis
"midnight croup"
paroxysmal attacks that occur at night, not preceded by an illness, kids go to bed fine,
then wake up with the barky cough, child is anxious, there is no fever
with epiglottitis there is absence of cough, difficulty swallowing and sicker appearance
What are the significant differences between LTB and epiglotitis?
what to do for croup
o Have emergency equipment available
,o Remain calm and reassuring
o Accompany the child to all tests
o Cool mist/humidified air
o Clear liquids- but hold all PO liquids in periods of respiratory distress or acute illness
croup meds
Steroids to decrease inflammation
o Racemic epinephrine via neb treatment
§ A-adrenergic med causing mucosal vasoconstriction, decreases edema
§ May repeat dose q20-30 minutes (teach parents that rebound effect may occur, as the
effect of this drug is short)
§ Side effects include tachycardia, tremors
o Heliox= combo of helium and oxygen
croup parental education
o Old school- warm, humid air
o Bring child outside into cool air, in front of freezer
o Expect that child may vomit after an episode (from swallowing mucus)
o If episode is not resolving or child appears to be getting sicker call emergency
services 911
bring child outside into cool air or in front of freezer
what to do to help a child for croup
, expect that the child may vomit
what to expect after croup episode?
causes of otitis media
Bugs: Strep pneumonia, H. influenza, M. Catarrhalis
· Viruses: RSV and influenza
· Infections caused by bacteria in a chronic manner are treated using long term
antibiotics with reevaluation on a monthly basis to check effusion
results from normal ear flora that goes awry when it gets wet
pull ear down and back
how to instill ear drops in a child under 3
pull ear up and back
how to instill ear drops in a child over 3
lidocaine
what should you mix with rocephin with to make it less painful?
bilateral myringotomy with tubes (BMT)
placed in kids with chronic infections
· Placed under sedation
· Help to equalize pressure in ear, and allow for drainage and ventilation of the middle
ear
§ Short procedure, recovery is quick and usually uncomplicated
§ Tubes usually fall out after 6-18 months and if not, removed
