Exam 1: NR 328 Exam 1: Questions & Answers
Signs and Symptoms of Fluid Volume Deficit (vomiting and diarrhea for 3 days) - ANSWER:Hypotension
Poor skin turgor
Flat neck vein
Immediate s/s of Dehydration - ANSWER:Sunken anterior fontannel
Lethargy
Tachycardia
Not Immediate s/s of Dehydration - ANSWER:Cap refill 2sec
Tears when crying
Irritability
Appropriate Fluids and Food for pt with Diarrhea - ANSWER:Oral rehydration (pedialyte)
White rice
S/S pt with partial thickness burn will have - ANSWER:Red blisters
Sensitive to touch
Blancable w/ pressure
Patient Teaching for UTI - ANSWER:Increase fluids (HYDRATE)
NO bubble baths
Frequent voiding
Void after sex
Good perineal hygiene
What is Glomerulonephritis? - ANSWER:Facial edema (first in face/eyes)
Diet and Nursing Priority for Acute Glomerulonephritis - ANSWER:Diet: low sodium, restrict fluids
Nursing Priority: daily weights!
Why is a High Potassium Level (5.8) a problem with Acute Renal Failure - ANSWER:Can cause cardiac
issues
What age is Testicular Cancer Common and What is a Risk Factor? - ANSWER:Age: males 15-35
, Risk Factor: close male relative w/ testicular cancer
Manifestation of Hirschcprung's - ANSWER:Foul smelling, ribbon-like stool
Manifestations of Tracheoesophageal Fistula - ANSWER:Apnea
Frothy sputum
Coughing
Cyanosis
GERD Education for Infant - ANSWER:Thicken formula with rice cereal to reduce emesis episodes
Necrotising Enterocolitis steps - ANSWER:NPO status
Surgery
If a patient with Chrons is diarrhea and cramping, what should you assess for? - ANSWER:Hypokalemia
(diarrhea causes loss of potassium)
Manifestation of Imperforate Anus - ANSWER:does not pass meconium within first 24hr after birth
Teaching for Neutropenic Precautions - ANSWER:No fresh flowers/plants
Priority Symptom of Leukemia - ANSWER:Urticaria (hives)
(sign pt has allergic reaction to chemo)
Precautions for Person with Low Platelet Count and Which Body System's Wilms Tumor Involves -
ANSWER:Precautions: bleeding precautions
Body Systems: malignant renal and intra-abdominal tumor
Key Sign in Children with Retinoblastoma - ANSWER:Cat eye reflex
Best time to administer GH - ANSWER:before bed
Uncontrolled DM 1 finding - ANSWER:Weight loss
Clinical Manifestation of HYPOglycemia in newly diagnosed Type 1 Diabetic - ANSWER:Difficulty
concentrating
Diabetes education to prevent getting sick - ANSWER:annual flu shot
DM pt and parent education - ANSWER:how to check own blood sugar
Type 1 DM snack - ANSWER:carbohydrate snack or OJ if dizzy
Signs and Symptoms of Fluid Volume Deficit (vomiting and diarrhea for 3 days) - ANSWER:Hypotension
Poor skin turgor
Flat neck vein
Immediate s/s of Dehydration - ANSWER:Sunken anterior fontannel
Lethargy
Tachycardia
Not Immediate s/s of Dehydration - ANSWER:Cap refill 2sec
Tears when crying
Irritability
Appropriate Fluids and Food for pt with Diarrhea - ANSWER:Oral rehydration (pedialyte)
White rice
S/S pt with partial thickness burn will have - ANSWER:Red blisters
Sensitive to touch
Blancable w/ pressure
Patient Teaching for UTI - ANSWER:Increase fluids (HYDRATE)
NO bubble baths
Frequent voiding
Void after sex
Good perineal hygiene
What is Glomerulonephritis? - ANSWER:Facial edema (first in face/eyes)
Diet and Nursing Priority for Acute Glomerulonephritis - ANSWER:Diet: low sodium, restrict fluids
Nursing Priority: daily weights!
Why is a High Potassium Level (5.8) a problem with Acute Renal Failure - ANSWER:Can cause cardiac
issues
What age is Testicular Cancer Common and What is a Risk Factor? - ANSWER:Age: males 15-35
, Risk Factor: close male relative w/ testicular cancer
Manifestation of Hirschcprung's - ANSWER:Foul smelling, ribbon-like stool
Manifestations of Tracheoesophageal Fistula - ANSWER:Apnea
Frothy sputum
Coughing
Cyanosis
GERD Education for Infant - ANSWER:Thicken formula with rice cereal to reduce emesis episodes
Necrotising Enterocolitis steps - ANSWER:NPO status
Surgery
If a patient with Chrons is diarrhea and cramping, what should you assess for? - ANSWER:Hypokalemia
(diarrhea causes loss of potassium)
Manifestation of Imperforate Anus - ANSWER:does not pass meconium within first 24hr after birth
Teaching for Neutropenic Precautions - ANSWER:No fresh flowers/plants
Priority Symptom of Leukemia - ANSWER:Urticaria (hives)
(sign pt has allergic reaction to chemo)
Precautions for Person with Low Platelet Count and Which Body System's Wilms Tumor Involves -
ANSWER:Precautions: bleeding precautions
Body Systems: malignant renal and intra-abdominal tumor
Key Sign in Children with Retinoblastoma - ANSWER:Cat eye reflex
Best time to administer GH - ANSWER:before bed
Uncontrolled DM 1 finding - ANSWER:Weight loss
Clinical Manifestation of HYPOglycemia in newly diagnosed Type 1 Diabetic - ANSWER:Difficulty
concentrating
Diabetes education to prevent getting sick - ANSWER:annual flu shot
DM pt and parent education - ANSWER:how to check own blood sugar
Type 1 DM snack - ANSWER:carbohydrate snack or OJ if dizzy
