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MARK KLIMEK NCLEX EXAM:
Primary dietary prescription for calcium nephrolithiasis (kidney stones) ? PG.
85 - ANS - Low calcium diet
For client with nephrolithiasis the diet should be ___ ash - ANS - Acid
If kidney stone is calcium phosphate the diet must be low in ___ too -
ANS - Phosphorus
Primary diet tx for uric acid nephrolithiasis is __ ____ - ANS - Low
purine
Client with uric acid nephrolithiasis should have a diet low in ____ -
ANS - Methionine
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What is methionine? - ANS - Precursor of the amino acid cystine
2 foods high in methionine? - ANS - Eggs, milk
Clients with cystine nephrolithiasis should have an ____ ash diet - ANS
- Alkaline
Inc. fluids over 3000 cc /day is more effective in treating renal calculi than ANY
dietary modification, T/F? - ANS - True. Want to flush tract than worry
about diet
What is the common name for Laryngotracheobronchitis - LTB - ANS -
Croup
What is the typical temp elevation in croup? - ANS - Low grade, usually
below 102, but can go up to 104.
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Are ATBs helpful for croup? For epiglottits? - ANS - For croup, no.
Epiglottitis, yes
Is croup viral or bacterial? - ANS - Viral
With which condition is croup most often confused? - ANS - Epiglottitis
Can croup be managed at home? Can epiglottitis be managed at home?
- ANS - Yes. No, epiglottitis is a 911 emergency
Are sedatives used for kids with croup? - ANS - No, bc this would mask
the signs of respiratory distress
What causes epiglottitis? A virus or bacteria? - ANS - H. influenza
BACTERIA
What is the best tx for croup? - ANS - Cool moist air
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What should never be done to a child with epiglottitis? - ANS - Never
put anything in the child's mouth, ie, a tongue blade can lead to obstruction
What are the typical signs and symptoms of croup? - ANS - Barking
cough, inspiratory stridor, labored resp. pattern
What 3 signs tell you that the child has epiglottitis instead of croup? -
ANS - Muffled voice, drooling, increased fever
When is croup bad enough to be evaluated by a doc? - ANS - When
retractions, and high pitched stridor are present
What lead level needs intervention? - ANS - 50-60 micrograms/ dl
With which class of drugs will a child with lead poisoning be treated? -
ANS - Chelating agents
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