Name: Score:
108 Multiple choice questions
Term 1 of 108
If the child has obesity related HTN. What are some things we will mention? (3)
The patient does not make any protein themselves so they must get it from food.
High caloric because the you a lot of nutrients for work of breathing and also allows
absorption of more calories the higher the caloric intake.
Wanting to take naps
Lethargic
Gets short of breath easily
False - AA and Hispanics have higher rates of obesity than Whites (Maybe asians have
higher than Whites as well??)
Diet: high fiber, low sodium, adeq Ca+ and K+ (DASH diet)
Physical activity: (30 mins) & relaxation
Drugs: Avoid caffeine (↓ BP→↑ HR), smoking, alcohol, illicit drugs
Term 2 of 108
Leading cause of death in children with Sickle Cell disease?
Recheck in 6 months
Hypertension
May need to count pulse
Bacterial infection
,Term 3 of 108
What are 5 related conditions related to Metabolic syndrome
So that they can rest easily
Kids grow when they are sleeping
Visercal obesity
Insulin resistance
Low HDL-cholesterol
HTN
High Triglycerides
Wanting to take naps
Lethargic
Gets short of breath easily
Vaso-occlusive [VOC] thrombotic
Splenic sequestration
Aplastic crisis
Term 4 of 108
Getting a WBC count on a child is not enough information. Why and what other test should be
ordered?
Nonrebreather mask.
Nasal canula are uncomfortable.
Nasal canula increases risk of URI because of mucus in the nostrils.
More easy for parents to hold over the child's face.
No. Because the cell aren't sickling because of lack of O2.
Allows the kid to move around, also better cpt than cupping because it is consistent, hard,
and faster.
Don't know the number of neutrophils, eosinophils, etc.
Need to order a differential to get those numbers.
,Term 5 of 108
Boys with sickle cell can feel pain where?
Whatever they say it is
In their penis
Hypertension
Check slide from Perfusion PPT
Definition 6 of 108
RBCs get filtered through spleen.
Sickle cells get stuck and enlarges and can burst.
Teach parents to watch for RUQ pain everyday.
Fatigue, cool, no pules in lower extremities. Basically no-low blood flow in lower area, and upper
area has high blood flow.
Pt will be admitted to private room to ↓ stimuli, must hydrate pt and if the spleen doesn't get
smaller the spleen will be removed,
Having no spleen leads to ↑ risk of infection, and infection can cause sickle cell crisis.
Explain aplastic crisis Sickle Cell Crisis
Explain a Splenic sequestration Sickle Cell Crisis
What is the benefit of the Smart Vest (vibration vest)
What are some non-genetic factors that can cause obesity.
, Term 7 of 108
Gastrointestinal Management of CF - Pancreatic enzymes. Why?
Allows patients to digest and absorb nutrients Taken with meals
Administered with meals and snacks
Brain turns of hunger signals because it thinks its not going to get food.
If patient is losing weight they need to increase their caloric intake and G/NG tube may be
the only way.
The patient does not make any protein themselves so they must get it from food.
High caloric because the you a lot of nutrients for work of breathing and also allows
absorption of more calories the higher the caloric intake.
Term 8 of 108
A 3 year old comes in low on O2, how will you administer O2 on them. Why?
What are the two big problems caused by Cystic Fibrosis?
Around the clock with PRN for breakthrough pain
Because pain affects everything, and can make their state worse
Nonrebreather mask.
Nasal canula are uncomfortable.
Nasal canula increases risk of URI because of mucus in the nostrils.
More easy for parents to hold over the child's face.
Patients lose a lot of Na.
Increased fluid intake keeps mucous thinner and easier to cough up.
Also affects drug secretions (??????)
108 Multiple choice questions
Term 1 of 108
If the child has obesity related HTN. What are some things we will mention? (3)
The patient does not make any protein themselves so they must get it from food.
High caloric because the you a lot of nutrients for work of breathing and also allows
absorption of more calories the higher the caloric intake.
Wanting to take naps
Lethargic
Gets short of breath easily
False - AA and Hispanics have higher rates of obesity than Whites (Maybe asians have
higher than Whites as well??)
Diet: high fiber, low sodium, adeq Ca+ and K+ (DASH diet)
Physical activity: (30 mins) & relaxation
Drugs: Avoid caffeine (↓ BP→↑ HR), smoking, alcohol, illicit drugs
Term 2 of 108
Leading cause of death in children with Sickle Cell disease?
Recheck in 6 months
Hypertension
May need to count pulse
Bacterial infection
,Term 3 of 108
What are 5 related conditions related to Metabolic syndrome
So that they can rest easily
Kids grow when they are sleeping
Visercal obesity
Insulin resistance
Low HDL-cholesterol
HTN
High Triglycerides
Wanting to take naps
Lethargic
Gets short of breath easily
Vaso-occlusive [VOC] thrombotic
Splenic sequestration
Aplastic crisis
Term 4 of 108
Getting a WBC count on a child is not enough information. Why and what other test should be
ordered?
Nonrebreather mask.
Nasal canula are uncomfortable.
Nasal canula increases risk of URI because of mucus in the nostrils.
More easy for parents to hold over the child's face.
No. Because the cell aren't sickling because of lack of O2.
Allows the kid to move around, also better cpt than cupping because it is consistent, hard,
and faster.
Don't know the number of neutrophils, eosinophils, etc.
Need to order a differential to get those numbers.
,Term 5 of 108
Boys with sickle cell can feel pain where?
Whatever they say it is
In their penis
Hypertension
Check slide from Perfusion PPT
Definition 6 of 108
RBCs get filtered through spleen.
Sickle cells get stuck and enlarges and can burst.
Teach parents to watch for RUQ pain everyday.
Fatigue, cool, no pules in lower extremities. Basically no-low blood flow in lower area, and upper
area has high blood flow.
Pt will be admitted to private room to ↓ stimuli, must hydrate pt and if the spleen doesn't get
smaller the spleen will be removed,
Having no spleen leads to ↑ risk of infection, and infection can cause sickle cell crisis.
Explain aplastic crisis Sickle Cell Crisis
Explain a Splenic sequestration Sickle Cell Crisis
What is the benefit of the Smart Vest (vibration vest)
What are some non-genetic factors that can cause obesity.
, Term 7 of 108
Gastrointestinal Management of CF - Pancreatic enzymes. Why?
Allows patients to digest and absorb nutrients Taken with meals
Administered with meals and snacks
Brain turns of hunger signals because it thinks its not going to get food.
If patient is losing weight they need to increase their caloric intake and G/NG tube may be
the only way.
The patient does not make any protein themselves so they must get it from food.
High caloric because the you a lot of nutrients for work of breathing and also allows
absorption of more calories the higher the caloric intake.
Term 8 of 108
A 3 year old comes in low on O2, how will you administer O2 on them. Why?
What are the two big problems caused by Cystic Fibrosis?
Around the clock with PRN for breakthrough pain
Because pain affects everything, and can make their state worse
Nonrebreather mask.
Nasal canula are uncomfortable.
Nasal canula increases risk of URI because of mucus in the nostrils.
More easy for parents to hold over the child's face.
Patients lose a lot of Na.
Increased fluid intake keeps mucous thinner and easier to cough up.
Also affects drug secretions (??????)
