NURS 3122 Case Study Exam questions with
accurate answers
3 C's of treating hypercyanotic episodes Ans✓✓✓ Clamp down
- Increases SVR
- Knee-to-chest
Chill out
- Morphine/Ketamine
- Decreases PVR
Correct acidosis
- Oxygen, gentle fluids (5-10ml/kg/hr)
- Decreases PVR
3 Signs of CHF Ans✓✓✓ - Impaired Myocardial Function
- Pulmonary Congestion
- Systemic Venous congestion
6 Steps to Managing Bronchiolitis/Shock Ans✓✓✓ 1. Reposition,
Suctioning, Apply Oxygen
2. Initiate IV and resuscitate with isotonic fluids
,3. Monitor and frequent assessments
4. Consider medications and interventions
5. Consider DI, labs, and test
6. Subspecialty consult
70% of Bronchiolitis cases are associated with _____ Ans✓✓✓ RSV
A 3-month-old has been diagnosed with a ventricular septal defect
(VSD). The flow of blood through the heart is
_____________________. Ans✓✓✓ Left-to-right
The pressures in the left side of the heart are greater, causing the flow of
blood to be from an area of higher pressure to lower pressure, or left to
right, increasing the pulmonary blood flow with the extra blood.
A 6-week-old is admitted to the hospital with influenza. The child is
crying, and the father tells the nurse that his son is hungry. The nurse
explains that the baby is not to have anything by mouth. The parent does
not understand why the child cannot eat. Which is the nurse 's best
response to the parent?
1. "We are giving your child intravenous fluids, so there is no need for
anything by mouth."
,2. "The shorter and narrower airway of infants increases their chances of
aspiration so your child should not have anything to eat now."
3. "When your child eats, he burns too many calories; we want to
conserve the child 's energy."
4. "Your child has too much nasal congestion; if we feed the child by
mouth, the distress will likely increase." Ans✓✓✓ 2. The shorter and
narrower airway of infants increases their chances of aspiration so your
child should not have anything to eat now
Infants are at higher risk of aspiration because their airways are shorter
and narrower than those of adults. An infant with infl uenza has lots of
nasal secretions and coughs up mucus. With all the secretions, the infant
is at an even higher risk of aspiration.
A newborn is diagnosed with a congenital heart defect (CHD). The test
results reveal that the lumen of the duct between the aorta and
pulmonary artery remains open. This defect is known as
_____________________. Ans✓✓✓ Patent ductus arteriosus (PDA)
ABC-IV for anaphylaxis Ans✓✓✓ Adrenaline, Benadryl,
Corticosteroids, IV fluid bolus, Ventolin
ACE Inhibitors (-prils) Ans✓✓✓ Promotes vascular relaxation and
reduced PVR; reduces afterload
ACE inhibitors: Nursing considerations Ans✓✓✓ - Monitor for
hypotension
, - Assess for s/e such as cough, hyperkalemia, and worsening renal
function
Afterload Ans✓✓✓ Systemic resistance to ventricular ejection of blood
Anaphylactic shock symptoms
1. Respiratory
2. Cardiovascular
3. Integument
4. GI
5. Neuro Ans✓✓✓ Respiratory
- Swelling of lips and tongue
- Cough
- Wheezing & stridor
Cardiovascular
- Drop in BP
- Chest pain/Tightness
Integument
- Flushing
- Pruritis
- Urticaria (hives)
- Angioedema
accurate answers
3 C's of treating hypercyanotic episodes Ans✓✓✓ Clamp down
- Increases SVR
- Knee-to-chest
Chill out
- Morphine/Ketamine
- Decreases PVR
Correct acidosis
- Oxygen, gentle fluids (5-10ml/kg/hr)
- Decreases PVR
3 Signs of CHF Ans✓✓✓ - Impaired Myocardial Function
- Pulmonary Congestion
- Systemic Venous congestion
6 Steps to Managing Bronchiolitis/Shock Ans✓✓✓ 1. Reposition,
Suctioning, Apply Oxygen
2. Initiate IV and resuscitate with isotonic fluids
,3. Monitor and frequent assessments
4. Consider medications and interventions
5. Consider DI, labs, and test
6. Subspecialty consult
70% of Bronchiolitis cases are associated with _____ Ans✓✓✓ RSV
A 3-month-old has been diagnosed with a ventricular septal defect
(VSD). The flow of blood through the heart is
_____________________. Ans✓✓✓ Left-to-right
The pressures in the left side of the heart are greater, causing the flow of
blood to be from an area of higher pressure to lower pressure, or left to
right, increasing the pulmonary blood flow with the extra blood.
A 6-week-old is admitted to the hospital with influenza. The child is
crying, and the father tells the nurse that his son is hungry. The nurse
explains that the baby is not to have anything by mouth. The parent does
not understand why the child cannot eat. Which is the nurse 's best
response to the parent?
1. "We are giving your child intravenous fluids, so there is no need for
anything by mouth."
,2. "The shorter and narrower airway of infants increases their chances of
aspiration so your child should not have anything to eat now."
3. "When your child eats, he burns too many calories; we want to
conserve the child 's energy."
4. "Your child has too much nasal congestion; if we feed the child by
mouth, the distress will likely increase." Ans✓✓✓ 2. The shorter and
narrower airway of infants increases their chances of aspiration so your
child should not have anything to eat now
Infants are at higher risk of aspiration because their airways are shorter
and narrower than those of adults. An infant with infl uenza has lots of
nasal secretions and coughs up mucus. With all the secretions, the infant
is at an even higher risk of aspiration.
A newborn is diagnosed with a congenital heart defect (CHD). The test
results reveal that the lumen of the duct between the aorta and
pulmonary artery remains open. This defect is known as
_____________________. Ans✓✓✓ Patent ductus arteriosus (PDA)
ABC-IV for anaphylaxis Ans✓✓✓ Adrenaline, Benadryl,
Corticosteroids, IV fluid bolus, Ventolin
ACE Inhibitors (-prils) Ans✓✓✓ Promotes vascular relaxation and
reduced PVR; reduces afterload
ACE inhibitors: Nursing considerations Ans✓✓✓ - Monitor for
hypotension
, - Assess for s/e such as cough, hyperkalemia, and worsening renal
function
Afterload Ans✓✓✓ Systemic resistance to ventricular ejection of blood
Anaphylactic shock symptoms
1. Respiratory
2. Cardiovascular
3. Integument
4. GI
5. Neuro Ans✓✓✓ Respiratory
- Swelling of lips and tongue
- Cough
- Wheezing & stridor
Cardiovascular
- Drop in BP
- Chest pain/Tightness
Integument
- Flushing
- Pruritis
- Urticaria (hives)
- Angioedema
