NUR 3600 Final exam questions with answers.

NUR 3600 Final exam questions |\ |\ |\ |\ |\




with answers |\




What would be 3 characteristics of duchenne muscular
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dystrophy? - CORRECT ANSWERS ✔✔-Lordosis |\ |\ |\ |\




-waddling gait |\




-hypertrophy on calves |\ |\




Tet of fallot child. Having blue spell, what is happening in their
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heart when they have this? - CORRECT ANSWERS ✔✔They squat
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to help with increasing perfusion to heart and brain. When having
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a blue spell, shunting desat blood from right to left. Have a
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problem with their pulmonary vessels, pulmonary system has
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pulmonary stenosis, stiffening of it and smaller than. Spasm |\ |\ |\ |\ |\ |\ |\ |\ |\


occurs that decreases pulmonary blood flow. Multiple defects
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such as overriding aorta. Malfunction of aorta. Decreases
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pulmonary blood flow causing shunting from right to left of desat
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blood and overriding aorta. Blue spells mean they get cyanotic
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caused by spasming of heart that sits next to pulmonary valves
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causing backup to aorta |\ |\ |\




What do you expect a 6 month old to be able to do at well child
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visit? - CORRECT ANSWERS ✔✔closed posterior fontanel
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6 month old postop post laryngotomy tube to help drain, what
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pain scale would you use? - CORRECT ANSWERS ✔✔FLACC scale
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,Child who has a systemic disorder, been on antibiotics
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immunosuppressants and steroids, parents have smoking history |\ |\ |\ |\ |\ |\ |\


and soreness in mouth and refusing to eat, white plaque in
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mouth and wont go away, what is it called? - CORRECT ANSWERS
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✔✔candidiasis
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Somebody with pinworms, what is principal symptom of this? -
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CORRECT ANSWERS ✔✔Itchy bottom/perianal itchiness; to detect,
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put tape on bottom/anus
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Have someone with vasocclusive sickle cell crisis, what would
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you take care of for this child? - CORRECT ANSWERS ✔✔pain
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management and IV fluids (hydration) |\ |\ |\ |\




Pyloric stenosis, what would you see? - CORRECT ANSWERS
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✔✔projectile vomiting |\




Putting cast on, what action do you want to do for this child to
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help them tolerate it more? - CORRECT ANSWERS ✔✔Use a toy or
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stuffed animal to demonstrate procedure
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In Kawasaki disease, you have long term therapy you use for
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them that puts them at risk for what? - CORRECT ANSWERS
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✔✔ASA puts them at risk for Reyes syndrome
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What do you find if you have bedbugs? - CORRECT ANSWERS
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✔✔rash

, Why would you do a surgical closure to repair a PDA? - CORRECT
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ANSWERS ✔✔Preventing return of oxygenated blood back to the|\ |\ |\ |\ |\ |\ |\ |\ |\


lungs, pushing oxygenated blood forward
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What defect causes increase in pulmonary blood flow? -
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CORRECT ANSWERS ✔✔ASD (atrial septal defect) |\ |\ |\ |\ |\




What intervention would help minimize separation anxiety for a
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hospitalized toddler? - CORRECT ANSWERS ✔✔Allow parents to |\ |\ |\ |\ |\ |\ |\ |\


room in |\




Giving steroids to someone that has ITP (idiopathic
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thrombocytopenic purpura) what do you need to monitor when |\ |\ |\ |\ |\ |\ |\ |\ |\


you give them steroids? - CORRECT ANSWERS ✔✔Signs of
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infection


5 year old in acute care setting who has sickle cell anemia and
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having vasoocclusive crisis, parents experiencing joint pain for 3
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days and giving tylenol but does not help, noticed rrecent upper
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resp infection prior to joint pain. At 1, admitted with temp 100,
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HR 120, RR 24, sats 98 RA, both knees and elbows are hurting,
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has pain level of 10 on FACES scale, trying not to move legs and
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arms, mucous membranes are dry and cap refill less than 2 sec,
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has not been eating or drinking, breath sounds shallow, 2L NC,
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abdomen flat and soft, peripheral IV started, IV infusing,
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morphine administered for pain, remains in bed at 4 but now
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uncooperative and no getting fluids, 4 pain on FACES scale, bilat |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


moderate resp inspiratory wheezes, clear yellow urine. What in
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assessment require another action? - CORRECT ANSWERS ✔✔- |\ |\ |\ |\ |\ |\ |\


Nasal flaring |\