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Exam (elaborations)

NURS 341 EXAM 2 STUDY GUIDE QUESTIONS AND VERIFIED ANSWERS

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NURS 341 EXAM 2 STUDY GUIDE QUESTIONS AND VERIFIED ANSWERS

Institution
NURS 341
Course
NURS 341

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croup nursing mgt


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often supportive and can be monitored at home:
-cool mist humidifier
-adequate fluid
-take child outside in cold air

if severe/stridor at rest
-racemic epinephrine
-o2 and cont spo2 moniter
-corticosteroid: dexamethasone.dexadron oral/im or budesonide
nebulized
-iv fluids




tetralogy of fallot tx/management

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blalock-taussig/b-t shunt
-allows more blood flow to the lungs
-temporary solution
-shunt may close off or develop thrombosis: infants on asa, as a mild
anticoagulant

complete repair usually done at 6-12 months of age




cardiac catherization post op assessment


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vs

temp/color of affected extremity

pulses, esp below cath site


pressure dressure forb bleeding or hematoma

maintain clean dressing

i&os

monitor for hypoglycemia




kawasaki nursing tx/mgnt


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, monitor vs and cardiac status

iv fluids to prevent dehydration


provide care to promote comfort

ivig infusion within first 10 days of illness: assess for allergic reaction

high dose aspirin

symptomatic relief


oral care




hirschsprung's disease clinical manifestations


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aganglionic segment of the colon


impact the internal sphincter, rectum, and few cm of the sigmoid colon
(short segment disease)

accumulation of stool with distention

failure of internal anal sphincter to relax

enterocolitis may occur

newborn:
-abdominal distention
-failure to pass meconium within 24-48 hrs after birth
-refusal to feed
-bilious emesis

infancy:
-failure to thrive
-constipation
-abdominal pain

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Institution
NURS 341
Course
NURS 341

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