NUR 417 Exam #2 Questions With Complete Solutions
Acute Glomerulonephritis : Management Correct Answers
•Treatment at home:
Good urine output
Normal blood pressure
•Hospitalization if following is present
Oliguria
Hypertension
Gross hematuria
Significant edema
•Daily weights, vital signs, strict measurement of Intake and
Output
•Treatment with dietary restrictions, monitor electrolytes and
BP(q4-6hrs)
•May use diuretics or antihypertensive medications if needed
(No antibiotics unless strep is present)
Acute Laryngotracheobronchitis Interventions Correct Answers
•Contact droplet precautions
•Cool mist through a vaporizer or steamy bathroom
•Educate and support parents/caregiver
•Continual assessment
Medications
•Corticosteroids-Dexamethasone
•Nebulized epinephrine (AKA racemic epi)
•Antipyretics
•Oxygen, prn
Albuterol (Proventil) Correct Answers *SHORT TERM
MEDICATION*
,Fast acting bronchodilator and is used to relieve acute
bronchoconstriction, providing quick relief of symptoms such as
wheezing, SOB, and chest tightness
Relaxes the smooth muscles, resulting in bronchodilation
- Major Side Effects:
Tremors or shaking
Nervousness or anxiety
Increased heart rate (Tachycardia)
Headache
Dry mouth
Insomnia
Appropriate nursing assessments and interventions required
when caring for a patient with epiglottitis Correct Answers
Assessment
o Drooling
o Agitation
o Sore throat
o Fever
o Tripod position
o Restlessness
o Frog like cough
o Muffled voice
o Red throat and red swollen epiglottis.
Interventions
o Contact droplet precautions.
o Leave the patient alone and get help ASAP!
, o Do not attempt an IV.
o Support the caregiver and patient with a calm demeanor.
o Prepare for intubation.
•H. influenzae type B (Hib B) conjugate vaccine beginning at 2
month of age
•Is given at 2, 4, 6, and 12 to 14 months of age.
ASO Titers Correct Answers - A blood test used to detect the
presence of antibodies against the streptococcal bacteria in the
body, specifically against the streptolysin O enzyme.
- Elevated ASO titers are often associated with a recent or prior
streptococcal infection, such as strep throat
Assessment findings consistent NS (SYMPTOMS ARE MORE
EXTREME WITH NS) Correct Answers Proteinuria (greater
than 2+)
Hypoalbuminemia
Lipids increased
Serum sodium may be low
Pleural effusion
Facial edema
Diarrhea
Fatigue
Lethargy
BP normal or slightly ↓
Urine output decreased and urine is frothy
Assessment findings consistent with AGN Correct Answers -
Decrease in GFR
- Lethargic
- Pallor
Acute Glomerulonephritis : Management Correct Answers
•Treatment at home:
Good urine output
Normal blood pressure
•Hospitalization if following is present
Oliguria
Hypertension
Gross hematuria
Significant edema
•Daily weights, vital signs, strict measurement of Intake and
Output
•Treatment with dietary restrictions, monitor electrolytes and
BP(q4-6hrs)
•May use diuretics or antihypertensive medications if needed
(No antibiotics unless strep is present)
Acute Laryngotracheobronchitis Interventions Correct Answers
•Contact droplet precautions
•Cool mist through a vaporizer or steamy bathroom
•Educate and support parents/caregiver
•Continual assessment
Medications
•Corticosteroids-Dexamethasone
•Nebulized epinephrine (AKA racemic epi)
•Antipyretics
•Oxygen, prn
Albuterol (Proventil) Correct Answers *SHORT TERM
MEDICATION*
,Fast acting bronchodilator and is used to relieve acute
bronchoconstriction, providing quick relief of symptoms such as
wheezing, SOB, and chest tightness
Relaxes the smooth muscles, resulting in bronchodilation
- Major Side Effects:
Tremors or shaking
Nervousness or anxiety
Increased heart rate (Tachycardia)
Headache
Dry mouth
Insomnia
Appropriate nursing assessments and interventions required
when caring for a patient with epiglottitis Correct Answers
Assessment
o Drooling
o Agitation
o Sore throat
o Fever
o Tripod position
o Restlessness
o Frog like cough
o Muffled voice
o Red throat and red swollen epiglottis.
Interventions
o Contact droplet precautions.
o Leave the patient alone and get help ASAP!
, o Do not attempt an IV.
o Support the caregiver and patient with a calm demeanor.
o Prepare for intubation.
•H. influenzae type B (Hib B) conjugate vaccine beginning at 2
month of age
•Is given at 2, 4, 6, and 12 to 14 months of age.
ASO Titers Correct Answers - A blood test used to detect the
presence of antibodies against the streptococcal bacteria in the
body, specifically against the streptolysin O enzyme.
- Elevated ASO titers are often associated with a recent or prior
streptococcal infection, such as strep throat
Assessment findings consistent NS (SYMPTOMS ARE MORE
EXTREME WITH NS) Correct Answers Proteinuria (greater
than 2+)
Hypoalbuminemia
Lipids increased
Serum sodium may be low
Pleural effusion
Facial edema
Diarrhea
Fatigue
Lethargy
BP normal or slightly ↓
Urine output decreased and urine is frothy
Assessment findings consistent with AGN Correct Answers -
Decrease in GFR
- Lethargic
- Pallor
