NR 602 Midterm
QUESTION
How is Kawasaki disease diagnosed?
ANSWER
No specific lab test. (no blood test)
Liver tests may be abnormal
Diagnosis is made by meeting these criteria:
Fever for at least 5 days
4 of these 5 conditions must be met
- Mucous membrane changes such as red tongue and dry fissured lips
- Swelling of hands and feet.
- Enlarged lymph nodes in the neck
- Diffuse red rash covering most of
the body.
- Redness of eyes.
o Illness cannot be explained by any known disease process.
QUESTION
How to treat Kawasaki disease:
ANSWER
IVIG and aspirin
QUESTION
What is retinoblastoma?
ANSWER
malignant tumor of the retina
QUESTION
,signs and symptoms of retinoblastoma
ANSWER
whitish glow in pupil - cat's eye reflex (leukocoria). Eyes looking in different directions, poor
vision, eye swelling, eye redness
QUESTION
When should children be screened for retinoblastoma
ANSWER
from birth up to the age of 7 years. After age 7 years, no further screening of asymptomatic
children is recommended, unless they are known to carry an RB1 mutation. Most children
diagnosed are younger than 3 years old.
QUESTION
Risk factors for retinoblastoma
ANSWER
Diets low in fruits and vegetables among mothers during pregnancy
Exposure to chemicals in gasoline or diesel exhaust during pregnancy
Exposure of fathers to radiation
Older age among fathers
QUESTION
s/sx of hypothyroidism in pediatric clients
ANSWER
Slowed growth rate
Puffy face
Swollen hands and feet
Poor muscle tone
Sluggishness, sleepiness
Constipation
Fatigue
, Dry, itchy scalp
Dry, coarse skin
Heavy menstruation in girls
Mood swings
Weight gain
Hoarse cry or voice
Dry, coarse skin
Enlarged thyroid gland (goiter)
QUESTION
Is imaging warranted in a pediatric client with Asthma
ANSWER
imaging should be minimized r/t the exposure to radiation in children.
QUESTION
What is intermittent asthma?
ANSWER
Rule of 2's:
Symptoms: <2 days/week
Nighttime: <2 times/ mo
Rescue inhaler use: <2 days per week
Limitation with activity: none
Lung function: FEV1>80% , normal between exacerbations.
Intermittent asthma means that you only have symptoms sometimes. People with intermittent
asthma usually have symptoms 2 days a week or less often
QUESTION
What is mild persistent asthma?
ANSWER
QUESTION
How is Kawasaki disease diagnosed?
ANSWER
No specific lab test. (no blood test)
Liver tests may be abnormal
Diagnosis is made by meeting these criteria:
Fever for at least 5 days
4 of these 5 conditions must be met
- Mucous membrane changes such as red tongue and dry fissured lips
- Swelling of hands and feet.
- Enlarged lymph nodes in the neck
- Diffuse red rash covering most of
the body.
- Redness of eyes.
o Illness cannot be explained by any known disease process.
QUESTION
How to treat Kawasaki disease:
ANSWER
IVIG and aspirin
QUESTION
What is retinoblastoma?
ANSWER
malignant tumor of the retina
QUESTION
,signs and symptoms of retinoblastoma
ANSWER
whitish glow in pupil - cat's eye reflex (leukocoria). Eyes looking in different directions, poor
vision, eye swelling, eye redness
QUESTION
When should children be screened for retinoblastoma
ANSWER
from birth up to the age of 7 years. After age 7 years, no further screening of asymptomatic
children is recommended, unless they are known to carry an RB1 mutation. Most children
diagnosed are younger than 3 years old.
QUESTION
Risk factors for retinoblastoma
ANSWER
Diets low in fruits and vegetables among mothers during pregnancy
Exposure to chemicals in gasoline or diesel exhaust during pregnancy
Exposure of fathers to radiation
Older age among fathers
QUESTION
s/sx of hypothyroidism in pediatric clients
ANSWER
Slowed growth rate
Puffy face
Swollen hands and feet
Poor muscle tone
Sluggishness, sleepiness
Constipation
Fatigue
, Dry, itchy scalp
Dry, coarse skin
Heavy menstruation in girls
Mood swings
Weight gain
Hoarse cry or voice
Dry, coarse skin
Enlarged thyroid gland (goiter)
QUESTION
Is imaging warranted in a pediatric client with Asthma
ANSWER
imaging should be minimized r/t the exposure to radiation in children.
QUESTION
What is intermittent asthma?
ANSWER
Rule of 2's:
Symptoms: <2 days/week
Nighttime: <2 times/ mo
Rescue inhaler use: <2 days per week
Limitation with activity: none
Lung function: FEV1>80% , normal between exacerbations.
Intermittent asthma means that you only have symptoms sometimes. People with intermittent
asthma usually have symptoms 2 days a week or less often
QUESTION
What is mild persistent asthma?
ANSWER
