NURS 8022 EXAM 3 EXAM FULLY SOLVED &
NEWEST UPDATED (LATEST VERSION VERIFIED
FOR ACCURACY) (QUESTIONS + ANSWERS) SOLVED
100% CORRECT!! PDF
A nurse is assessing a child with coarctation of the aorta. What will the nurse find?
1. Squatting when SOB
2. Hypercyanotic spells
3. High BP in the arms with decreased pedal pulses
4. Syncopal episodes with chest pain
3. High BP in the arms with decreased pedal pulses
Kawasaki disease cause
Mostly unknown; ~immunologic response to infectious toxin or antigen
What is Kawasaki disease?
Acute self limiting febrile illness of early childhood characterized by vasculitis of the medium
sized arteries, most noticeable in the coronary vessels
Kawasaki Stage 1
0-12 days: capillaries, venues, arterioles and heart become inflamed
Kawasaki stage 2
12-35 days: larger vessels become inflamed. Coronary aneurysms appear
Kawasaki stage 3
26-40 days: Medium sized arteries begin granulation process. Small vessel inflammation
decreases
Kawasaki stage 4
40+ days: scarring of vessels. Thickening of tunica intima. Calcification. Coronary artery
stenosis
,Kawasaki's disease: clinical manifestations
Acute
Fever, conjunctivitis, strawberry tongue, rash and lymphadenopathy
Kawasaki's disease: clinical manifestations
Subacute
Begins when fever ends;
Coronary artery aneurysm development, desquamation of palms and soles, marked
thrombocytosis
Kawasaki's disease: clinical manifestation
Convalescent
Continued erythrocyte, sedimentation rate and platelet count elevation. Continues until lab
values normal, 6-8ths
A child with Kawasaki disease is in the acute phase is admitted to the hospital. The
nurse understands this child will:
1. Exhibit desquamation of the palms and soles
2. Receive steroids
3. Be febrile
4. Be febrile
Three steps of respiratory system
Ventilation (pulm)
Diffusion (pulm)
Perfusion (cardio)
Goblet cells
produce mucus
Cilia
Hairlike structures
Alveoli
Primary gas exchange units
Type I alveolar cells
, alveolar structure
Type II alveolar cells
surfactant production
What is surfactant?
A detergent like complex, reduces surface tension and helps keep the alveoli from
collapsing.
Acinus contains
1. Ciliated cells
2. Goblet cells
3. Alveolar ducts
3. Alveolar ducts
Pulmonary circulation functions
(1) facilitates gas exchange
(2) delivers nutrients to lung tissues
(3) acts as a blood reservoir for the left ventricle
(4) serves as a filtering system that removes clots, air, and other debris from the circulation
Pulmonary circulation has (higher/lower) pressure than systemic circulation?
Lower
What two circulatory systems make up the pulmonary circulation?
Bronchial (high pressure) and pulmonary (low pressure)
Two factors that keep the lungs from collapsing
surfactant and pleural pressure
Pulmonary system functions
Ventilate the alveoli
Diffuse gases into and out of the blood
Perfuse the lungs so the body receives oxygen
Anatomic dead space
part of respiratory system where gas exchange does not take place. (~150mL)
NEWEST UPDATED (LATEST VERSION VERIFIED
FOR ACCURACY) (QUESTIONS + ANSWERS) SOLVED
100% CORRECT!! PDF
A nurse is assessing a child with coarctation of the aorta. What will the nurse find?
1. Squatting when SOB
2. Hypercyanotic spells
3. High BP in the arms with decreased pedal pulses
4. Syncopal episodes with chest pain
3. High BP in the arms with decreased pedal pulses
Kawasaki disease cause
Mostly unknown; ~immunologic response to infectious toxin or antigen
What is Kawasaki disease?
Acute self limiting febrile illness of early childhood characterized by vasculitis of the medium
sized arteries, most noticeable in the coronary vessels
Kawasaki Stage 1
0-12 days: capillaries, venues, arterioles and heart become inflamed
Kawasaki stage 2
12-35 days: larger vessels become inflamed. Coronary aneurysms appear
Kawasaki stage 3
26-40 days: Medium sized arteries begin granulation process. Small vessel inflammation
decreases
Kawasaki stage 4
40+ days: scarring of vessels. Thickening of tunica intima. Calcification. Coronary artery
stenosis
,Kawasaki's disease: clinical manifestations
Acute
Fever, conjunctivitis, strawberry tongue, rash and lymphadenopathy
Kawasaki's disease: clinical manifestations
Subacute
Begins when fever ends;
Coronary artery aneurysm development, desquamation of palms and soles, marked
thrombocytosis
Kawasaki's disease: clinical manifestation
Convalescent
Continued erythrocyte, sedimentation rate and platelet count elevation. Continues until lab
values normal, 6-8ths
A child with Kawasaki disease is in the acute phase is admitted to the hospital. The
nurse understands this child will:
1. Exhibit desquamation of the palms and soles
2. Receive steroids
3. Be febrile
4. Be febrile
Three steps of respiratory system
Ventilation (pulm)
Diffusion (pulm)
Perfusion (cardio)
Goblet cells
produce mucus
Cilia
Hairlike structures
Alveoli
Primary gas exchange units
Type I alveolar cells
, alveolar structure
Type II alveolar cells
surfactant production
What is surfactant?
A detergent like complex, reduces surface tension and helps keep the alveoli from
collapsing.
Acinus contains
1. Ciliated cells
2. Goblet cells
3. Alveolar ducts
3. Alveolar ducts
Pulmonary circulation functions
(1) facilitates gas exchange
(2) delivers nutrients to lung tissues
(3) acts as a blood reservoir for the left ventricle
(4) serves as a filtering system that removes clots, air, and other debris from the circulation
Pulmonary circulation has (higher/lower) pressure than systemic circulation?
Lower
What two circulatory systems make up the pulmonary circulation?
Bronchial (high pressure) and pulmonary (low pressure)
Two factors that keep the lungs from collapsing
surfactant and pleural pressure
Pulmonary system functions
Ventilate the alveoli
Diffuse gases into and out of the blood
Perfuse the lungs so the body receives oxygen
Anatomic dead space
part of respiratory system where gas exchange does not take place. (~150mL)
