NUR 232 PEDS MIDTERM EXAMS QUESTIONS AND
ANSWERS SET A+
✔✔Therapeutic management -✔✔mild constipation resolves with solid food introduced
-stool softeners
-laxatives (miralax)
-more fiber/fluids
-establishing regular bowel routine
-colonoscopy
-diaries
-ambulation
-regular toilet time once or twice a day after a meal (for 5-10 minutes)
-recommended fiber (years in age plus 5 grams)
✔✔Primary prevention constipation -✔✔-hydration
-fiber
-fruits/veggies/green leafy
-physical activity
-regular toileting
✔✔Constipation diagnostics -✔✔-colonoscopy
-stool culture
-CT scans
-culture/occult blood
✔✔Children toilet training -✔✔children can start to identify urge to go by 18-24 months
gain conscious control by 2-3 years old
✔✔Vomiting -✔✔acute infections
-increased intracranial pressure
-toxic ingestions
-food intolerance
-allergies
-mechanical obstructions
,-metabolic issues
✔✔vomiting complications -✔✔Dehydration/electrolyte imbalance, aspiration/
malnutrition
✔✔Vomiting history -✔✔-assess frequency/ color/ consistency
-accompanying symptoms
-specific foods
-hydration status
-what causes/alleviates
-serum electrolytes
-urine analysis
-radiographic studies
✔✔Vomiting management -✔✔-Zofran
-Fluids
-type/appearance/childs behavior with vomiting
-carbohydrates to prevent ketones
-small frequent feeding
-positon upright
-monitor electrolytes
-educate child to brush Teeth after episode
✔✔Before giving potassium -✔✔Assess kidney functions and that child is urinating to
prevent potassium overload
✔✔Acute appendicitis -✔✔inflammation of vermiform appendix
causes
-hardened fecalmaterial
-swollen lymphoid tissue
-frequently occurring viral infection
✔✔Acute appendicitis manifestations -✔✔-colicky, cramping abdominal pain around
umbilicus
-right lower quadrant pain
-fever
-rigid abdomen/abdominal tenderness
-decreased/absent bowel sounds
-vomiting (typically follows onset of pain)/nausea
-constipation or diarhhea
-anorexia
-tachycardia
-rapid/shallow breathing
-pallor
-lethargy
-irritability
, -stooped posture
MCBURNEYS POINT
most common point of pain lower right quadrant
-pain with palpitation
-complaint of pain in right hip
✔✔Complications -✔✔If pain goes away all of sudden appendix ruptured
Risk of peritonitis
✔✔appendicitis diagnostics -✔✔-sign and symptoms
-CBC/CT scan/ Ultrasounds
-Urinalysis
-CRP
MUST ENSURE NOT PREGNANT
✔✔appendicitis therapeutic management -✔✔-surgical removal
-Antibiotics
-Iv fluids/electrolytes
-pain management
-skin care
-provide psychosocial support
✔✔Nonverbal appendicitis signs -✔✔-rigid
, side lying position with knees flexed and have decreased ROM at right hip
✔✔Children diagnostics appendicitis -✔✔have child point at site of pain
-light palpitation
-have child lift heal or hop on one foot
✔✔AVOID appendicitis -✔✔heating pads, diuretics, laxatives/enemas
✔✔Respiratory acidosis causes -✔✔retention of too much CO2
-COPD
-asthma
-pneumonia
-pulmonary edema
✔✔Metabolic acidosis causes -✔✔Too much acid in body, decrease serum bicarb
-DKA
-thyroid ström
-diarrhea (loss of bicarb)
✔✔Respiratory alkalosis causes -✔✔Too little CO2
-hypoxia
-pain
ANSWERS SET A+
✔✔Therapeutic management -✔✔mild constipation resolves with solid food introduced
-stool softeners
-laxatives (miralax)
-more fiber/fluids
-establishing regular bowel routine
-colonoscopy
-diaries
-ambulation
-regular toilet time once or twice a day after a meal (for 5-10 minutes)
-recommended fiber (years in age plus 5 grams)
✔✔Primary prevention constipation -✔✔-hydration
-fiber
-fruits/veggies/green leafy
-physical activity
-regular toileting
✔✔Constipation diagnostics -✔✔-colonoscopy
-stool culture
-CT scans
-culture/occult blood
✔✔Children toilet training -✔✔children can start to identify urge to go by 18-24 months
gain conscious control by 2-3 years old
✔✔Vomiting -✔✔acute infections
-increased intracranial pressure
-toxic ingestions
-food intolerance
-allergies
-mechanical obstructions
,-metabolic issues
✔✔vomiting complications -✔✔Dehydration/electrolyte imbalance, aspiration/
malnutrition
✔✔Vomiting history -✔✔-assess frequency/ color/ consistency
-accompanying symptoms
-specific foods
-hydration status
-what causes/alleviates
-serum electrolytes
-urine analysis
-radiographic studies
✔✔Vomiting management -✔✔-Zofran
-Fluids
-type/appearance/childs behavior with vomiting
-carbohydrates to prevent ketones
-small frequent feeding
-positon upright
-monitor electrolytes
-educate child to brush Teeth after episode
✔✔Before giving potassium -✔✔Assess kidney functions and that child is urinating to
prevent potassium overload
✔✔Acute appendicitis -✔✔inflammation of vermiform appendix
causes
-hardened fecalmaterial
-swollen lymphoid tissue
-frequently occurring viral infection
✔✔Acute appendicitis manifestations -✔✔-colicky, cramping abdominal pain around
umbilicus
-right lower quadrant pain
-fever
-rigid abdomen/abdominal tenderness
-decreased/absent bowel sounds
-vomiting (typically follows onset of pain)/nausea
-constipation or diarhhea
-anorexia
-tachycardia
-rapid/shallow breathing
-pallor
-lethargy
-irritability
, -stooped posture
MCBURNEYS POINT
most common point of pain lower right quadrant
-pain with palpitation
-complaint of pain in right hip
✔✔Complications -✔✔If pain goes away all of sudden appendix ruptured
Risk of peritonitis
✔✔appendicitis diagnostics -✔✔-sign and symptoms
-CBC/CT scan/ Ultrasounds
-Urinalysis
-CRP
MUST ENSURE NOT PREGNANT
✔✔appendicitis therapeutic management -✔✔-surgical removal
-Antibiotics
-Iv fluids/electrolytes
-pain management
-skin care
-provide psychosocial support
✔✔Nonverbal appendicitis signs -✔✔-rigid
, side lying position with knees flexed and have decreased ROM at right hip
✔✔Children diagnostics appendicitis -✔✔have child point at site of pain
-light palpitation
-have child lift heal or hop on one foot
✔✔AVOID appendicitis -✔✔heating pads, diuretics, laxatives/enemas
✔✔Respiratory acidosis causes -✔✔retention of too much CO2
-COPD
-asthma
-pneumonia
-pulmonary edema
✔✔Metabolic acidosis causes -✔✔Too much acid in body, decrease serum bicarb
-DKA
-thyroid ström
-diarrhea (loss of bicarb)
✔✔Respiratory alkalosis causes -✔✔Too little CO2
-hypoxia
-pain
