NURS 629 Exam 4 questions and Answers Latest Update Fully Solved 100%

Cardiac syncope - · Caused by various heart conditions o Bradycardia o Tachycardia o Certain types of hypotension o May be exercise triggered · Palpitations · Exercise triggered · Residual findings include incontinence, disorientation, and more likely to have injury associated Assessment tests for an injury of Anterior or Posterior Cruciate ligament (ACL or PCL) - Elicit a positive anterior/posterior drawer sign. Osgood-Schlatter disease - · Most common in later childhood and early adolescence. · painful swelling and tenderness of the tibial tuberosity · Most common in children who participate in sports · *Initial treatment is stretching Treatment recommendation for sprained ankle - · *Apply cold for 20 minutes, then take off for 30- 45 minutes and repeat for the first 24-48 hours · Rest, elevation, compression Legg-Calve-Perthes Disease - · Idiopathic osteonecrosis of femoral head · 4 times more common in males · Hip pain, knee pain, or painless limp that is worse at end of day · *Frog-leg X-ray is BEST to diagnose Slipped Capital Femoral Epiphysis risk factors - o obesityo male gender o sports o femoral retroversion o hypothyroidism o average age of presentation is 12 years old for girls and 13 years old for boys Management and treatment of reflux in children - · Breastfed infants continue to breastfeed · For formula-fed infants: o 2-week trial of extensively hydrolyzed formula or amino acid-based formula to exclude CMA o Thicken formula Slipped capital femoral epiphysis clinical findings - o Limping o Knee and/or hip pain o Pain is worse with activity o Localized pain to the anterior thigh or knee o May be unable to bear weight altogether o Exam findings is loss of internal rotation of the hip with flexion o Affected extremity usually is shorter o Loss of abduction and extension · Diagnosis o X-ray · Treatment: o Always referral to pediatric orthopedics o Keep non-weightbearing until surgical evaluation Scoliosis - abnormal lateral curvature of the spine Most common type is idiopathic*to confirm suspected scoliosis an AP and lateral standing view of spine is needed Viral Gastroenteritis complications in children - Most common complication is dehydration, treat with small frequent amounts of oral rehydration solution. Ideal glucose for 4 year old - 90-130 Suspected growth hormone deficiency signs and diagnosis - · Short and slow growth · Childlike faces with prominent forehead · *Initial evaluation should include thyroid function, screen for hypoglycemia, GI illness · CBC, sedimentation rate, UA,