NUR 336 Exam 5 REVIEW Questions With Complete
Solutions
A fracture of the humerus requires what type of cast? Correct
Answers Long cast
Caring for a Child at Home with a Seizure Disorder: What
medication should be administered if the seizure is >2? Correct
Answers Rectal diazepam
Remember: Stopping the seizure helps prevent further brain
damage.
Chiari Malformations: Decision to do surgery is determined by
what? Correct Answers Location and consistency with
symptoms.
Describe chiari malformation Correct Answers A structural
defect in the cerebellum, the part of the brain that controls
balance.
Side Note: Type I is the most common.
Describe generalized seizures. Correct Answers Caused by
electrical impulses moving through the entire brain.
Describe hydrocephalus. Correct Answers Abnormal
accumulation of (CSF) fluid in the brain.
Describe scoliosis. Correct Answers Curvature of the spine that
deviates from normal spinal alignment.
,Describe skeletal traction. Correct Answers - Continuous
pulling force applied directly to a skeletal structure (or specific
bone).
- Skeletal traction is used when the force is greater than what
skin traction can provide.
- A rod or pin is inserted into the bone and weights applied and
are attached to a rope. The nurse is not to remove the weights.
Describe skin traction. Correct Answers - Utilized for moderate
traction needs to provide comfort.
- Force that is applied by use of weights by tape, straps, boots, or
cuffs to reduce fracture, maintain alignment and allow the
muscles to rest.
Diagnostic studies for DM Type I, includes... Correct Answers
- Elevated blood glucose levels greater than 200 mg/dL
- Elevated hemoglobin A1C levels greater than 7.0
- Decreased serum insulin levels
- Presence of serum and urine ketones
F.A. Davis, pg. 404
DM 1: What type of insulin does a child with an insulin pump
have? Correct Answers Regular insulin (short-acting)
Head trauma in children, what is the nurse most concerned
about? Correct Answers ICP (subdural hematoma)
, How can we prevent sport injuries in children, name some
examples. Correct Answers - Always stretch before and after
play/exercise
- Cool down after hard sports/workouts
- Wear proper shoes and equipment
- "Learn to do your sport right"
- Know your body's limit
- Gradually build-up exercise level
F.A. Davis, pg. 484
How do we diagnose ambiguous genitalia? Correct Answers
Chromosome analysis
How do you assess for scoliosis? Correct Answers Have the
client bend forward at the hips, and while the nurse stands
behind the patient, they look for a lateral curve (and rib hump).
How is chiari malformation diagnosed? Correct Answers MRI
How is clubfoot treated? Correct Answers Serial casting
Note: Weekly changes
How is hydrocephalus treated? Correct Answers VP Shunt:
This type of shunt allows for the drainage from the ventricles of
the brain to the abdomen where the fluid can be reabsorbed into
the bloodstream.
Hydrocephalus: Name one important education that is
imperative for parents/guardians to know? Can you name a few
Solutions
A fracture of the humerus requires what type of cast? Correct
Answers Long cast
Caring for a Child at Home with a Seizure Disorder: What
medication should be administered if the seizure is >2? Correct
Answers Rectal diazepam
Remember: Stopping the seizure helps prevent further brain
damage.
Chiari Malformations: Decision to do surgery is determined by
what? Correct Answers Location and consistency with
symptoms.
Describe chiari malformation Correct Answers A structural
defect in the cerebellum, the part of the brain that controls
balance.
Side Note: Type I is the most common.
Describe generalized seizures. Correct Answers Caused by
electrical impulses moving through the entire brain.
Describe hydrocephalus. Correct Answers Abnormal
accumulation of (CSF) fluid in the brain.
Describe scoliosis. Correct Answers Curvature of the spine that
deviates from normal spinal alignment.
,Describe skeletal traction. Correct Answers - Continuous
pulling force applied directly to a skeletal structure (or specific
bone).
- Skeletal traction is used when the force is greater than what
skin traction can provide.
- A rod or pin is inserted into the bone and weights applied and
are attached to a rope. The nurse is not to remove the weights.
Describe skin traction. Correct Answers - Utilized for moderate
traction needs to provide comfort.
- Force that is applied by use of weights by tape, straps, boots, or
cuffs to reduce fracture, maintain alignment and allow the
muscles to rest.
Diagnostic studies for DM Type I, includes... Correct Answers
- Elevated blood glucose levels greater than 200 mg/dL
- Elevated hemoglobin A1C levels greater than 7.0
- Decreased serum insulin levels
- Presence of serum and urine ketones
F.A. Davis, pg. 404
DM 1: What type of insulin does a child with an insulin pump
have? Correct Answers Regular insulin (short-acting)
Head trauma in children, what is the nurse most concerned
about? Correct Answers ICP (subdural hematoma)
, How can we prevent sport injuries in children, name some
examples. Correct Answers - Always stretch before and after
play/exercise
- Cool down after hard sports/workouts
- Wear proper shoes and equipment
- "Learn to do your sport right"
- Know your body's limit
- Gradually build-up exercise level
F.A. Davis, pg. 484
How do we diagnose ambiguous genitalia? Correct Answers
Chromosome analysis
How do you assess for scoliosis? Correct Answers Have the
client bend forward at the hips, and while the nurse stands
behind the patient, they look for a lateral curve (and rib hump).
How is chiari malformation diagnosed? Correct Answers MRI
How is clubfoot treated? Correct Answers Serial casting
Note: Weekly changes
How is hydrocephalus treated? Correct Answers VP Shunt:
This type of shunt allows for the drainage from the ventricles of
the brain to the abdomen where the fluid can be reabsorbed into
the bloodstream.
Hydrocephalus: Name one important education that is
imperative for parents/guardians to know? Can you name a few
