NR 602 Midterm Exam
How is Kawasaki disease diagnosed? -VERIFIED 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.
How to treat Kawasaki disease: -VERIFIED ANSWER IVIG and aspirin
What is retinoblastoma? -VERIFIED ANSWER malignant tumor of the retina
signs and symptoms of retinoblastoma -VERIFIED ANSWER whitish glow in pupil - cat's eye reflex
(leukocoria). Eyes looking in different directions, poor vision, eye swelling, eye redness
When should children be screened for retinoblastoma - VERIFIED 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.
Risk factors for retinoblastoma -VERIFIED 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
, s/sx of hypothyroidism in pediatric clients - VERIFIED 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)
Is imaging warranted in a pediatric client with Asthma - VERIFIED ANSWER imaging should be
minimized r/t the exposure to radiation in children.
What is intermittent asthma? -VERIFIED 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 meverified answer that you only have symptoms sometimes. People with
intermittent asthma usually have symptoms 2 days a week or less often
What is mild persistent asthma? -VERIFIED ANSWER • *Symptoms*: >2 days/week but not daily
• Nighttime awakenings: 3-4x/month
How is Kawasaki disease diagnosed? -VERIFIED 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.
How to treat Kawasaki disease: -VERIFIED ANSWER IVIG and aspirin
What is retinoblastoma? -VERIFIED ANSWER malignant tumor of the retina
signs and symptoms of retinoblastoma -VERIFIED ANSWER whitish glow in pupil - cat's eye reflex
(leukocoria). Eyes looking in different directions, poor vision, eye swelling, eye redness
When should children be screened for retinoblastoma - VERIFIED 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.
Risk factors for retinoblastoma -VERIFIED 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
, s/sx of hypothyroidism in pediatric clients - VERIFIED 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)
Is imaging warranted in a pediatric client with Asthma - VERIFIED ANSWER imaging should be
minimized r/t the exposure to radiation in children.
What is intermittent asthma? -VERIFIED 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 meverified answer that you only have symptoms sometimes. People with
intermittent asthma usually have symptoms 2 days a week or less often
What is mild persistent asthma? -VERIFIED ANSWER • *Symptoms*: >2 days/week but not daily
• Nighttime awakenings: 3-4x/month
