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Exam 2: Study Guide:NR 328 Exam 2 Study Guide: Updated Solution

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Exam 2: Study Guide:NR 328 Exam 2 Study Guide: Updated Solution

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Exam 2: Study Guide:NR 328 Exam 2 Study Guide: Updated
Solution

This disorder is associated with cloudy, tea-colored urine, hematuria (blood in urine), proteinuria(protein
in urine), and facial edema that is worse in the morning and happens post-streptococcal infection? -
ANSWER:Acute glomerulonephritis

The greatest predictor of dehydration in infants? - ANSWER:Weight is the greatest and also sunken
fontanels and irritability may be present.

This type of dehydration would require 50 ml/kg of rehydration fluid within 4 hours. - ANSWER:Mild
dehydration

This electrolyte if high or too low can cause heart arrhythmias, and can be dangerously

imbalanced when a child has vomiting or diarrhea. - ANSWER:Potassium

This medication is given for Nephrotic Syndrome and will need to be tapered after 2-5

months. - ANSWER:Prednisone or corticosteroids

These diet restrictions should be followed in patients that have peripheral edema with

acute glomerulonephritis. - ANSWER:Low sodium and fluid restrictions

This procedure is the preferred means of renal replacement therapy in the pediatric age

group - ANSWER:Kidney transplant

This disorder's urinalysis will show proteinuria (up to 15 grams of protein in a 24-hour

specimen), hyaline casts, few RBCs, oval fat bodies, and increased specific gravity, it is

not contagious. - ANSWER:Nephrotic syndrome

This condition which causes urine to flow back into the kidneys can result in kidney

infection which can lead to sepsis. - ANSWER:Vesicoureteral reflex

This condition is when the bladder develops outside of the body. - ANSWER:Exstrophy of the bladder

This lab test involves the blood glucose levels being drawn every 30 minutes for 2 hours. - ANSWER:Oral
glucose tolerance test

(dont eat, make you chug this nasty sugar water and check

blood sugar how that goes down as diagnosing children with diabetes)

The expected HBA1C range for a child less than 6 years old with diabetes mellitus - ANSWER:7.5-8.5%

For what reasons would you need to call the provider during a period of illness with

, diabetes mellitus? - ANSWER:Blood gluocse greater than 240. Positive ketones in urine, disorientation or
confusion,

rapid breathing, vomiting occurring more than once, liquids cant be tolerated.

This type of insulin has an onset of 30 minutes to 1 hour and has a peak of 1 hour to 5 hours. -
ANSWER:Short acting, regular rapid insulin

This term is associated with blood glucose greater than 250, thirst, polyuria early on, dry

mucous membranes, rapid deep respirations, and a weak pulse. - ANSWER:Hypoglycemia

This yearly vaccine should be given to diabetic children for this reason - ANSWER:Flu vaccine

Signs of hypoglycemia in a pediatric patient. - ANSWER:Confused, shakiness, irritable, pallor, sweating,
confusion, dizziness, hangry

Sick day rules for patients with type 1 diabetes. - ANSWER:Check blood sugar every 3 hours

your provider, take your insulin still, check urine for ketones. consume 15 g of carb snacks every 1-2
hours, contact

When giving injections we often do this to avoid injecting into a vessel. This is not necessary when giving
subQ insulin. - ANSWER:Aspirate

This is the order in which you draw up different insulins - ANSWER:Clear fast-acting to long-acting cloudy

Clear b4 cloudy days

Surgical repair is done between 2 to 3 months of age for this facial disorder. - ANSWER:Cleft lip

For a cleft palate repair postoperatively name three nursing actions you will do - ANSWER:Remain
upwrite for feeding, place infants side-lying not on their abdomen, avoiding

ibuprofen, maintaining IV fluids until able to drink and eat, avoiding pacifiers, straws,

hard tipping sippy cups, keeping infant NPO for 4 hours and then allowing liquids for the

first 3-4 days than progress to soft diet, elbow restrains, monitor airway obstruction,

encourage breastfeeding.

This type of diet is given to a patient with Hirschsprung's disease. - ANSWER:High protein, high calorie,
low fiber

This will cause a child to have sudden extreme abdominal pain with currant-like jelly

stool, and an abdominal sausage-shaped mass. - ANSWER:Intussusception(teliscoping of intestine)

This disorder is associated with an olive-shaped mass in the right upper quadrant of the

abdomen and involves projectile vomiting. - ANSWER:Hypertrophic Pyloric Stenosis

This is the type and an example of the diet expected after the repair of intussusception. - ANSWER:Clear
liquid diet with electrolyte and glucose
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