NURS 421 PEDIATRICS: FINAL EXAM
What are the 3 classic S/Sx of asthma? - Cough
Dyspnea
Wheeze
CYSTIC FIBROSIS
1. Targets the ___ glands leading to secretions of ____
2. Characterized by dysfunction of ____, _____, and ____
3. Meds (3!) and Therapy indicated? - 1. exocrine glands --> viscous NaCl secretions
2. respiratory tract, pancreas, GI tract
3. Enteric coated pancreatic enzymes, ABX, Pulmozyme, Airway Clearance Therapy (ART)
SEIZURES
1. Partial seizures affect ____. Simple partial is characterized by ____, while complex partial is
characterized by ____
2. Generalized seizures affect ___. Tonic clonic seizures are characterized by ____ - 1.
- One area of the brain
- no changes in LOC, smell aura
,- change in LOC, BLANK STARE!
2.
- the entire brain
- jerking motion w/ hypertonia, urinary incontinence
Your pt is having a seizure. They have a blank stare with no changes in their vital signs.
1. What type of seizure is this?
2. What is the Tx? - 1. Complex Partial
2. O2 blow by, blood draw for anti-seizure med levels
The nurse is explaining the risks of anaphylaxis that can occur in children. Major risks of anaphylaxis
include: (Select all that apply)
a. Vasodilation and hypotension
b. Bronchodilation
c. Decreased level of consciousness
d. Angioedema - a. Vasodilation and hypotension
c. Decreased level of consciousness
d. Angioedema
Which type of shock is characterized by a hypersensitivity reaction causing massive vasodilation and
capillary leaks, which may occur when exposed to an allergen?
,a. Hypovolemic
b. Anaphylactic
c. Cardiogenic
d. Neurogenic - b. Anaphylactic
All of the following interventions are treatments for anaphylactic shock except:
a. Amoxicillin 50mg/kg for 5 days
b. Put the patient in the supine position and raise their legs
c. IM Epinephrine
d. Normal saline IV bolus to improve perfusion. - a. Amoxicillin 50mg/kg for 5 days
An 8-year-old girl with a change in level of consciousness is being assessed. All of these could be signs of
anaphylactic shock except:
a. Capillary refill time: 4 seconds
b. Oxygen saturation: 99%
c. BP: 71/52
d. HR: 136 - b. Oxygen saturation: 99%
Your pt is in anaphylactic shock. Describe what you expect to see in each assessment
1. Respiratory system
2. Integumentary System
3. GI system
, 4. CNS - 1. WHEEZING d/t bronchoconstriction
2. Rashes and edema d/t vasodilation and increased permeability
3. abd pain
4. Changes in LOC
Stridor is a common clinical finding in the following: (Select all that apply)
a. Acute epiglottitis
b. Croup
c. Upper airway obstruction
d. Asthma - a. Acute epiglottitis
b. Croup
c. Upper airway obstruction
Which child with asthma should the nurse see first?
a. A two year old with expiratory wheezes only
b. A two year old with inpiratory wheezes only
c. A two year old who is not wheeze and proudly singing the ABC's in two breaths.
d. A two year old with inspiratory and expiratory wheezes - b. A two year old with inpiratory wheezes
only
What are the 3 classic S/Sx of asthma? - Cough
Dyspnea
Wheeze
CYSTIC FIBROSIS
1. Targets the ___ glands leading to secretions of ____
2. Characterized by dysfunction of ____, _____, and ____
3. Meds (3!) and Therapy indicated? - 1. exocrine glands --> viscous NaCl secretions
2. respiratory tract, pancreas, GI tract
3. Enteric coated pancreatic enzymes, ABX, Pulmozyme, Airway Clearance Therapy (ART)
SEIZURES
1. Partial seizures affect ____. Simple partial is characterized by ____, while complex partial is
characterized by ____
2. Generalized seizures affect ___. Tonic clonic seizures are characterized by ____ - 1.
- One area of the brain
- no changes in LOC, smell aura
,- change in LOC, BLANK STARE!
2.
- the entire brain
- jerking motion w/ hypertonia, urinary incontinence
Your pt is having a seizure. They have a blank stare with no changes in their vital signs.
1. What type of seizure is this?
2. What is the Tx? - 1. Complex Partial
2. O2 blow by, blood draw for anti-seizure med levels
The nurse is explaining the risks of anaphylaxis that can occur in children. Major risks of anaphylaxis
include: (Select all that apply)
a. Vasodilation and hypotension
b. Bronchodilation
c. Decreased level of consciousness
d. Angioedema - a. Vasodilation and hypotension
c. Decreased level of consciousness
d. Angioedema
Which type of shock is characterized by a hypersensitivity reaction causing massive vasodilation and
capillary leaks, which may occur when exposed to an allergen?
,a. Hypovolemic
b. Anaphylactic
c. Cardiogenic
d. Neurogenic - b. Anaphylactic
All of the following interventions are treatments for anaphylactic shock except:
a. Amoxicillin 50mg/kg for 5 days
b. Put the patient in the supine position and raise their legs
c. IM Epinephrine
d. Normal saline IV bolus to improve perfusion. - a. Amoxicillin 50mg/kg for 5 days
An 8-year-old girl with a change in level of consciousness is being assessed. All of these could be signs of
anaphylactic shock except:
a. Capillary refill time: 4 seconds
b. Oxygen saturation: 99%
c. BP: 71/52
d. HR: 136 - b. Oxygen saturation: 99%
Your pt is in anaphylactic shock. Describe what you expect to see in each assessment
1. Respiratory system
2. Integumentary System
3. GI system
, 4. CNS - 1. WHEEZING d/t bronchoconstriction
2. Rashes and edema d/t vasodilation and increased permeability
3. abd pain
4. Changes in LOC
Stridor is a common clinical finding in the following: (Select all that apply)
a. Acute epiglottitis
b. Croup
c. Upper airway obstruction
d. Asthma - a. Acute epiglottitis
b. Croup
c. Upper airway obstruction
Which child with asthma should the nurse see first?
a. A two year old with expiratory wheezes only
b. A two year old with inpiratory wheezes only
c. A two year old who is not wheeze and proudly singing the ABC's in two breaths.
d. A two year old with inspiratory and expiratory wheezes - b. A two year old with inpiratory wheezes
only
