NR602 Midterm- My Study Set
What is Tertiary Care of nursing - Answer-tertiary care requires both specialized expertise and
equipment; and quaternary care requires highly specialized expertise and highly unusual or specialized
equipment
A child gets an animal bite how should you treat the wound - Answer-1. Leave animal and human bites
open for healing by granulation
2. Administer tetanus booster and rabies prophylaxis if indicated
3. Using normal saline, irrigate the wounds using high pressure
4. Prescribe a 3- to 5-day course of prophylactic antibiotics
Prescribe a broad-spectrum antibiotic, such as amoxicillin clavulanate (first choice)
Treat penicillin-allergic individuals with an extended-spectrum cephalosporin or trimethoprim-
sulfamethoxazole plus clindamycin
What is the Rotavirus - Answer-Rotavirus disease is common among infants and young children.
Rotavirus can cause severe watery diarrhea, vomiting, fever, and abdominal pain. Some children with
rotavirus disease lose a lot of fluids and become very dehydrated.
What is enterovirus? - Answer-The red sores known as hand-foot-and-mouth disease usually go away in
7 to 10 days
Symptoms on Enterovirus - Answer-Muscle aches
Fever
Sore throat
Red sores known as hand-foot-and-mouth disease
,What is a sprain? - Answer-stretching or tearing of ligaments
What is patellofemoral pain syndrome? - Answer-"Anterior knee pain" or "runner's knee". 3 categories;
overuse, biomechanical, muscle dysfunction.
What is Osgood-Schlatter disease? - Answer-common cause of knee pain in adolescent male athletes
- periods of rapid growth in which the quadriceps tendon puts traction on the apophysis of the tibial
tubercle where the patellar tendon inserts
- traction apophysitis is worsened by sports that involve repetitive running, jumping, or kneeling and
improves with rest
DX: radiographic finding: anterior soft tissue swelling, lifting of tubercle from the shaft, irregularity or
fragmentation of the tubercle.
PE: edema and tenderness over the tibial tubercle. may feel a mass because of heterotopic bone
formation. Pain reproduced by extending the knee against resistance
TX: activity restriction, stretching exercises, NSAIDs
What is hydrocephalus? - Answer-a condition in which fluid accumulates in the brain, typically in young
children, enlarging the head and sometimes causing brain damage.
What is cerebral palsy? - Answer-A permanent impairment affecting automatic postural control and
movement as a result of a non-progressive brain disorder
symptoms of migraine headache - Answer-dull to throbbing head pain
sensitivity to light, sound
,nausea, vomiting
visual aura
Treatment for Migraine - Answer-1. Avoid Triggers (stress, foods, alcohol etc)
2. Take NSAIDs
3.*Triptans* if more severe
4. *Topiramate*
5. Follow-up 4-6 weeks if treating
6. AVOID Opiods
Secondary headaches - Answer-Headaches caused by other illnesses as a symptom of another problem.
Pathologic headache - Answer--Another disease is causing a headache
-Ex: HTN, hypothyroidism, and tumors
sickle cell disease - Answer-Individuals who are homozygous for the gene controlling hemoglobin S.
The disease is characterized by the destruction of red blood cells and by episodic blocking of blood
vessels by the adherence of sickle cells to the vascular endothelium.
sickle cell disease treatment - Answer-•Symptom specific
•Prevention of infection
•Avoidance of temperature extremes
•Reduction in emotional and physical stress
•Drugs:
-Promote production of red blood cells with hemoglobin F
-Treatment of pain and infection
, atrial septal defect - Answer-ASD; a hole in the atrial septum that causes blood in the RA and LA to mix
atrial septal defect treatment - Answer-May have spontaneous closure
If not closed by school age → repaired
Device closure - septal ocluder by catheter
Surgery - patch or stitches; Infection control for endocarditis after surgery
Medical management - symptomatic child;
Digoxin and diuretics
ventricular septal defect (VSD) - Answer-a hole in the ventricular septum that causes blood to mix
between the RV and LV
treatment of ventricular septal defect - Answer-1. digoxin
2. diuretics
3. high calorie formula
4. surgical repair (open heart surgery) or pulmonary artery banding to decrease pulmonary blood flow
*fluid restriction is rare
**watch for postop arrhythmia
Which region globally has the highest infant mortality rate? - Answer-Sub Saharan Africa Correct
The primary care pediatric nurse practitioner understands that, to achieve the greatest worldwide
reduction in child mortality from pneumonia and diarrhea, which intervention is most effective? -
Answer-C. Vaccinations
What is Tertiary Care of nursing - Answer-tertiary care requires both specialized expertise and
equipment; and quaternary care requires highly specialized expertise and highly unusual or specialized
equipment
A child gets an animal bite how should you treat the wound - Answer-1. Leave animal and human bites
open for healing by granulation
2. Administer tetanus booster and rabies prophylaxis if indicated
3. Using normal saline, irrigate the wounds using high pressure
4. Prescribe a 3- to 5-day course of prophylactic antibiotics
Prescribe a broad-spectrum antibiotic, such as amoxicillin clavulanate (first choice)
Treat penicillin-allergic individuals with an extended-spectrum cephalosporin or trimethoprim-
sulfamethoxazole plus clindamycin
What is the Rotavirus - Answer-Rotavirus disease is common among infants and young children.
Rotavirus can cause severe watery diarrhea, vomiting, fever, and abdominal pain. Some children with
rotavirus disease lose a lot of fluids and become very dehydrated.
What is enterovirus? - Answer-The red sores known as hand-foot-and-mouth disease usually go away in
7 to 10 days
Symptoms on Enterovirus - Answer-Muscle aches
Fever
Sore throat
Red sores known as hand-foot-and-mouth disease
,What is a sprain? - Answer-stretching or tearing of ligaments
What is patellofemoral pain syndrome? - Answer-"Anterior knee pain" or "runner's knee". 3 categories;
overuse, biomechanical, muscle dysfunction.
What is Osgood-Schlatter disease? - Answer-common cause of knee pain in adolescent male athletes
- periods of rapid growth in which the quadriceps tendon puts traction on the apophysis of the tibial
tubercle where the patellar tendon inserts
- traction apophysitis is worsened by sports that involve repetitive running, jumping, or kneeling and
improves with rest
DX: radiographic finding: anterior soft tissue swelling, lifting of tubercle from the shaft, irregularity or
fragmentation of the tubercle.
PE: edema and tenderness over the tibial tubercle. may feel a mass because of heterotopic bone
formation. Pain reproduced by extending the knee against resistance
TX: activity restriction, stretching exercises, NSAIDs
What is hydrocephalus? - Answer-a condition in which fluid accumulates in the brain, typically in young
children, enlarging the head and sometimes causing brain damage.
What is cerebral palsy? - Answer-A permanent impairment affecting automatic postural control and
movement as a result of a non-progressive brain disorder
symptoms of migraine headache - Answer-dull to throbbing head pain
sensitivity to light, sound
,nausea, vomiting
visual aura
Treatment for Migraine - Answer-1. Avoid Triggers (stress, foods, alcohol etc)
2. Take NSAIDs
3.*Triptans* if more severe
4. *Topiramate*
5. Follow-up 4-6 weeks if treating
6. AVOID Opiods
Secondary headaches - Answer-Headaches caused by other illnesses as a symptom of another problem.
Pathologic headache - Answer--Another disease is causing a headache
-Ex: HTN, hypothyroidism, and tumors
sickle cell disease - Answer-Individuals who are homozygous for the gene controlling hemoglobin S.
The disease is characterized by the destruction of red blood cells and by episodic blocking of blood
vessels by the adherence of sickle cells to the vascular endothelium.
sickle cell disease treatment - Answer-•Symptom specific
•Prevention of infection
•Avoidance of temperature extremes
•Reduction in emotional and physical stress
•Drugs:
-Promote production of red blood cells with hemoglobin F
-Treatment of pain and infection
, atrial septal defect - Answer-ASD; a hole in the atrial septum that causes blood in the RA and LA to mix
atrial septal defect treatment - Answer-May have spontaneous closure
If not closed by school age → repaired
Device closure - septal ocluder by catheter
Surgery - patch or stitches; Infection control for endocarditis after surgery
Medical management - symptomatic child;
Digoxin and diuretics
ventricular septal defect (VSD) - Answer-a hole in the ventricular septum that causes blood to mix
between the RV and LV
treatment of ventricular septal defect - Answer-1. digoxin
2. diuretics
3. high calorie formula
4. surgical repair (open heart surgery) or pulmonary artery banding to decrease pulmonary blood flow
*fluid restriction is rare
**watch for postop arrhythmia
Which region globally has the highest infant mortality rate? - Answer-Sub Saharan Africa Correct
The primary care pediatric nurse practitioner understands that, to achieve the greatest worldwide
reduction in child mortality from pneumonia and diarrhea, which intervention is most effective? -
Answer-C. Vaccinations
