NUR 254 EXAM 3 WITH QUESTIONS AND ANSWERS, LATEST 2025/2026-GALEN COLLEGE OF NURSING

NUR 254 EXAM 3 WITH QUESTIONS AND ANSWERS, LATEST 2025/2026-GALEN COLLEGE OF NURSING Heart Failure - ANSWER -Early signs- increase respiratory rate, poor feeding Digoxin (Apical pulse, monitor K & NA) Lasix Increase HR & RR @ rest Increase weight Right sided heart failure - ANSWER -1. Jungular Vein Distention 2. Ascending Dependent Edema 3. Weight Gain 4. Hepatomegaly (Liver Enlargement) 5. Ascites Heart Failure Goals - ANSWER -apical pulse 90 beats per minute Getting better Weight decrease Acute Epiglottis - ANSWER -Emergency Drooling, Irritable No visualizing/ inspection No throat culture Laryngotracheobronchitis (Croup) - ANSWER -Barking Cough Priority- assess respiratory status Ventricular Septal defects - ANSWER -acyanotic Loud systolic murmur- may not e heard until 6 to 8 weeks Treatment- wait & see, septal occluded, patch Murmur in left sternum, grunting while feeding Tricuspid Atresia - ANSWER -Decreased pulmonary blood flow Must be repaired immediately Missing tricuspid valve Arterial Septal Defect - ANSWER -Acyanotic Soft blowing systolic murmur Pulmonary inflammatory disease Forman ovule didn't close Murmur is normal coarctation of the aorta (CoA) - ANSWER -Increase pressure to head & upper extremities ( increase BP, pounding pulses) Decrease pressure to lower extremities ( decrease BP, weak or absent, cool) Tetralogy of Fallot - ANSWER -Cyanotic 4 defects; VSD, pulmonic stenosis, Right Ventricular Hypertrophy, Overriding aorta tet spells - ANSWER -Stop activity Knees to chest Calm Oxygen Morphine or propranolol Stay with child How much water should an adolescent child drink per day? - ANSWER -8 oz & 8 cups per day RSV - ANSWER -Tachypnea- severe s/s Monitor 02 sat Cystic Fibrosis - ANSWER -Complication- failure to thrive Increase Calories, Carbs, Protein Lower Fat Progressive/Genetic- no cure Secretions abnormally thick Avoid crowds Handwashing Postural Drainage - ANSWER -use of body positioning to assist in removal of secretions from specific lobes of the lung, bronchi, or lung cavities CPT then hold down Otitis Media - ANSWER -Priority- acute pain management Teaching prevention- feed upright, breastfeed, avoid smoke exposure, immunize, avoid people with respiratory infections Tonsil & Adenoids - ANSWER -Monitor for bleeding, frequent swallowing Vomiting bright red= call surgeon/MD stat Kawasaki disease - ANSWER -Unknown cause Strawberry tongue, peely skin Monitor temperature frequently Rheumatic fever & carditis - ANSWER -No contact sports Rheumatic fever - ANSWER -After group a strep infection Increased ASO titter Antibiotics before dental work Asthma - ANSWER -Wheezing Avoid allergens, relive Bronchospasms, exercise, recognize deterioration, NSAIDs Asthma D/C instructions - ANSWER -Avoid triggers Encourage use of expiratory flow meter Encourage sports that require short bursts of energy Rinse mouth after MDI use Status Asthmaticus - ANSWER -Absence of wheezing, immediate follow up required Respiratory assessment - ANSWER -Look- Inspection a. How does the patient look overall? b. Difficulty breathing? c. Clubbing of fingers? d. Tripod positioning? Retractions? Assess- listen Digoxin - ANSWER -Hold med if pulse is less than 70 Pancreatic Enzymes - ANSWER -digestive proteins found in pancreatic secretions that breakdown all organic nutrients