NURS 629 EXAM 3 Questions And Answers Latest Solution Guide.

NURS 629 EXAM 3 Questions And Answers Latest Solution Guide. Risk factors related to elevated cholesterol? Correct Ans :- · Obesity · Diabetes · Hypertension · Family history: o Coronary heart disease prior to age 55 o Hyperlipidemia o Diabetes Most common cyanotic cardiac lesion (disorder) Correct Ans :- Tetralogy of Fallot What is Tetralogy of Fallot? Correct Ans :- a congenital heart condition involving four abnormalities occurring together: 1) Pulmonary valve stenosis 2) RT vent hypertrophy 3)Vent septum Defect 4)Aorta overrides Vent Septum What would be seen on X-ray with TOF Correct Ans :- Boot shaped heart and Rt vent hypertrophy What are the common s/s of tetralogy of Fallot? Correct Ans :- *Cyanosis (hypoxia) *SOB w/exercise *clubbing fingers and toes *delayed growth *systolic and holosystolic murmurs What criteria would you have to consider inpatient admission in a patient with pneumonia Correct Ans :- Comorbidities: lung dz, congenital Heart dz, DM, grunting child, O2 92% What to expect of a 2-mo old visual acuity? Correct Ans :- *Vision of 20/400 *Can fix and follow objects S/S of viral conjunctivitis Correct Ans :- *Starts bilaterally *usually occurs with upper resp tract infection (adenovirus) *serous(watery) drainage *injected conjunctiva *Enlarged or tender preauricular nodes Clinical findings of of viral conjunctivitis Correct Ans :- *Normal visual acuity *injected conjunctiva *Preauricular lymphadenopathy Treatment of viral conjunctivitis Correct Ans :- * Symptomatic only * Warm or Cool compresses * Strict eye/hand hygiene * avoid contacts for a while What do you do for a patient with an elevated B/P on initial visit? Correct Ans :- *Repeat in 1-2 weeks and average over 3 visits *Pt to keep log for review *Encourage healthy lifestyle choices Asthma is disruptive several times during the night/interrupting sleep at least 3 times a week, what's the next step? Correct Ans :- Moderate persistant; prescribe inhaled steroid (flovent) Causative organism of bronchiolitis Correct Ans :- (RSV) Respiratory syncytial virus most likely cause what type of murmur is caused by normal blood flow thru normal cardiac structures in up to 80% children; Midsystolic; can come and go; Gets louder with fever, exercise, and anxiety Correct Ans :- functional or innocent murmur When do innocent murmurs develop? Correct Ans :- (book p 763) age 3-4; (module 10 lect) age 2-6 type of murmur caused by turbulent blood flow caused by a defect or abnormal cardiac structures; Dystolic; Grade ≥ IV; increases with sitting or standing Correct Ans :- pathological murmur.