NR 602 Midterm Exam
How is Kawasaki disease diagnosed? - ANS: No specific lab test. (no blood test)
Liver tests may be abnormal
Diagnosis is made by meeting these criteria:
Fever for at least 5 days
4 of these 5 conditions must be met
- Mucous membrane changes such as red tongue and dry fissured lips
- Swelling of hands and feet.
- Enlarged lymph nodes in the neck
- Diffuse red rash covering most of
the body.
- Redness of eyes.
o Illness cannot be explained by any known disease process.
How to treat Kawasaki disease: - ANS: IVIG and aspirin
What is retinoblastoma? - ANS: malignant tumor of the retina
signs and symptoms of retinoblastoma - ANS: whitish glow in pupil - cat's eye reflex (leukocoria). Eyes
looking in different directions, poor vision, eye swelling, eye redness
When should children be screened for retinoblastoma - ANS: from birth up to the age of 7 years. After
age 7 years, no further screening of asymptomatic children is recommended, unless they are known to
carry an RB1 mutation. Most children diagnosed are younger than 3 years old.
,Risk factors for retinoblastoma - ANS: Diets low in fruits and vegetables among mothers during
pregnancy
Exposure to chemicals in gasoline or diesel exhaust during pregnancy
Exposure of fathers to radiation
Older age among fathers
s/sx of hypothyroidism in pediatric clients - ANS: Slowed growth rate
Puffy face
Swollen hands and feet
Poor muscle tone
Sluggishness, sleepiness
Constipation
Fatigue
Dry, itchy scalp
Dry, coarse skin
Heavy menstruation in girls
Mood swings
Weight gain
Hoarse cry or voice
Dry, coarse skin
Enlarged thyroid gland (goiter)
Is imaging warranted in a pediatric client with Asthma - ANS: imaging should be minimized r/t the
exposure to radiation in children.
What is intermittent asthma? - ANS: Rule of 2's:
, Symptoms: <2 days/week
Nighttime: <2 times/ mo
Rescue inhaler use: <2 days per week
Limitation with activity: none
Lung function: FEV1>80% , normal between exacerbations.
Intermittent asthma me ANS: that you only have symptoms sometimes. People with intermittent asthma
usually have symptoms 2 days a week or less often
What is mild persistent asthma? - ANS: • *Symptoms*: >2 days/week but not daily
• Nighttime awakenings: 3-4x/month
• *SABA use*: > 2 days/week but not daily
• *Interference with normal activity*: Minor
• *Lung Function*:
- FEV*: > 80% predicted
- FEV1/FVC: normal
Persistent asthma me ANS: that you have symptoms regularly. People with mild persistent asthma have
asthma symptoms more than twice a week, but not every day.
What is moderate persistent asthma? - ANS: • *Symptoms*: Daily
• Nighttime awakenings: >1x/week but not nightly
• *SABA use*: Daily
• *Interference with normal activity*: Some limitations
• *Lung Function*:
- FEV*: < 60% but< 80% predicted
How is Kawasaki disease diagnosed? - ANS: No specific lab test. (no blood test)
Liver tests may be abnormal
Diagnosis is made by meeting these criteria:
Fever for at least 5 days
4 of these 5 conditions must be met
- Mucous membrane changes such as red tongue and dry fissured lips
- Swelling of hands and feet.
- Enlarged lymph nodes in the neck
- Diffuse red rash covering most of
the body.
- Redness of eyes.
o Illness cannot be explained by any known disease process.
How to treat Kawasaki disease: - ANS: IVIG and aspirin
What is retinoblastoma? - ANS: malignant tumor of the retina
signs and symptoms of retinoblastoma - ANS: whitish glow in pupil - cat's eye reflex (leukocoria). Eyes
looking in different directions, poor vision, eye swelling, eye redness
When should children be screened for retinoblastoma - ANS: from birth up to the age of 7 years. After
age 7 years, no further screening of asymptomatic children is recommended, unless they are known to
carry an RB1 mutation. Most children diagnosed are younger than 3 years old.
,Risk factors for retinoblastoma - ANS: Diets low in fruits and vegetables among mothers during
pregnancy
Exposure to chemicals in gasoline or diesel exhaust during pregnancy
Exposure of fathers to radiation
Older age among fathers
s/sx of hypothyroidism in pediatric clients - ANS: Slowed growth rate
Puffy face
Swollen hands and feet
Poor muscle tone
Sluggishness, sleepiness
Constipation
Fatigue
Dry, itchy scalp
Dry, coarse skin
Heavy menstruation in girls
Mood swings
Weight gain
Hoarse cry or voice
Dry, coarse skin
Enlarged thyroid gland (goiter)
Is imaging warranted in a pediatric client with Asthma - ANS: imaging should be minimized r/t the
exposure to radiation in children.
What is intermittent asthma? - ANS: Rule of 2's:
, Symptoms: <2 days/week
Nighttime: <2 times/ mo
Rescue inhaler use: <2 days per week
Limitation with activity: none
Lung function: FEV1>80% , normal between exacerbations.
Intermittent asthma me ANS: that you only have symptoms sometimes. People with intermittent asthma
usually have symptoms 2 days a week or less often
What is mild persistent asthma? - ANS: • *Symptoms*: >2 days/week but not daily
• Nighttime awakenings: 3-4x/month
• *SABA use*: > 2 days/week but not daily
• *Interference with normal activity*: Minor
• *Lung Function*:
- FEV*: > 80% predicted
- FEV1/FVC: normal
Persistent asthma me ANS: that you have symptoms regularly. People with mild persistent asthma have
asthma symptoms more than twice a week, but not every day.
What is moderate persistent asthma? - ANS: • *Symptoms*: Daily
• Nighttime awakenings: >1x/week but not nightly
• *SABA use*: Daily
• *Interference with normal activity*: Some limitations
• *Lung Function*:
- FEV*: < 60% but< 80% predicted
