Nursing 235 Exam 4 Questions With Complete Solutions
Acne Correct Answers Pilosebaceous follicles on face, neck,
shoulders, back, and upper chest
-usually effects teenagers
S/S:
-lesions (inflamed or non inflamed)
-redness
Treatment:
-tretinoin (topical)
-benzoyl peroxide wash
-oral antibiotics (doxycycline)
-topical antibiotics
-severe acne (isotrenitoin): very drying, need routine blood work
and pregnancy tests
Acute glomerulonephritis Correct Answers Immune-Complex
disease that is usually post-infection (streptococcal) in response
to preceding illness (most common is streptococcal)
-peak ages are between 3-12 years of age
Pathophysiology
-Glomeruli become edematous and occluded
-Decreased glomerular filtration
-Accumulation of water and retention of sodium
-Circulatory congestion and edema
S/S:
-Edema (periorbital/facial)
,-Decreased urine volume
-urine cloudy tea colored
-Dysuria
-hematuria (blood in urine)*
-Proteinuria
-Oliguria
-Increased specific gravity
-Negative culture
-Hypertension
Diagnostics:
-US
-labs
-antistrptolysin
-renal biopsy may be necessary
-throat culture
Apnea Correct Answers ALTE: apparent life threatening event
BRUE: brief resolved unexplained event
-cease of breathing for a period of time longer than 20 seconds
S/S:
-cyanosis
-bradycardia
-pallor
-hypotonia
Causes:
-prematurity
-GERD
-maternal drug use
,-acute respiratory infection
-seizures
-feeding aspiration
-heart defects
Treatment:
-caffeine
-methlxanthine
-doxapram
-GERD meds
-home apnea monitor/pulse ox
Appendicitis Correct Answers Inflammation of the vermiform
appendix caused from an obstruction of the lumen of the
appendix
*sudden pain relief may indicate rupture*
S/S:
-Abdominal pain RLQ
-Rigid abdomen
-Bowel Sounds decreased (hypoactive or absent)
-Fever
-Diarrhea or Constipation
-Lethargy
-Tachycardia, rapid shallow breathing
-Anorexia, possible vomiting
Diagnosis:
-McBurney point: pain and tenderness when palpated (rebound
tenderness)
-Markle Sign: jump up and down, see if it jars stomach/pain
, -Dunphey test: have patient cough/pressure=pain in abdomen
-Ultrasound or CT of RLQ abdomen
-CBC and UA may be ordered (rule out UTI)
Treatment: Removal of nonruptured appendix
ARDS (acute respiratory distress syndrome) Correct Answers
Respiratory Distress that is potentially life threatening
inflammatory lung condition.
Characterized by: inflammatory process of the alveolar-capillary
membrane that is related to underdeveloped lungs and surfactant
deficiency, usually in preterm infants< 34 weeks
S/S:
-alveolar edema and may collapse
-increased airway resistance
-altered surface tension causes fluid and protein leak from
capillaries
-atelectasis, results in hypoventilation, causing Respiratory
Acidosis
S/S: Respiratory Distress
Interventions:
-Pulmonary Hygiene
-early positive airway pressure or mechanical vent,
-ECMO (artificial heart/lung)
-HOB up
-postural drainage
-bronchodilators
-corticosteroids
Acne Correct Answers Pilosebaceous follicles on face, neck,
shoulders, back, and upper chest
-usually effects teenagers
S/S:
-lesions (inflamed or non inflamed)
-redness
Treatment:
-tretinoin (topical)
-benzoyl peroxide wash
-oral antibiotics (doxycycline)
-topical antibiotics
-severe acne (isotrenitoin): very drying, need routine blood work
and pregnancy tests
Acute glomerulonephritis Correct Answers Immune-Complex
disease that is usually post-infection (streptococcal) in response
to preceding illness (most common is streptococcal)
-peak ages are between 3-12 years of age
Pathophysiology
-Glomeruli become edematous and occluded
-Decreased glomerular filtration
-Accumulation of water and retention of sodium
-Circulatory congestion and edema
S/S:
-Edema (periorbital/facial)
,-Decreased urine volume
-urine cloudy tea colored
-Dysuria
-hematuria (blood in urine)*
-Proteinuria
-Oliguria
-Increased specific gravity
-Negative culture
-Hypertension
Diagnostics:
-US
-labs
-antistrptolysin
-renal biopsy may be necessary
-throat culture
Apnea Correct Answers ALTE: apparent life threatening event
BRUE: brief resolved unexplained event
-cease of breathing for a period of time longer than 20 seconds
S/S:
-cyanosis
-bradycardia
-pallor
-hypotonia
Causes:
-prematurity
-GERD
-maternal drug use
,-acute respiratory infection
-seizures
-feeding aspiration
-heart defects
Treatment:
-caffeine
-methlxanthine
-doxapram
-GERD meds
-home apnea monitor/pulse ox
Appendicitis Correct Answers Inflammation of the vermiform
appendix caused from an obstruction of the lumen of the
appendix
*sudden pain relief may indicate rupture*
S/S:
-Abdominal pain RLQ
-Rigid abdomen
-Bowel Sounds decreased (hypoactive or absent)
-Fever
-Diarrhea or Constipation
-Lethargy
-Tachycardia, rapid shallow breathing
-Anorexia, possible vomiting
Diagnosis:
-McBurney point: pain and tenderness when palpated (rebound
tenderness)
-Markle Sign: jump up and down, see if it jars stomach/pain
, -Dunphey test: have patient cough/pressure=pain in abdomen
-Ultrasound or CT of RLQ abdomen
-CBC and UA may be ordered (rule out UTI)
Treatment: Removal of nonruptured appendix
ARDS (acute respiratory distress syndrome) Correct Answers
Respiratory Distress that is potentially life threatening
inflammatory lung condition.
Characterized by: inflammatory process of the alveolar-capillary
membrane that is related to underdeveloped lungs and surfactant
deficiency, usually in preterm infants< 34 weeks
S/S:
-alveolar edema and may collapse
-increased airway resistance
-altered surface tension causes fluid and protein leak from
capillaries
-atelectasis, results in hypoventilation, causing Respiratory
Acidosis
S/S: Respiratory Distress
Interventions:
-Pulmonary Hygiene
-early positive airway pressure or mechanical vent,
-ECMO (artificial heart/lung)
-HOB up
-postural drainage
-bronchodilators
-corticosteroids
