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NURS 629 EXAM 3 Questions And Answers
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NURS 629 EXAM 3 Questions And AnswersRisk 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
symptoms of croup
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