MARYVILLE MVU PEDI OB NURS 629 EXAM 3 WITH VERIFIED SOLUTIONS
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NURS 629
Institution
NURS 629
MARYVILLE MVU PEDI OB NURS 629 EXAM 3 WITH VERIFIED SOLUTIONS
Risk factors related to elevated cholesterol?
· Obesity
· Diabetes
· Hypertension
· Family history:
o Coronary heart disease prior to age 55
o Hyperlipidemia
o Diabetes
Most common cyanotic cardiac lesion (disorder)
Tet...
maryville mvu pedi ob nurs 629 exam 3 with verifie
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MARYVILLE MVU PEDI OB NURS 629 EXAM 3
WITH VERIFIED SOLUTIONS
Risk factors related to elevated cholesterol?
· Obesity
· Diabetes
· Hypertension
· Family history:
o Coronary heart disease prior to age 55
o Hyperlipidemia
o Diabetes
Most common cyanotic cardiac lesion (disorder)
Tetralogy of Fallot
What is Tetralogy of Fallot?
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
Boot shaped heart and Rt vent hypertrophy
What are the common s/s of tetralogy of Fallot?
*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
Comorbidities: lung dz, congenital Heart dz, DM, grunting child, O2 <92%
What to expect of a 2-mo old visual acuity?
*Vision of 20/400
*Can fix and follow objects
S/S of viral conjunctivitis
*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
*Normal visual acuity
*injected conjunctiva
, *Preauricular lymphadenopathy
Treatment of viral conjunctivitis
* 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?
*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?
Moderate persistant; prescribe inhaled steroid (flovent)
Causative organism of bronchiolitis
(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
functional or innocent murmur
When do innocent murmurs develop?
(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
pathological murmur
symptoms of croup
· Barking cough
· Fever
· URI symptoms
s/s of bronchiolitis
· inspiratory and expiratory wheezing accompanied by:
*fever
*URI symptoms including profuse clear nasal discharge
When to use inhaler to treat exercise induced asthma
Use rescue inhaler 15-30 minute prior to activity
Condition caused by a defect or hole in the atrial septum
Atrial Septum Defect (ASD)
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