NURS 629 Exam 4 Questions And Answers 100%
Correct Answers
Rovsing .sign .- .(correct .answer) .-
apply .pressure .to .lower .left .abdomen. .Pain .felt .on .right .side .of .abdomen .when .pressure .released.
+ .Ant/ .Post .Drawer .sign .- .(correct .answer) .-assess .for .injury .of .ant/post .cruciate .ligament
Osgood- .Schlatter .disease .- .(correct .answer) .-
most .common .in .later .childhood .and .early .adolescence. .Painful .swelling .and .tenderness .of .tibial .tub
erosity. .Most .common .in .children .in .sports. .*initial .TX .is .stretching.
TX .for .sprained .ankle .- .(correct .answer) .-apply .cold .for .20 .min, .off .for .20-45 .min. .Repeat .1st .24-
48hrs. .Rest, .elevate, .compress .(RICE)
Legg-calve .perthes .- .(correct .answer) .-idiopathic .osteonecrosis .of .femoral .head. .4x .more .common .in
.males. .Hip .pain, .knee .pain, .painless .limp .that .is .worse .at .end .of .day. .Frog .leg .xray .best .to .diagnos
e.
Viral .gastroenteritis .- .(correct .answer) .-
Most .common .complication .is .dehydration.Tx .is .small, .frequent .amounts .of .oral .rehydration .solutio
n.
BG .for .4y/o .- .(correct .answer) .-goal .of .90-130
Suspected .growth .hormone .deficiency .- .(correct .answer) .-
short, .slow .growth. .Childlike .faces .with .prominent .forehead. .*Initial .eval .include .TSH, .BG .
(hypoglycemia), .GI .illness, .CBC, .sed .rate, .UA, .growth .factor.
Initial .eval .in .cases .of .isolated .menarche .- .(correct .answer) .-*sexual .abuse .should .be .ruled .out .first
essentials .for .childs .mental .health .- .(correct .answer) .-predictable .home, .childcare, .school .routines
Migraine .- .(correct .answer) .-unilateral, .pulsating, .occasional .photophobia.
Iron .deficiency .anemia .- .(correct .answer) .-
*Microcytic, .hypochromic. .Most .common .cause .is .poor .dietary .intake/ .breastfeeding .risk. .Prevalence
.is .25% .of .children .between .ages .10-15 .mos.
Depression .Comorbidities .- .(correct .answer) .-
anxiety .disorder, .mixed
, .anxiety/depression. .ADHD,
.conduct/learning/oppositional .defiant .disorders. .SAD, .eating .disorders, .stress.
Depression .risk .factors .- .(correct .answer) .-attention, .conduct, .learning .disorders. .Chronic .illness .
(diabetes). .abuse/neglect. .other .trauma .or .natural .disasters. .*Separation .anxiety.
PHQ9 .- .(correct .answer) .-depression .screening .tool .for .ages .11 .and .up
signs .of .PTSD .- .(correct .answer) .-re-
experiencing .trauma .thru .intrusive .distressing .recollections .of .event, .flashbacks, .nightmares. .Avoidan
ce .of .places, .people, .and .activities .that .are .reminders .of .trauma, .and .emotional .numbness. .Increase
d .arousal .such .as .difficulty .sleeping .and .concentrating, .feeling .jumpy, .easily .irritated .and .angered. .*
Extreme .temper .tantrums .in .preschool .aged .kids.
slipped .capital .femoral .epiphysis .risk .factors .- .(correct .answer) .-
Obesity, .males, .sports, .femoral .retroversion, .hypothyroidism, .avg .age .presentation .is .12y/
o .for .females .and .13y/o .for .males.
slipped .capital .femoral .epiphysis .clinical .findings: .- .(correct .answer) .-
limping,
.knee/hip .pain, .pain .worse .with .activity, .localized .pain .to .ant .thigh .or .knee. .May .be .unable .to .bear .
wt .all .together, .loss .of .internal .rotation .of .hip .with .flexion, .affected .extremity .is .usually .shorter. .Los
s .of .abduction .and .extension
slipped .capital .femoral .epiphysis .DX .and .TX .- .(correct .answer) .--
xray. .Always .refer .to .peds .ortho. .Keep .non .wt .bearing .until .surgical .eval.
Scoliosis .- .(correct .answer) .-most .common .type .is .idiopathic. .*In .order .to .confirm .suspected, .get .AP
.and .lateral .standing .Xray .view .of .spine
Bactrim .- .(correct .answer) .-treatment .of .choice .for .UTI .in .children
TX .for .gastroenteritis .- .(correct .answer) .-small, .frequent .amounts .of .oral .rehydration .solution
Appendicits .- .(correct .answer) .-
Constant .periumbilical .pain .shifting .to .RLQ. .Worsens .over .period .of .4hrs. .Pain .subsides .as .it .migrate
s .to .RLQ .and .then .worsens .with .movement, .deep .respir, .and
.coughing.Pain/Fever .are .late .sign, .leading .to .perforation. .Vomiting. .*Elevated .WBC.
Neural .mediated .syncope .- .(correct .answer) .-
most .common .form .of .fainting/ .frequent .ED .visits. .Happens .in .part .of .nervous .system .that .regulate
s .BP. .Place .pt .reclining .position .to .restore .blood .flow/ .consciousness. .Situational .syncope, .vasovagal,
.reflex, .neurocardiogenic .part .of .it. .Residual .findings .are .pallor, .fatigue, .diaphoresis
Cardiac .syncope .- .(correct .answer) .-causes: .bradycardia, .tachycardia, .hypotension, .exercise .triggered.
.Palpitations. .Residual .findings: .incontinence, .disorientation, .or .injury.