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NRNP 6541 WEEK 11 FINAL EXAM 3 LATEST VERSIONS 2024/2025 ACTUAL EXAM EACH VERSION CONTAINS 100 QUESTIONS AND CORRECT DETAILED ANSWERS$13.99
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NRNP 6541 WEEK 11 FINAL EXAM 3 LATEST
VERSIONS 2024/2025 ACTUAL EXAM EACH
VERSION CONTAINS 100 QUESTIONS AND
CORRECT DETAILED ANSWERS
Terms in this set (180)
Use of saline drops and suctioning of the nares.
Indications of when to use antipyretics. Signs of
respiratory distress or dehydration. Guidelines for
Recommended treatment
feeding an infant with signs of mild respiratory distress
for RSV in a 7 month old
which includes smaller more frequent feedings;
(outpatient)
monitoring of the respiratory rate; and guarding against
vomiting. The parents should be educated that the child
may have the symptoms over the course of 2-3 weeks
Acute and rapid onset of high fever, chills, and toxicity.
Severe sore throat and drooling saliva. Will not eat or
Epiglottitis s/s drink, muffled (hot potato) voice, and anxiety. Sitting
posture with hyperextended neck with open-mouth
breathing. Stridor, tachycardia, and tachypnea
Epiglottitis prevention Haemophilus influenzae type B (Hib) vaccine
a radiologic sign found on radiograph where the
Steeple sign subglottic tracheal narrowing produces a shape of a
church steeple which supports a diagnosis of croup
Depends on the nature of the material aspirated, plus
Foreign body aspiration the location and degree of obstruction. Bronchial or
antibiotic? laryngeal foreign body aspiration, a bronchoscopy must
be performed for removal of the foreign body
Use of saline drops and suctioning of the nares. There is
Antibiotics for bronchiolitis?
no evidence to support the routine use of antibiotics
, Nebulized epinephrine, corticosteroids (dexamethasone
oral or IM), blow by oxygen or heliox in severe croup.
Antibiotics for croup?
Racemic epinephrine with the use of corticosteroids to
limit rebound swelling
Establish an airway preferably by nasotracheal
intubation. Administer IV antibiotics such as rocephin to
cover H.influenzae. Administer oxygen and respiratory
support. Antibiotics should be continued for 10 days.
Rifampin prophylaxis 20 mg/kg in a single dose
(maximum of 600 mg) for 4 days for infants and children,
Antibiotics for epiglottitis?
600 mg once a day for adults for 4 days. Should be
provided for household contacts who are at risk
(Younger than 4 years old who is non-immunized or
incompletely immunized, children less than 12 months
who have not received primary series of Hib, and
immunocompromised children.
The pharmacological management of asthma in children
is based on the severity of asthma and the child's age.
After initial control, decrease treatment to the least
Asthma treatment
amount of medication needed to maintain control.
Systemic corticosteroids may be needed at any time and
stepped up if there is a major flare-up of symptoms.
Step 1: SABA (Short acting beta2-agonist) PRN: With viral
respiratory symptoms short acting beta 2-agonist should
be used every 4-6 hours up to 24 hours (longer with a
Step 1 Asthma management
physician consult). Consider short course of oral
for children 0-4 years old
systemic corticosteroids if severe exacerbation.
Frequent use of SABA may indicate the need to step up
treatment
Step 2 Asthma management Step 2: Consider consultation with asthma specialist. Low
for children 0-4 years old dose of inhaled corticosteroids.
Step 3 asthma mgmt for Step 3: Medium-dose of inhaled corticosteroids
children 0-4 yrs
, Step 4: Medium-dose ICS and Long acting beta2-
agonist or montelukast.
Steps 4-6 asthma mgmt for Step 5: High dose ICS and Long acting beta 2-agonist or
children 0-4 yrs montelukast.
Step 6: High dose of ICS and LABA or montelukast and
oral corticosteroids
Step 1: SABA (Short acting beta 2-agonist) PRN:
Increasing the use of short-acting beta 2-agonist or use
greater than 2 days a week for symptom relief generally
indicates inadequate control and the need to step up
treatment.
Steps 1-3 asthma mgmt for
children 5-11 yrs
Step 2: Consider consultation with asthma specialist. Low
dose of inhaled corticosteroids.
Step 3: Low dose of inhaled corticosteroid and LABA. Or
medium dose of inhaled corticosteroids.
Step 4: Medium-dose ICS and LABA or medium dose of
inhaled corticosteroid and leukotriene receptor
antagonist or theophylline. .
Step 5: High dose ICS and LABA or high dose of inhaled
corticosteroid and leukotriene receptor antagonist or
Steps 4-6 asthma mgmt for theophylline. .
children 5-11 yrs
Step 6: High dose of ICS and LABA and oral
corticosteroids or high dose of inhaled corticosteroids
and leukotriene receptor antagonist or theophylline and
oral corticosteroids.
** Theophylline levels must be monitored.
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