NR 602 Final Exam Chamberlain Spring 2024(100% Rated A+)
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Course
NR 602
Institution
NR 602
COLIC - ANSWERUnknown abdominal discomfort;
"cries for more than 3 hours a day, for more than 3 days a week, and more than 3 weeks"
Colic Management - ANSWERProbiotics may be offered; Consideration of hydrolyzed protein formula
DEHYDRATION Management - ANSWERCommercially available oral hydration...
NR 602 Final Exam Chamberlain Spring
2024(100% Rated A+)
COLIC - ANSWERUnknown abdominal discomfort;
"cries for more than 3 hours a day, for more than 3 days a week, and more than 3 weeks"
Colic Management - ANSWERProbiotics may be offered; Consideration of hydrolyzed protein formula
DEHYDRATION Management - ANSWERCommercially available oral hydration solutions (ORS)
Continue breastfeeding with ORS supplementation
Offer young children 20 ml/kg per hour
Offer older children 100 mL of ORS every 5 minutes
Combine with IV therapy as needed
Reassess after 4 hours; repeat if needed
Avoid juice, soft drinks, and sports drinks
Appendicitis S/S - ANSWERPresence of involuntary guarding,
RLQ rebound tenderness, maximal pain over McBurney point
Heel-drop jarring test
inability to stand straight or climb stairs; winces when getting off examination table or riding in a car
over bumps;
child most comfortable with bent knees.
Positive psoas sign or obturator sign
Rovsing sign or rebound tenderness strongly suggests peritoneal irritation.
Tenderness and possibly a mass (abscess) on the right side on rectal examination.
McBurney point/sign - ANSWERPain w/ palpation and release; Rebound tenderness is most reliable.
1.5 to 2 inches in from the right anterior superior iliac crest (on a line toward the umbilicus) on
abdominal examination (most reliable finding
positive psoas sign - ANSWERretract R thigh while on left side; illicit pain consistent with appendicitis
Positive Rovsing Sign - ANSWERPain RLQ w/ pressure and release of LLQ; R/O appendicitis
Positive Obturator Sign - ANSWERSupine; bend R leg and rotate inward; illicit pain in RLQ
Intusscuception - ANSWERAnterograde intestine into proximal bowel; Most common cause of for
Pediatric GI obstruction
, S/S of intussusception - ANSWERS/S of intussuception
intermittent abdominal pain
currant jelly stools
Dance Sign (sausage like mass)
Management of Intussusception - ANSWERTherapeutic Air Contrast Enema under fluoroscopy
Failure to Thrive (FTT) - ANSWERThe most common cause is nutritional deficiency without an
underlying medical condition (greater than 80%).
Asymptomatic bacteriuria - ANSWERbacteria in the urine without other symptoms, is benign, and
does not cause renal injury.
Cystitis - ANSWERan infection of the bladder that produces lower tract symptoms but does not cause
fever or renal injury.
Pyelonephritis - ANSWERmost severe type of UTI involving the renal parenchyma or kidneys and
must be readily identified and treated because of the potential irreversible renal damage.
"When was your last menstrual period (LMP)?" - ANSWERA healthy 14-year-old female has a dipstick
urinalysis that is positive for 56RBCs per hpf but otherwise normal. What is the first question the
primary care pediatric nursepractitioner will ask this patient?
Monitor for proteinuria at each annual well child examination. - ANSWERAn adolescent has 2+
proteinuria in a random dipstick urinalysis. A subsequent first morning voided specimen is negative.
What will the primary care pediatric nurse practitioner do to manage this condition?
Henoch Schönlein purpura - ANSWERA child has gross hematuria, abdominal pain, and arthralgia as
well as a rash. What diagnosis is most likely?
Phenazopyridine (Pyridium) - ANSWERmay be given at 12 mg/kg/day for 6- to 12-year-olds and 200
mg for those older than 12 years old, three times a day for dysuria
Refer the infant to a pediatric urologist or surgeon for possible orchiopexy - ANSWERA 6-month-old
infant has a retractile testis that was noted at the 2-month well baby exam. What will the primary
care pediatric nurse practitioner do to manage this condition?
Nitrites - ANSWERindirect measure of bacteria in the urine and the most specific marker for
infection.
Proteinuria - ANSWERPossible indicative d/t renal disease or orthostactic
Refer immediately to a pediatric surgeon. - ANSWERA 9-month-old infant is brought to the clinic with
scrotal swelling and fussiness. The primary care pediatric nurse practitioner notes a tender mass in
the affected scrotum that is difficult to reduce. What is the correct action?
Negative leukocyte esterase and nitrites - ANSWERreasonably rule out a UTI; however, a culture is
still indicated
Obtaining serial measurements to assess patterns over - ANSWERThe primary care pediatric nurse
practitioner evaluates children's growth to screen for endocrine and metabolic disorders. Which is a
critical component of this screening?
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