NUR 209 Reproductive Final Exam MD 8 Excelsior College
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Course
NUR 209
Institution
NUR 209
NUR 209 Reproductive Final Exam MD 8 Excelsior College
NUR 209 Reproductive Final Exam MD 8 Excelsior College
NUR 209 Reproductive Final Exam MD 8 Excelsior College
NUR 209 Reproductive Final Exam MD 8
Excelsior College
A localized dilation of an artery either within the original diameter of the artery (fusiform) or an out
pouching of the artery (saccular). - ANS Aortic Aneurysm
What is aortic aneurysm the result of - ANS a weakening of the arterial wall and occurs where arteries
curve or flex.
Where is the aortic aneurysm located? - ANS Can be in the abdominal area such as abdominal aortic
aneurysm or thoracic aorta
What is the cause of aortic aneurysm? - ANS • Hypertension
• Atherosclerosis
• Smoking
• Age
• Family history
• Syphilis
• Marfan's syndrome
• Blunt trauma.
Sudden expansion with danger; the patient may experience a sudden increase in pain with radiation to
groin, buttocks, and legs with signs and symptoms of hypovolemic shock. - ANS Ruptured Abdominal
Aortic Aneurysm
blood has tunneled into the artery wall between the layers of the arterial wall. The effect is decreased
perfusion to organs. - ANS Aortic Dissection
,What is Aortic Dissection accompanied by? - ANS by diaphoresis, nausea, vomiting, faintness,
apprehension.
What is the treatment for treatment for Aortic Dissection? - ANS for partial dissection is medical
management with control of blood pressure maintained below 100-120 mmHg, or in the event of
dissection with hemodynamic compromise,surgical repair surgical repair.
Blood is diverted into the artery wall. - ANS Aortic Dissection
A narrowing in the aorta usually near the ductus arteriosus, causing increased pressure in the head and
upper extremities and decreased pressure in the body and lower extremities. - ANS Coarctation of the
Aorta (CoA)
Blood flows from the aorta to the pulmonary artery through an opening, which usually closes during the
first weeks of life - ANS Patent Ductus Arteriosus (PDA):
Aortic dissection symptoms - ANS are sudden pain described as tearing, ripping, or stabbing in the
anterior chest, back, neck, throat, jaw, or teeth.
Blood does not flow easily because the entrance of the pulmonary artery is narrow, causing hypertrophy
of the RV - ANS Tetralogy of Fallot (TOF):
Blood flows between all four chambers due to a low ASD, high VSD and modified valves. - ANS
Atrioventricular Septal Defect (ASD):
Blood does not flow because the aortic valve has narrowed, causing hypertrophy in the LV and
decreased cardiac output - ANS Pulmonic Stenosis (PS)
,Ineffective airway clearance related to retained secretions as evidenced by abnormal breath sounds.
What's outcome? - ANS Pt. Will exhibit clear breath sounds in bilateral lower lobes after nebulizer and
chest physiotherapy (PT)
Ineffective airway clearance related to retained secretions as evidenced by abnormal breath sounds.
What's interventions? - ANS -Provide nebulizer treatment and chest and chest physiotherapy/postural
drainage as prescribed
-Administer IV antibiotics on time
Caregiver role strain related to perceived lack of support as evidenced by lack of compliance to
prescribed treatment regimen. What is the outcome? - ANS Grandmother will identify resources to
assist with caring for the child with chronic illness by discharge.
Caregiver role strain related to perceived lack of support as evidenced by lack of compliance to
prescribed treatment regimen. What is the interventions? - ANS -Provide grandmother with contact
information for the American Lung Association and Cystic Fibrosis Foundation
-Refer the pt.'s family to a hospital social worker.
Imbalanced nutrition: less than body requirements related to inadequate absorption of calories as
evidenced by height and weight below 3rd percentile. What is the outcome? - ANS The child will gain 2
pounds within one month
Impaired Gas Exchange related to poor perfusion as evidenced by cyanosis and clubbing of fingers. What
is the outcome? - ANS The child will maintain oxygen saturation above 92% on room air by discharge.
Imbalanced nutrition: less than body requirements related to inadequate absorption of calories as
evidenced by height and weight below 3rd percentile. What is the interventions? - ANS -Elicit the
patient's food preferences when completing the menu
-Provide pancrelipase with meals and snack
, Impaired Gas Exchange related to poor perfusion as evidenced by cyanosis and clubbing of fingers. What
is the interventions? - ANS -Limit feeding times to 20 minutes
-Place child in knee-chest position during that spells
- ANS Group B streptococcal infection
- ANS Hirschsprung's
- ANS necrotizing enterocolitis,
- ANS Pyloric stenosis
- ANS Choanal atresia,
- ANS Bronchopulmonary dysplasia
- ANS Hydrocephalus
- ANS Omphalocele,
- ANS Gastroschisis,
- ANS Imperforate anus
- ANS Pierre-Robins syndrome
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