Exam (elaborations)
NURS 307 Final Study Guide questions with correct answers
- Course
- Nurs 307
- Institution
- Maryville University Of St. Louis
NURS 307 Final Study Guide questions with correct answers
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NURS 307 Final Study Guide questions with correctanswers
Bronchiolitis: most common cause Correct Answer-RSV
How is RSV transmitted? Correct Answer--Transmitted predominantly
through direct or close contact with contaminated respiratory secretions
-Viable RSV live on environment surfaces for several hours and on
hands for 30 minutes or more
Tonsillectomy care Correct Answer--discourage from coughing
frequently, clearing the throat, blowing the nose
-ice collar
-pain meds at regular intervals
-tetracaine lollipops or ice pops, antiemetics, such as odansetron, or
scopolamine patch (ages 12+)
-cool water, crushed ice, flavored ice pops, or diluted fruit juice may be
given
-avoid fluids with red or brown color
-suction equipment and oxygen should be available
Bronchiolitis symptoms Correct Answer-*fever
*cough
*rhinorrhea
*wheezing
,-tachypnea or retractions
-apneic spells
-altered air exchange
-diminished breath sounds
RSV S/S Correct Answer-lethargy, poor feeding, irritability
Bronchiolitis: nursing care Correct Answer--provide humidified oxygen
-suction nasopharynx
-encourage fluid intake
-contact and standard precautions
Bronchiolitis: preventative measure Correct Answer--administer
palivizumab (Synagis) to high-risk infants
-given at onset of the RSV season and then monthly in an IM injection
or IV infusion for max of 5 doses
Candidates for Palivizumab (synagis) Correct Answer-**prematurity,
chronic lung, vent dependent, muscular dystrophy
Foreign body airway obstruction Correct Answer--small children (1-3
years) are prone to put FBs into air passages (nose and mouth)
-i.e. beads, toys, paper clips, small magnets, or food items which can be
easily aspirated into the trachea
,Aspirated objects can obstruct the air passage, producing various
changes including... Correct Answer-atelectasis, emphysema,
inflammation, abscess
FB in the air passage: S/S Correct Answer-choking, gagging, wheezing,
or coughing
**stridor, wheezing, sternal retraction, and cough (=most common)
Foreign body airway obstruction: therapeutic management Correct
Answer--abdominal thrusts for children old than 1 year of age
-chest thrust for children younger than 1 year old
Diagnostic criteria for autism Correct Answer--Two behavior domains:
*difficulties in social communication and social interaction
*unusually restricted, repetitive behaviors, interest, or activities
Autism: Diagnostic Evaluation Correct Answer--failure of social
interaction and communication development
-significant GI symptoms (i.e. constipation)
-communication impairment (any child who does not display language
skills such as babbling or gesturing by 12 mths, single words by 16
mths, and two word phrases by 24 mths old)
Obstructive sleep apnea syndrome is defined as: Correct Answer-
disorder of breathing during sleep with prolonged partial upper airway
, obstruction and/or complete obstruction that disrupts normal respiration
during sleep and normal sleep patterns
Common cause of obstructive sleep apnea Correct Answer-
adenotonsillar hypertrophy
Obstructive sleep apnea: common symptoms Correct Answer--Nightly
snoring
-breathing pauses
-choking or gasping on arousal
-disturbed sleep patterns
-secondary enuresis
-daytime sleepiness
-daytime neurobehavioral problems
OSA: TX Correct Answer-Adenotonsillectomy, CPAP, BiPAP (cycles
between high and low pressure)
Diagnosis is made by: Correct Answer-An overnight sleep study
(polysomnography), which provides evidence of sleep disturbance,
respiratory pauses, and changes in oxygenation
Respiratory failure because they will go into resp distress; S/S are...
Correct Answer-bradycardia, bradypnea, de sat, cyanosis
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