100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NR 602 Final exam with Complete Solutions $12.99   Add to cart

Exam (elaborations)

NR 602 Final exam with Complete Solutions

 7 views  0 purchase
  • Course
  • NR 602
  • Institution
  • NR 602

NR 602 Final exam with Complete Solutions

Preview 3 out of 17  pages

  • October 22, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR 602
  • NR 602
avatar-seller
TheeGrades
NR 602 Final exam with Complete
Solutions
Step 1 Asthma approach-Intermittent ☑️Correct Ans-symptoms 2x or less per week
asymptomatic and normal PED
requires SABA 2 days/week
no interference with normal activities
brief exacerbations

nighttime symptoms 2x or less a month
lung fx- FEV>80% predicted

Step 2 Asthma Approach-Mild persistent ☑️Correct Ans-Symptoms >2 x a week, less
than once per day
requires SABA more than 2days/week, no more than once a day
exacerbations may affect activity
nighttime symptoms 3-4x a month
FEV> 80% predicted

Step 3 Asthma Approach-Moderate Persistant ☑️Correct Ans-daily symptoms
daily use of SABA
some limitations
2x or more per week exacerbations
nighttime symptoms more than 1x per week, not nightly
FEV >60% but <80%

Step 4 Asthma Approach-Severe Persistent ☑️Correct Ans-continual symptoms
requires SABA multiple x a day
extremely limited activity
nighttime symptoms 7x a week
FEV <60%

Tx of asthma ☑️Correct Ans-Stepwise approach
step 1: SABA PRN
step 2: low dose ICS
Step 3: low dose ICS+ LABA or medium dose ICS
step 4: Medium dose ICS+LABA
Step 5: high dose ICS+ LABA
Step 6: High dose ICS+LABA + corticosteroid

Step 6 Asthma Approach ☑️Correct Ans-

,Bulbar/palpebral conjunctival infection ☑️Correct Ans-May be unilateral or bilateral

Leukocoria ☑️Correct Ans-abnormal appearance of a white film in the pupil; immediate
referral to pediatric ophthalmologist warranted
Causes: retinal detachment, cataract, retinal dysplasia, newborn retinoblastoma

Visual screening in children ☑️Correct Ans-At least once between ages 3-5 y/o
according to USPSTF

AOM ☑️Correct Ans-RF: genetics, males, Native American, siblings, low economic
status, ages 6mo-3y, winter, supine bottle feeding, daycare, tobacco smoke

S/S of AOM ☑️Correct Ans-erythema, otalgia, bulging TM, absent cone of light

Dx of AOM ☑️Correct Ans-Audiometry, tympanometry, possible lateral neck xray to r/o
mass

TX of AOM ☑️Correct Ans-uncomplicated: supportive with tylenol/ibuprofen; watchful
waiting 48-72 in 6m-2y/o; <5 benzocaine otic drops
1st line antx: amoxicillin 80-90mg/kg/day Q12 x 10days
if allergy to PCN- augmentin, cefuroxime

Bacterial rhinosinusitis ☑️Correct Ans-Preceded by URI-typically worsens after 5-7
days- not resolved in 2 weeks

Sx of bacterial rhinosinusitis ☑️Correct Ans-Purulant nasal congestion, drainage, facial
pain, headache, fever
No imaging required- if no improvement refer to ENT

Bronchiolitis ☑️Correct Ans-Usually caused by RSV
wheezing present
<2 y/o
other causes; influenza, adenovirus, rhinovirus

S/s of bronchiolitis ☑️Correct Ans-Increased work of breathing, prolonged expiration,
grunting, retractions, nasal flaring

Croup sx ☑️Correct Ans-Low grade fever, URI symptoms, barking cough, inspiratory
stridor can occur

Croup dx ☑️Correct Ans-Made from symptoms

Croup tx ☑️Correct Ans-Glucocorticoids possibly
0.6mg/kg-1mg/kg

, humidified air
bronchodilators

Lead poisoning ☑️Correct Ans-Inactivated heme synthesis by inhibiting insertion of
iron-leads to microcytic hypochromic anemia

Source of lead poisoning ☑️Correct Ans-Lead based pain

Those at risk for lead poisoning ☑️Correct Ans-Children 2-3 y/o
summer months

Lead poisoning testing ☑️Correct Ans-Children with Medicaid need lead level @ 12
months and 24 months-capillary finger stick with venous sample as f/u
AAP recommends 6-9-12-18-24 mo as well as 3-4-5-6 y/o

Lead levels ☑️Correct Ans-<5 is normal
>69 requires chelation

Genu varum ☑️Correct Ans-Bow legged as a result of uterine position- normal finding
up to 3y/o

Legg-Calve-Perthes Disease ☑️Correct Ans-Avascular necrosis of femoral head-
epiphyses associated with trauma, synovitis

Legg-Calve-Perthes Disease RF ☑️Correct Ans-Associated with low birth weight,
socioeconomic status, or white race

Legg-Calve-Perthes Disease s/s ☑️Correct Ans-Onset of painful limp of thigh, knee, or
hip worse with activity, not relieved by rest
restricted by abduction and rotation of affected hip

Legg-Calve-Perthes Disease Tx ☑️Correct Ans-Abduction brace or long leg cast

Congenital Hip Dysplasia s/s ☑️Correct Ans-Thick fold asymmetry, leg length
inequality, walking children- painless limp

Congenital Hip Dysplasia Dx & Tx ☑️Correct Ans-Positive Barlow maneuver, ortolani or
Allis sign
US for <4 months, X-ray AP of pelvis >4 months
Tx: refer to orthopedist, pavlik harness, child should be seen weekly to prevent skin
breakdown, necrosis

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller TheeGrades. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

84146 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.99
  • (0)
  Add to cart