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Nur 106 module G1 Wallace, NUR106 Module G1 Questions And Answer
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Nur 106 module G1 Wallace, NUR106Module G1 Questions And Answer
SIDS risk factors -
h h h
correct answer sleeping on stomach, smoking in household and prematurity, Between
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1 month and 1 year
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Hypothesis of SIDs - h h h
correct answer Brainstem abnormalities, along with environmental stressors
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SIDS prevention -
h h
correct answer supine sleeping position, avoid cigarette smoke, firm bedding, exclusiv
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e Bret feeding for any amount of time, pacifier use
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Family support for sids -
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hcorrect answer giving no indication of wrongdoing, abuse, or neglect; making sensitive
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judgments concerning any resuscitation efforts for the child; and comforting the family
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members as much as possible. Call the OB and pediatrician so that no appointments ar
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e made or questions about how the baby is when mother returns for visits, must have an
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hautopsy
respiratory symptoms early - h h h
hcorrect answer restlessness, anxiety, tachycardia/ tachypnea
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respiratory symptoms late - h h h
hcorrect answer bradycardia, extreme restlessness, severe dyspnea
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Symptoms of respiratory tract infections -
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correct answer Fever, Poor feeding (anorexia),Vomiting, Diarrhea, Color change, swe
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aty/clammy
Other signs of respiratory distress in children -
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correct answer flaring nostrils, retractions, grunting, adventitious breath sounds (or abs
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ent breath sounds), use of accessory muscles, head bobbing , decreased Po2, elevate
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d Pco2, cyanosis and pallor
h h h h
Respiratory Management - h h
correct answer H&H, clear airway, enhance lung expansion, isolate if needed, fever an
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d pain management
h h
nasopharyngitis - correct answer "Common cold" h h h h h
Pharyngitis - correct answer "Soar throat" h h h h h
Streptococcal Pharyngitis diagnostic - correct answer Rapid strep, throat culture
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LECTENDRREW
,Streptococcal Pharyngitis therapeutic management - h h h h
correct answer Full course antibiotic ,check urine for protein in 2 weeks
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Tonsillectomy/adeniodectomy - h
correct answer Avoid citrus, ice cream, red liquids, dairy products
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Acute Laryngotracheobronchitis - correct answer Affects children less than 5 yrs
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Usually viral h
Stridor
Cool mist (tent or hood), nebulized epinephrine, corticosteroids
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Assessment extremely important h h
Fluids, rest, reduce agitation
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Acute Laryngotracheobronchitis causes - correct answer -
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hCaused by RSV, influenza A&B, M. pneumoniae
h h h h h h
- Sx: Low-
h h
grade fever, restlessness, hoarseness, barky cough, inspiratory stridor, retractions
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Acute Epiglottitis -
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correct answer Inflammation of the epiglottis; H influenzae type b is the most common c
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ause, especially in nonimmunized children, Causes airway obstruction
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Acute Epiglottitis therapeutic - correct answer Assess airway, manage airway, anti-
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infammitories, maintain child in upright position h h h h h
Bronchiolitis (RSV) - h h
correct answer viral infection the bronchioles that is characterized by thick secretions
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RSV - correct answer contact isolation, monitor pulse ox/CR, maintain airway
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Prevention of RSV - h h h
correct answer Palivizumab (Synagis) monoclonal antibody, which is given monthly in
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an IM injection for a maximum of five doses to prevent hospitalization
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pneumonia - h
hcorrect answer An inflammation of lung tissue, wherer the alveoli in the affected areas fi
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ll w/fluid
h
Pneumonia treatment - h h
correct answer Rest, antibiotic administration for bacterial strain, position changes
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Foreign body aspiration problems -
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correct answer Asphyxiation, respiratory tract infection
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Foreign body aspiration -
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correct answer Leading cause of fatal injury in children younger than 1 year, most com
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mon in children 1-3 years
h h h h
Common foreign body aspirates - correct answer Fun foods, sharp objects, balloons
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LECTENDRREW
, Asthma - h
correct answer chronic inflammatory disorder of the airways characterized by recurring
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symptoms, airway obstruction, bronchial hyperresponsiveness, and an underlying infla
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mmation process h
Clinical manifestation of asthma -
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hcorrect answer Shortness of breath, Prolonged expiratory phase, Audible wheeze, Ma
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y have a malar flush and red ears, Lips deep, dark red color, May progress to cyanosis o
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f nail beds or circumoral cyanosis, Restlessness, Apprehension, Prominent sweating a
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s the attack progresses Older children sitting upright with shoulders in a hunched-
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over position, hands on the bed or chair, and arms braced (tripod) Speaking with short,
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panting, broken phrases h h
Goals of Asthma Management - correct answer Avoid exacerbation
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Avoid allergens h
Relieve asthmatic episodes promptly
h h h
Relieve bronchospasm h
Monitor function with peak flow meter
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Self-management of inhalers, devices, and activity regulation h h h h h h
Non parm interventions of asthma - correct answer ID and control triggers
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Asthma Long term "control" (anti-inflammatory) drugs -
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correct answer Cromolyn, nedocromil
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Asthma Short term "rescue" (bronchodilator) drugs -
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correct answer Albuterol, Xopenex
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status asthmaticus - h h
hcorrect answer is a medical emergency that can result in respiratory failure and death if
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untreated. Children who continue to display respiratory distress despite vigorous thera
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peutic measures, especially the use of sympathomimetics (e.g., albuterol, epinephrine)
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, are in status asthmaticus. The condition may develop gradually or rapidly, often coinci
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dent with complicating conditions, such as pneumonia or a respiratory virus, that can inf
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luence the duration and treatment of the exacerbation
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Status asthmaticus treatment -
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correct answer Epinephrine, B2 agonis, determine cause, Humidified oxygen is recom
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mended and should be given to maintain SaO2 greater than 90%
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Etiology of cystic fibrosis - h h h h
correct answer Genetic transmitted by an autosomal recessive trait, most common leth
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al GENETIC illness among Caucasian children
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Organ systems affected by CF - correct answer Respiratory, GI, and pancreatic ducts
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Respiratory Manifestations of CF - h h h h
correct answer Mobilize secretions through breathing exercises and medications (muc
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olytic, bronchodilator, and anti inflammatory),
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LECTENDRREW
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