Nur 106 Peds Exam 2 Questions And
Answers
RSV - h
correct answer major cause of bronchiolitis in children birth to 12 months, it is HIGHLY
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contagious & easily transferred, & it is in the LOWER respiratory tract
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being premature - h h
correct answer patients that are at risk for RSV are those with chronic ling disease, con
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genital heart disease, neuromuscular disease, immune deficiency & _________ is the
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biggest rick factor h h
smoke - h
hcorrect answer the risk factors for RSV includes living in a crowded conditions, having s
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iblings that go to school are daycare, & parents that ________
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respiratory droplets - h h
hcorrect answer how is RSV spread? (coughing, sneezing, drooling, & sharing toys)
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inanimate objects - correct answer the RSV virus can live on ______ for up to 12 hours
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2 days -
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correct answer viral shedding can occur up to ______ before symptoms appear & for u
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p to 2 weeks of having RSV (they are contagious before you know they are sick)
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nasal congestion h h
cough
rhinorrhea (runny nose) h h h
wheezing
retractions/nasal flaring h h
tachypnea h
decreased feeding (can't breath while eating) - h h h h h h
hcorrect answer what are the signs & symptoms of RSV (respiratory syncytial virus)?
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treatment of RSV at home - correct answer monitor hydration/prevent dehydration
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cool mist humidifier
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nasal suctioning h h
positioning (head above the babies belly) h h h h h h
teach that the baby might tolerate smaller more frequent meals rather than all at once
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treatment of RSV at the hospital - correct answer IV fluids
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humidified oxygen h h
nebulizer treatments h h
Tylenol (for pain & fever) h h h h h
steroids (for recurrent episodes)
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mechanical ventilation h
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,medicine given for RSV - correct answer beta agonist (albuterol)
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corticosteroids (predisone) h h
oxygen
decongestants - h
correct answer helps with congestion but isn't given to children much anymore becaus
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e it can raise their BP, heart rate & respiration
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O2 sat < 95% h h h
dehydration h
cyanosis h
apnea (more than 15 seconds w/out breathing)
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tachypnea >50 to 60 brp - h h h h h
hcorrect answer what is the criteria for admitting an RSV pt to the hospital?
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wheeze - h
correct answer after a baby has had RSV when they get sick with a cold virus they are li
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kely to _______ & go into respiratory distress
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synagis (palivizumab) - h h
correct answer Monoclonal antibody for prevention of RSV (given to high risk infants), i
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s given once every 30 days during RSV season, reduces viral activity & reduces cell to c
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ell transmission of RSV (is VERY expensive & insur will only pay if the patient meets the
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specif criteria)
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cystic fibrosis - correct answer a progressive, multi-
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system disease which mainly causes chronic lung disease & pancreatic insufficiency, it
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is a autosomal recessive disorder (most common genetic disorder among Caucasians)
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exocrine glands - h h
hcorrect answer CF is characterized by disrupted functions of the _______ skin (sweat g
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lands), pancreas, & reproductive system
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mucous glands - h h
correct answer CF causes increased viscosity of ________ secretions (thick, sticky se
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cretions)
sweat electrolytes - correct answer CF causes an elevation of _____ (re-
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absorption is impaired) h h
frothy, foul smelling, fat containing (greasy), & floaty - correct answer CF 4 F's of stool
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6 months - correct answer what is the average age of diagnosis of CF?
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treatment for CF - correct answer chest PT h h h h h h h
nebulized respiratory meds (bronchodilators) h h h h
fat soluble vitamins
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infection control to decrease illness exposure h h h h h h
PO digestive enzymes to facilitate absorption of fats & nutrients
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, social implications of CF -
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correct answer family disruptions, school, body image, knowledge of prognosis, social
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development (interruptions of friendships & relationships), & hospital & staff becomes r
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outine & a major part of the pts life
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sweat chloride test - h h h
correct answer Cystic fibrosis (CF) is suspected in a toddler. Which test is essential in e
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stablishing this diagnosis? (60 or above is CF & 40-60 is suspicious)
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hospitalizations with CF - h h h
correct answer recurrent _____ for management of CF, scheduled "tune-
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up" & for acute illness, high dose IV antibiotics (most pts have a central line)
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bacterial bugs - h h
correct answer many CF pts have resistant ____, MRSA extremely common
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CF pathology -
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correct answer involves the deficient clearance of thick, viscous mucous from the bron
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chial passages h
respiratory CF - h h
hcorrect answer characterized by a reduced rate of mucous clearance, accumulation of t
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hick, purulent sputum, recurrent respiratory infections, progressive loss of pulmonary fu
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nction & ultimately respiratory function
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blockage - h
correct answer a large majority of ppl with CF have partial or complete ____ of the duct
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s leading from the pancreas to the small bowel due to thick secretions produced
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CF digestive -
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correct answer what can cause malabsorption of nutrients, failure to thrive, overall mal
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nutrition & poor growth (due to insufficient digestive enzymes to digest foods)
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weight - h
correct answer patients with CF must take PO pancreatic replacement digestive enzy
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mes with meals in order to maintain adequate ____, nutrition & avoid steatorrhea (fatty,
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sticky stool) h
peak flow meters - h h h
correct answer Devices that measures the ability to move air into and out of lungs, used
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in patients that have asthma (pt use this daily, a few times a day)
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personal best - h h
correct answer when using a peak flow meter you first have to determine the pt baselin
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e which is the patients______ expiratory breath in 1 sec
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severity of symptoms - h h h
correct answer the peak flow is used for patient with asthma, used at home to assist the
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child & family in planning treatment & assessing the ______
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