nur2474 pharmacology for professional nursing final exam
nur 2474 pharmacology for professional nursing final exam
nur2474 pharmacology for professional nursing
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Rasmussen College
NUR 2513 Maternal-Child Nursing (NUR2513)
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NUR 2513 / NUR2513 Maternal Child
Nursing Final Exam Review | Already Rated
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Rasmussen College
(Chp 16-21, 37): Prioritized interventions for GI, Immune, Infectious, Hematological,
Sensory, Neuro, Musculoskeletal Disorders Note: The chapters addressing these topics are
Chapters 42-45, 49, 51
1. In illness, when are antibiotics used, and when are they not used?
- Used during bacterial infection or prophylactically before a procedure/sx
- Take full course, watch for s/s of allergic reaction, teach family how to get the child to
take it
2. What are priority questions to ask in obtaining a health history on a child
presenting with illness?
- What is the chief complaint? Allergies, PMH, medications, family Hx
- Stress alter the immune response by releasing corticosteroids, suppressing inflammatory
response
- Ask about stressors in their life
3. What are some teaching points for parents of an immunocompromised child?
- No fresh flowers, raw food/fruits
- Avoid crowds, hand hygiene
- Clean surfaces, adequate diet
4. When would bronchoscopy be used? What are important assessments/cares
surrounding this procedure? p. 1035
, - Direct visualization of the larynx, trachea and bronchi
- Used when child aspirates objects, instill medication, take culture/biopsies
- Monitor VS, after procedure assess resp. function and airway patency
- Post-procedure observe child is able to drink to assess gag reflex
» Compl: compromise of airway, hemorrhage, pneumothorax, airway edema
- Post-procedure: bronchospasm, stridor, desaturation, resp. distress
5. What’s important to know about stool specimen collection? p. 1040
- Potty trained: use a potty seat or place a collector cap on the toilet. Transfer specimen
to cup using tongue depressors
- Not trained: Scrape stool from diaper using tongue depressor
- Child needs to void 1st, then defecate to avoid contamination
- For O&P, do not refrigerate the stool specimen
6. What are signs of anaphylaxis and what are treatments for anaphylactic shock? p.
1184-1186
» Breathing: wheezing, SOB, throat tightness, cough, hoarse voice, cx pain/tightness,
trouble swallowing, itchy mouth/throat, nasal stuffiness/congestion
» Circulation: pale/blue, bradycardia, dizziness, low BP, passing out, shock, LOC
» Skin: hives, swelling, itch, warmth, redness, rash
» Stomach: N/V, diarrhea, pain/cramps
» Other: anxiety, feeling of impending doom, itchy/red/watery eyes, H/A, cramping of
the uterus
» Tx: avoid offending foods, stinging insects.
- Hospital: give Epi IM, can follow by a bronchodilator
- Home: give Epi and go to the ER (risk of rebound anaphylaxis)
7. What is atopic dermatitis and what are therapeutic managements for it? pp. 1189-
1191
- AKA infantile eczema. Highly pruritic, chronic inflammatory skin ds. Often the 1st
manifestation of allergic ds
, » Manage: - Hydrate skin, apply barrier to seal in moisture, wet dressings (Burow’s
solution) for 15-20min
- Antihistamines, low potency steroids, topical calcineurin inhibitors
8. What personal protective equipment (PPE) is needed for various infection control
precautions? p. 1204
9. What are important teaching points for iron supplementation for iron-deficiency
anemia? pp. 1240-1242
- Use iron-fortified formulas
- Take with water or Vit C
- S/E: black tarry stools, constipation, GI upset, use straw to not stain teeth
10. What are important interventions for a child in sickle cell crisis? What are ways to
decrease risk for a crisis in a child with sickle cell anemia (SCA)? pp. 1243-1248,
especially 1247-1248
- Rest, Hydration, Pain control, Oxygenation
- Pain: Acetaminophen or narcs (morphine)
- Hydration: intense IV fluid replacement. Acidosis might be corrected w/ electrolyte
replacement
- O2: NC or mask, encourage rest
- Give vaccines: Varicella (chicken pox) – 12m / MMR: 12-15mo
11. What are signs of increased intracranial pressure? What are early signs? What are
signs of increasing pressure? What vital sign changes will occur? p. 1384
» S/S: head circumference, bulging fontanelle, vomiting, diplopia, setting sun sign,
limited visual fields, pain,
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