Pediatrics Proctored Exam - Questions With Answers
hand preference
plaster casts
fiberglass casts
types of traction
care for traction
surgical intervention for scoliosis
The child is prescribed lanoxin (Digoxin) 75 mcg PO qd. The pharmacy supplies lanoxin (Digoxin) 0.05mg scored tablets. How...
Pediatrics Proctored EXAM LATEST UPDATE
WITH CORRECT SOLUTION GRADED A+
1). Hand preference
Ans: all kids normally show hand preference by 1 year old
2). Plaster casts
Ans: -heavy
-not water resistant
-dry in 10-72 hrs
3). Fiberglass casts
Ans: -light weight
-water resistant
-dry in 15-20 min
4). Types of traction
Ans: Skin traction:
-Buck
-Bryant
-Russell
Skeletal traction
Halo traction
-cervical traction
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, 5). Care for traction
Ans: -assess pin sites
-ensure hardware is tight
-ensure bed is in correct position
-ensure weights do not touch floor
Halo: ensure wrench is readily available
6). Surgical intervention for scoliosis
Ans: -realign (2 rods on either side of spine)
-internal fixation
-fusion
7). The child is prescribed lanoxin (digoxin) 75 mcg po qd. the pharmacy supplies lanoxin
(digoxin) 0.05mg scored tablets. how many tablets will the nurse administer? record your
answer using one decimal place.
Ans: 1.5 tablets
8). The physician orders the patient a 10-ml/kg normal saline bolus to infuse over 2 hours. the
child weighs 36 kg. calculate the infusion rate in ml/hr.
Ans: 180 mL/hr
9). What happens to the voice during epiglottitis?
Ans: it becomes hoarse
10). Leukotreine modifiers
Ans: -Blocks leukotriene receptors or synthesis of leukotrienes (Singulair)
-Side effects: headache, nausea, abdominal pain, increase infections if over age 55,
depression, suicidal, aggression
-Generally well tolerated.
-Monitor for improvement in symptoms
11). Cromolyn (intal) and nedocomil (tilade)
Ans: -Anti-inflammatory agents that inhibit release of histamine, leukotrienes,
-Prevention or maintenance drugs
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, -Administered by inhalation, onset of action in 2-4 weeks
-Side effects: cough, headache, throat irritation, GI upset
12). Long acting beta-adrenergics
Ans: -Salmeterol (Serevent) -used twice daily
-Added to anti-inflammatory therapy
-Not for acute symptoms due to onset of action in 20 minutes with peak in 3-4 hours
13). Lortab
Ans: tylenol with hydrocodone
14). Dornase alpha
Ans: decreases viscosity of secretions (thins mucous) for CF patients
15). Tobramycin
Ans: aerosolized antibiotics used for CF
16). Norwood procedure
Ans: -Treats hypoplastic left heart
-3 stages
-done shortly after birth
-Right ventricle is converted: connects aorta to right ventricle
-Between step 1&2 is highest risk for death
-bi-directional Glenn operation (stage 2, under 6 mo. old)
-superior vena cava redirected to lungs
Ans: periods of apnea alternating with 2 or 3 shallow breaths
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