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NURS 6541 Final Exam 2

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QuestionII1 1IIoutIIof II1IIpoints AIIsmall-for-gestational-age, IIdysmorphic IInewbornIIinfantIIhas IImicrocephalyIIandIIslopingIIforehead, IIcutis IIaplasia II(missingIIportionIIof IItheIIskinIIandIIhair)IIof IItheIIscalp, IIpolydactyly, IImicrophthalmia, IIandIIomphalocele. IIWhichIIof IItheseIIis IItheIImostIIlikelyIIdiagnosis? SelectedIIAnswer: a. II PatauIIsyndromeII(trisomyII13) • QuestionII2 • 1IIoutIIof II1IIpoints AII16-year-oldIIgirl IIhasIIenuresis,IIfrequentIIurination,IIaIIwhiteIIvaginal IIdischarge,IIandIIaIIdark IIrashIIaroundIIherIIneck.IIHerIIserumIIglucoseIIlevel IIisII250IImg/dL,IIandIIherIIurinalysisIIis IIpositiveIIforII2+IIglucoseIIbutIIisIIotherwiseIInegative.IIWhichIIofIItheIIfollowingIIisIItheIImostIIlikely IIdiagnosis? SelectedIIAnswer: c. II Type IIIIIIdiabetes • QuestionII3 • 1IIoutIIof II1IIpoints Mark, IIageII15, IIis II5IIfeetIItall IIandnIIweighs II85IIpounds. IIYouIIsuspectIIanorexiaIIandIIknowIIthatIItheIIbestIIinitial IIapproachIIis IIto SelectedIIAnswer: d. II ConfrontIIMarkIIwithIItheIIfactIIthatIIyouIIsuspectIIanIIeatingIIdisorder. • QuestionII4 • 1IIoutIIof II1IIpoints WhichIIof IItheIIfollowingIIis IInotIIa IIsignIIor IIsymptomIIof IIcongenital IIhypothyroidism? SelectedIIAnswer: d. II FrequentIIstooling • QuestionII5 • 0IIoutIIof II1IIpoints While IIdoingIIaII5-year-oldIIwell IIchildIIexam, IIyouIInoticeIItwoIIsmall IIpatches IIof IIhair IIloss. IIBrokenIIhair IIis IIpresent, IIas IIis IIerythema IIandIIscaling. IIOnIIthe IIbasisIIof IIthisIIinformation, IIwhichIIof IItheseIIisIItheIIlikelyIIdiagnosis? SelectedIIAnswer: c. II Alopecia IIareata • QuestionII6 • 1IIoutIIof II1IIpoints HopeIIisIIaII7-month-oldIIwhoIIpresentsIIinIIJanuaryIIwithIIaII1-dayIIhistoryIIofIIcough,IIyellow IInasal IIdischarge,IIandIIlow-gradeIItempII(TIImaxII100°F).IISheIIwasIIpreviouslyIIhealthy.IIShe IIdoesIIhaveII2+IIedemaIIofIItheIInasal IIturbinatesIIandIIcloudyIIrhinorrhea.IISheIIisIIafebrileIIinIIthe IIoffice.IIHerIIchest,IImouth,IIandIIearsIIareIIclear.IIYouIIprescribe: SelectedIIAnswer: d. II Saline IIdrops, IIbulbIIsuction, IIhumidifiedIIair, IIandIIincreasedIIPOIIfluids • QuestionII7 • 1IIoutIIof II1IIpoints The IIparents IIof IIanII8-year-oldIIDownIISyndromeIIboyIIarriveIIfor IIhis IIannual IIwell-childIIvisit. IIHe IIwants IItoIIparticipate IIinIIsports, IIincludingIItheIISpecial IIOlympics. IIUntil IIfurther IIexaminationIIcanIIbeIIcompleted, IIwhichIIof IItheIIfollowing IIsportsIIwouldIIyouIIsuggestIIas IIbeingIIsafe? SelectedIIAnswer: a. II Tennis • QuestionII8 • 1IIoutIIof II1IIpoints Jason, IIageII14, IIappears IIwithIItender IIdiscoidIIbreastIItissueIIenlargementII(2-3IIcmIIinIIdiameter)IIbeneathIItheIIareola. IIYour IInextIIactionIIwouldIIbeIIto SelectedIIAnswer: a. II PerformIIwatchful IIwaitingIIfor II1IIyear. • QuestionII9 • 1IIoutIIof II1IIpoints YouIIseeIIaII7-year-oldIIboyIIaIIdayIIafterIIheIIwasIIbittenIIbyIIhisIIpetIIdog.IIAccordingIItoIIthe IImother,IItheIIdogIIbitIItheIIchildIIafterIIheIIsnuckIIupIIonIItheIIdogIIandIIgrabbedIIhisIItail.IITheIIdog IIhasIIhadIIall IIitsIIvaccinations,IIincludingIIrabies.IITheIIchildIIhasIIhadIInoIIfever,IIhasIIfull IImovementIIofIItheIIinjuredIIlimb,IIandIIhasIInoIIsignIIofIIneurologicIIorIIvascularIIinjury.IIThe IIwoundIIisIIonIItheIIchild’sIIforearm,IIisIInotIIdeep,IIandIIisIInotIIbleeding,IIbutIIhasIIdeveloped IIaboutII2IIcmIIofIIerythemaIIsurroundingIItheIIsite.IIWhichIIofIItheIIfollowingIIisIItheIImost IIappropriateIItreatment? SelectedIIAnswer: c. II Oral IIamoxicillin-clavulanate IIfor II7-14IIdays • QuestionII10 • 1IIoutIIof II1IIpoints AIIheadIIinjuryIIinIIwhichIIbruisingIIor IItearingIIof IItheIIcerebral IIstructures IIoccurs IIis IIa SelectedIIAnswer: d. II Contusion • QuestionII11 • 1IIoutIIof II1IIpoints AII14-year-oldIIhas IIaII3-weekIIhistoryIIof IIfever, IIanorexia, IIandIIabdominal IIpain. IIWhatIIadditional IIsymptomIIwould IIcauseIItheIINPIItoIIsuspectIICrohn's IIdisease? SelectedIIAnswer: b. II Blood, IImucous IIdiarrhea • QuestionII12 • 1IIoutIIof

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