NR 602 week 3 quiz Fall 2019 - Chamberlain College of Nursing (A grade) / NR602 week 3 quiz Fall 2019

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NR 602 week 3 quiz Fall 2019 - Chamberlain College of Nursing (A grade) Quiz Week 3 Quiz 3 Chap 13 (sports child and adolesents , 32 ( respiratory disorders, 35 ( GU) , 33 (GI), 38 ( Musculoske... tal) , 40( common injuries ) The following topics could potentially be tested on week 3 quiz. Please note that this is not all inclusive and questions are randomly generated. 1. Respiratory infections 2. Foreign body aspiration- know sx; interpret scenario 3. Restrictive airway disease- 4. Sinusitis 5. Bronchiolitis- 6. Pneumonia-pg 823- Sx -lower resp tract infect ass w/ fever and resp sx involving the parenchyma of the lung. 7. Asthma-chronic resp disease characterized by periods of coughing, wheezing, resp distress, and bronchospasm. Pathophys: result of immunohistopathologi responses that produce shedding of airway epithelium and collagen deposits beneath the basement membrane. Sx- wheezing, continuous/persistent cough, long expiratory phase, diminished breath sounds, signs of resp distress- tachypnea, retractions, nasal flaring, accessory muscles, apprehension, drowsiness, tachycardia, cyanosis of lips Dx- o2 sat, PFT- spirometry FEV1- amount of air expelled in 1 sec FVC >75%- normal 80-120%- normal 60-75 mild obstruct 70-79%- mild 50-59% moderate obstruct 50-69%- moderate <49% severe obstruct <50%- severe Levels of Severity pg 567 Mild -Wheezing @ end of expiration or no wheezing -No or minimal intercostal retraction along posterior axillary line -slight prolongation of expiratory phase -normal aeration in al lung fields -can talk in sentences Moderate -Wheezing throughout expiration -Intercostal retractions -Prolonged expiratory phase -Decreased breath sounds at the base Severe -Use of accessory muscles plus lower rib and suprasternal retractions, nasal flaring -inspir and expir wheezing or no wheezing heard w/ poor air exchange -suprasternal retractions w/ abd breathing -decreased breath sounds throughout base Impending resp arrest -Diminished breath sounds over entire lung field -tiring, inability to maintain resp -severely prolonged expiration if breath sounds are heard -drowsy, confused See pg 572/573 for table and stepwise treatment. 8. Rotavirus-viral gastroenteritis Transmit- fecal-oral, inanimate objects Dx-enzyme immunoassay and latex agglutination 9. Salmonella- Transmit- contaminated eggs, poultry, unpasteurized milk, juice, cheese, raw fruits, veggies, fecal contam of water Dx-stool cultures- + leukocytes gross blood 10. Clostridium difficile -Transmission- environment or stool of other colonized or infected ppl by fecal-oral route. Sx- mild to explosive diarrhea, bloody stools, abd pain, fever, N/V, watery diarrhea low grade fever/abd pain 10. Cryptosporidium- illness caused by protozoan parasaite cryptosporidium 12. Pyloric stenosis- pg 1102 *hungry after vomiting 
-narrowed pyloric sphincter r/t hypertrophied pyloric muscle Tx- surgical intervention 13. Pinworms- pg 884 Know Sx Transmission-Fecal-oral contact w/ eggs or cytsts excreted from the initial vector via ingestion of contaminated food or water 14. GERD- pg 845- Sx, Education, Tx -passage of gastric contents into esophagus from stomach through LES. Sx-esophagitis, irritability, arching, choking, gagging, feeding aversion, FTT sx, stridor lower airway disease, sinusitis, hoarseness, dysphagia, odoynophagia, 15. UTI pg 915 -asymptomatic bacteruria- bacteria in urine w/o other sx, benign, no renal injury -cystitis- infection of the bladder that produces lower tract sx but does not cause fever or renal injury 16. Primary enuresis pg 228--- commonly suggested reason behind -voluntary or involuntary incontinence, never established control Dx- minimum age of 5, 1 episode a month x3 months. Cause- variable. - 17. Glomerulonephritis pg 932- Sx -inflamm primarily in the glomeruli. Primary-original and predominate structure impaired is glomerulus. Secondary-renal involvement is secondary to systemic disease (SLE, vasculitis) 18. Osgood-Schlatter Disease- pg 1068 -caused by micotrauma in deep fibers of patellar tendor @ insertion to tibial tuberosity Tx-self-limiting, modifying activity, ice/cold, stretching, NSAIDs, neoprene sleeve 19. Juvenile Rheumatoid Arthritis pg 551 -Dx- persistent arthritis for more than 6 wks in pt 16 and younger. No dx lab test, made by exclusion. Helpful labs- cbc, esr, crp, lyme titer, LFT Underlying cause unknown, environmentally induced in genetic predisposition 20. Osteomyelitis- pg 1126 -can occur if puncture wound penetrates a bone or joint -most commonly caused by P. areuginosa and S aureus in diabetic 21. Transient synovitis of the hip pg 1079 Self-limited inflamm disorder of the hip, common in boys, r/o septic arthritis Cause-inflammatory rx, URI, unknown 22. Legg-Calve Perthes disease signs and symptoms pg 1079 -self-limiting disease of femoral head comprising of necrosis, collapse, repair and remodeling 23. Idiopathic scoliosis pg 1057 Occurs in adolescence, mild curve, sexes -lateral curve of the spine in the frontal plan Dx- Cobb method that measures angle btw superior and inferior end vertebrae Cause-usually unknown that’s why termed idiopathic, may have familial or 24. Croup-laryngotracheobronchitis, viral infection of middle resp track. Caused by human parainfluenza types 1 and 2 virus. Common in children younger than 6. 25. RSV- Children less than 2 Highly contagious, spread through resp droplets Sx- wheezing, URI sx, worsening cough, rhinorrhea, irritability [Show More]

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