Exam 4 Flashcards

(46 cards)

1
Q

In acute epiglottitis, using a tongue depressor could cause complete obstruction, T or F?

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What croup syndrome is always considered a medical emergency?

A

Acute epiglottitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In acute laryngeotracheobronchitis, the mother’s presence should be at the bedside to…

A

reduce anxiety and ease the child’s respiratory effort

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Asthma is usually triggered by

A

a viral infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

In bronchial asthma, there is a…

A

heightened airway reactivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Signs and symptoms of asthma

A

nonproductive cough and wheezing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What can develop with use of long-term inhaled steroids?

A

slowed growth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What do beta adrenergic agonists and methylxanthines do?

A

dilate the bronchioles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What sport can children with asthma participate in?

A

swimming

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What medication is given in emergency treatment of an acute, severe asthma attack?

A

short acting beta 2 agonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

If a child has CF, both parents are…

A

carriers of the gene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the earliest manifestation of CF?

A

meconium ileus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What tests are used to diagnose CF?

A

sweat chloride test, stool for fat, and chest x-ray

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Aerosolized bronchodilators should be given before..

A

chest physiotherapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is an adverse effect of DNase?

A

voice alters

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How can pancreatic enzymes be given?

A
  • swallowed whole

- sprinkled on top of a small amount of food eaten at the beginning of a meal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What kind of diet should a CF patient have?

A

High in carbohydrates and protein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Normal D-dimer levels

A

Less than 250 mcg/L

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How long does the nurse have to apply pressure after an ABG?

A

at least 5 minutes

20
Q

How often should you turn a tracheostomy patient?

A

every 2 hours

21
Q

How long should trach suctioning last?

A

10 - 15 seconds

22
Q

How is OME differentiated from AOM?

A

In OME, there is a feeling of fullness in the ear

23
Q

What are two ways to prevent otitis media?

A
  • keeping immunizations up to date

- avoid tobacco smoke

24
Q

In AOM, the parents should…

A

administer all of the prescribed medication

25
What is the most common, serious complication of rheumatic fever?
cardiac valve damage
26
What is a clinical manifestation of rheumatic fever?
polyarthritis
27
What medication is given for therapeutic management in rheumatic fever?
Penicillin
28
What can school nurses do to aid in prevention of rheumatic fever?
Refer children with sore throats for throat cultures
29
What is the most common causative agent of bacterial endocarditis?
Streptococcus viridans
30
What type of nodes may appear on the fingertips in bacterial endocarditis?
Osler nodes
31
What is the main nursing intervention to prevent infective endocarditis?
Counsel parents of high-risk children about prophylactic antibiotics
32
What is the therapeutic range for digoxin?
0.5-2
33
Therapeutic management of Kawasaki disease includes...
administration of gamma globulin and aspirin
34
What congenital heart defects increase pulmonary artery blood flow?
- atrial septal defect - ventricular septal defect - patent ductus arteriosus
35
What congenital heart defects decrease pulmonary artery blood flow?
coarctation of the aorta
36
What congenital heart defects decrease pulmonary blood flow?
Tetralogy of Fallot
37
What are the 4 structural defects in Tetralogy of Fallot?
- right ventricular hypertrophy - overriding aorta - pulmonic stenosis - ventricular septal defect
38
S/S of heart failure after a repaired tetralogy of fallot
- decreased urine output - inappropriate sweating - fatigue
39
What position do you put an infant in that is having a hypercyanotic spell?
knee-chest position
40
What clinical manifestation of nasopharyngitis should a parent report to the physician?
Signs of earache
41
ACEIs
decrease preload
42
Angiotensin II
decrease preload
43
Beta blockers
decrease chronotropy, heart rate, blood pressure, and contractility Ex: metaprolol
44
Diuretics
decrease preload and sodium and water retention
45
Digoxin
increases contractility
46
Nitrates
decreases afterload