NSG222/ NSG 222 Exam 6: (New 2024/ 2025 Update) Family Nursing Review Q&A, Exams of Nursing

Download NSG222/ NSG 222 Exam 6: (New 2024/ 2025 Update) Family Nursing Review Q&A and more Exams Nursing in PDF only on Docsity! NSG222/ NSG 222 Exam 6: (New 2024/ 2025 Update) Family Nursing Review| Questions and Verified Answers| 100% Correct | A Grade – Herzing QUESTION Ewing sarcoma Answer: - rare malignant bone tumor - begins with intermittent pain that becomes constant (can interfere with child's sleep) QUESTION treatment for Ewing sarcoma Answer: - radiation - chemotherapy - surgical removal of tumor QUESTION rhabdomyosarcoma Answer: - soft tissue tumor (asymptomatic) - increased trouble breathing if tumor is present in neck area QUESTION treatment for rhabdomyosarcoma Answer: - radiation - chemotherapy - surgical removal of tumor QUESTION neonatal immune system Answer: - cellular immunity (T cells generated by the fetal thymus)*** - humoral immunity (IgG antibody cells from placenta and breast milk) QUESTION What part of the immune system is immature at birth? Answer: humoral immunity (receiving IgG antibody cells from placenta and breast milk) QUESTION warning signs of primary immunodeficiency Answer: - four or more new episodes of acute otitis media in 1 year*** - two or more episodes of severe sinusitis in 1 year - treatment with antibiotics for 2 months or longer with little effect - two or more episodes of pneumonia in 1 year - failure to thrive in the infant - recurrent deep skin or organ abscesses - persistent oral thrush or skin candidiasis after 1 year of age - history of infections requiring IV antibiotics to clear - two or more serious infections such as sepsis - family history of primary immunodeficiency QUESTION intravenous immunoglobulin (IVIG) administration*** QUESTION diabetes insipidus Answer: - deficiency of antidiuretic hormone (ADH) aka Vasopressin - disorder of posterior pituitary gland - increased urine output (diluted) - DI (dry inside) QUESTION symptoms of diabetes insipidus Answer: - hypernatremia - weakness - polyuria - polydipsia - dehydration QUESTION management of diabetes insipidus Answer: - monitor fluid balance (daily weight, I&O) - frequently scheduled bathroom breaks at home and school*** - maintain fluid intake - allow time to regain strength before activities QUESTION syndrome of inappropriate antidiuretic hormone (SIADH) Answer: - too much antid- iuretic hormone (ADH) - holding onto fluid - SI (soaked inside) QUESTION symptoms of SIADH Answer: - little to no urine output - very concentrated urine - hyponatremia - fluid overload - fatigue - thirst - confusion QUESTION nursing management of SIADH Answer: - monitor fluid balance (I&O, daily weight) - be creative for ways to cope with fluid restrictions (sugarless candy, wet washcloth, ice chips) - monitor LOC (prevent falls) QUESTION symptoms of congenital hypothyroidism Answer: - lack of thyroid hormones at birth - short stature - delayed mental development QUESTION symptoms of hyperthyroidism*** Answer: - elevated T3 and T4 hormones - decreased TSH - excessive perspiration - protruding eyeballs - weight loss - excessive thirst - tremors QUESTION congenital adrenal hyperplasia Answer: - insufficient enzymes for production of corti- sol and aldosterone - overproduction of ACTH - treated with hydrocortisone and mineralocorticoid replacement for life QUESTION symptoms of adrenal crisis Answer: - dehydration - hypotension - severe hypoglycemia - hyponatremia - hyperkalemia - severe nausea & vomiting*** - shock QUESTION diabetes teaching for pediatric patient Answer: - preschool: assess readiness to learn, use dolls*** - school-age: show how to inject insulin - adolescent: teach how to count carbs*** - genetic disorder mostly affecting African Americans - sickle-shaped red blood cells that can become stuck in vessels QUESTION nursing care for sickle cell disease Answer: - prevent vaso-occlusive crisis - manage pain*** - prevent infection*** QUESTION B-thalassemia Answer: - autosomal genetic disorder - red blood cells become rigid and hemolyze (burst) - causes excessive iron levels - symptoms: frontal bossing, maxillary prominence, altered cardiac function QUESTION nursing care for B-thalassemia Answer: - monitor hemoglobin and hematocrit - transfuse PRBCs at regular intervals - monitor iron levels - iron chelation therapy (removes excess iron) QUESTION idiopathic thrombocytopenia purpura (ITP) Answer: - excessive destruction of platelets due to antibody formation - occurs after viral infection - symptoms: low platelet count***, petechiae, purpura, excessive bruising QUESTION disseminated intravascular coagulation (DIC) Answer: - overproduction of blood clots which causes bleeding throughout body - very poor prognosis due to difficulty controlling bleeding QUESTION hemophilia Answer: - X-linked recessive disorder (occurs in males only) - deficiency of clotting factors (most common is factor VIII deficiency) - prolonged hemorrhage after minor tissue trauma - treated by preventing and managing bleeding QUESTION Von Willebrand Disease Answer: - genetic disorder that affects both males and females - deficiency of von Willebrand factor ("sticky" protein that joins platelets for clot formation) - symptoms: easy bruising, frequent nosebleeds - treated by preventing and managing bleeding as well as giving Desmopressin QUESTION acute lymphoblastic leukemia symptoms Answer: - most common form of cancer in children ages 2-10 - fever - petechiae - bone pain - recurrent infections QUESTION treatment for acute lymphoblastic leukemia Answer: chemotherapy (destroys erratic cells, restores normal bone marrow function) QUESTION acute myelogenous leukemia Answer: - second most common type of cancer in chil- dren (peaks in adolescence) - less responsive to treatment QUESTION treatment for acute myelogenous leukemia Answer: - chemotherapy - hematopoietic stem cell transplant QUESTION Hodgkin's lymphoma Answer: - presence of Reed-Sternberg cells - non-painful enlarged lymph nodes, fever, fatigue*** - usually starts in 1 lymph node (frequently neck area) and then spreads to others in a more organized fashion - difficulty swallowing*** QUESTION nutrition management of cerebral palsy Answer: - may require longer time to eat - position upright to avoid aspiration - special diet (pureed, soft food) - swallowing study or G-tube placement for swallowing difficulties or malnourish- ment*** QUESTION Rickets Answer: - softening/weakening of bones - caused by inadequate consumption of calcium or vitamin D - GI conditions interfere with fat soluble vitamin absorption*** QUESTION seizure treatment Answer: - anticonvulsants - benzodiazepines*** - loosen restrictive clothing - pad side rails - ease child to the floor QUESTION craniosynostosis Answer: - premature closure of cranial sutures - confirmed with x-rays*** - corrected with surgery to allow brain expansion QUESTION Cushing triad Answer: - increased systolic BP - decreased pulse - altered respiratory pattern QUESTION treatment for meningitis Answer: - lumbar puncture*** - antibiotics - droplet isolation - corticosteroids - antipyretics QUESTION Klinefelter Syndrome Answer: - disorder in which males have an extra X chromosome, making them XXY instead of XY - males present with female characteristics (less facial hair, gynecomastia) - causes infertility*** - treated with testosterone, surgery for gynecomastia QUESTION assessment for cognitive disorder Answer: - health history - physical exam*** QUESTION autism symptoms Answer: - does not imitate - does not point to objects*** - eye contact abnormalities*** - utter sounds but not words - repeat words*** - resist cuddling QUESTION anorexia treatment Answer: - slow refeeding*** - food journal - treat hypotension, bradycardia, hypothermia QUESTION assessment findings of cancer in pediatric patient Answer: - fatigue / low energy level - adventitious breath sounds (pneumonia) - enlarged lymph nodes (firm, non-tender) QUESTION treatment for pediatric cancer*** Answer: - clinical trials - chemotherapy