NUR2513 Final Exam-with 100% verified solutions-2023-2024, Exams of Biology

Download NUR2513 Final Exam-with 100% verified solutions-2023-2024 and more Exams Biology in PDF only on Docsity! NUR2513 Final Exam-with 100% verified solutions-2023- 2024 1. Expected findings for bacterial pneumonia a. Ronchi (crackles), SOB, fever 2. What reflects safe practice in administration of blood products a. Remain with the patient for the first 15 minutes of the infusion (2 nurse sign off) 3. Kawasaki Disease a. S/S: strawberry tongue, edema of hands and feet, conjunctivitis without exudate 4. Bronchiolitis home treatment a. Humidifier 5. Pharyngitis causes increased risk for developing a. Rheumatic fever 6. Post tonsillectomy, clear fluids are best a. Avoid carbonated beverages, acidic or red dyes 7. Signs and Symptoms of pneumonia a. SOB, crackles, using accessory muscles, diminished sounds 8. Epiglottitis position a. Upright 9. A new heart noninvasive diagnostic testing: a. First echocardiogram 10. Legg-Calve-Perthes disease a child may have: a. A non-weight bearing period 11. Symptoms associated with patent ductus arteriosus a. Machine like murmur head at the left sub clavicular margin 12. Contraction of aorta a. Be sure to assess femoral and radial pulses simultaneously 13. What to do when a tetralogy of Fallot patient becomes cyanotic and dyspneic a. Place in knee chest position 14. Initial nursing interventions for sickle cell anemia a. Hydration and pain management 15. What to do for severe dehydration a. IV fluids 16. Mild to moderate a. try oral hydration first 17. Adolescents are at greater risk for developing a STI because they are: a. Engaging in risky behaviors 18. A nurse would do what with a voiding cystourethrogram a. Insert foley catheter for instillation of contrast 19. Kidney transplant post op care would include: a. Reduce socialization, infection control precautions 20. Treatment for croup: a. Corticosteroids 21. S/S of dehydration in an infant a. Elevated HR, sunken fontanels 22. Acute glomerulonephritis is most frequently caused by: a. Group a beta-hemolytic streptococcus 61. S/S of fractures a. Point tenderness 62. Gastroesophageal reflux a. Be sure to position upright for 30 min after feedings 63. Sickle cell anemia safety precautions a. Prevent dehydration 64. Signs of sexual abuse a. Child reports abdominal pain, change in school performance, demonstrates anxiety or trouble sleeping, does not want to be left alone with a certain adult 65. Preschool age child getting a CT scan a. Help the child to pretend the CT scan machine is a camera 66. A chronically hospitalized child who is alone at night a. Sit with child till they fall asleep 67. Teaching to provide to the family regarding achieving the goal of BMI within normal range a. Maintain a balanced eating approaching the home and encourage increased activity 68. Epiphyseal lines of long bones: a. Close by 18-20 years in males 69. Adolescent sexual activity teaching a. Do not be influenced by friends to have sex b. The only 100% effective method of preventing pregnancy is abstinence c. Learn about safe sex practices 70. Encourage friends be available through social media: a. Helps chronically ill children form not feeling lonely 71. When a child is in skeletal traction: a. Important to engage child in therapeutic play while confined to this position 72. Cast care includes: a. Cover with plastic bag to bathe b. Don’t place anything in the cast c. Use a hair dryer on cool setting to ease itchy skin d. Remain as active as possible with appropriate modifications 73. Preschool health screening program a. Height, weight, vision, hearing 74. When should the nurse be prepared to clamp chest tubes? a. Only if detached 75. Protecting an immunocompromised child focuses on which important measure a. Hand hygiene 76. Primary legal nursing responsibility when suspecting child abuse is to: a. Report the case to the local authorities and your supervisor/ charge nurse 77. The safest place to install the care seat in the vehicle is: a. Back, middle and rear facing 78. How to prevent skin cancer a. Avoid getting a severe sun burn b. Avoid tanning beds c. Sunscreen application to include tops of ears and back of neck d. There is a direct association between two or more episodes of sunburn and development of malignant melanoma 79. If a patient is bleeding at a cath site a. Apply pressure 80. Newborns are a. Obligate nose breathers so nasogastric tube may obstruct their breathing 81. After a bronchoscopy child will be admitted for a. Respiratory observation 82. It is important to identify the parent a. Custodial 83. Pancrelipase needs to be taken before every meal or snack for what kind of patient a. Cystic fibrosis 84. Proper use of metered dose inhaler a. Shake canister before using b. Hold breath for 5-10 seconds c. Activate the inhaler while taking a deep breath 85. Best way to manage primary dysmenorrhea with pharmacological therapy is with: a. NSAIDS b. Finish all antibiotics as prescribed 86. technique used to administer ear drops to a young child is: a. pull the pinna down and back 87. iron should be given with: a. a glass of OJ b. Iron may cause back tarry stools and may cause constipation 88. Vicodin use during pregnancy a. Watch infant for withdrawal 89. When giving oxytocin therapy, and a laboring patient experiences contractions that last for a duration of 90 seconds occurring at a frequency of every 2 minutes: a. Stop the infusion and notify the provider 90. Valproic acid considerations a. Don’t stop abruptly (seizure medication) 91. Croup with stridor at rest needs racemic epinephrine via the nebulizer to treat. What is nebulized racemic epi ? a. Used for temporary relief of symptoms associated with bronchial asthma (SOB, wheezing, chest tightening) and to treat croup in children b. Available under brand names: AsthmaNefrin and S2 92. What is the action of digoxin? a. Improve heart contractility 93. Anaphylactic: fist give , then take child to hospital for observation a. Epinephrine 94. How long does Moro reflex last? a. Birth to 4 months 95. Infants their weight by 6 months and at one year a. Double, triple 96. The anterior fontanel closes at : a. 12-18 months 97. When a baby is in breech presentation auscultate for fetal heart sounds in what location a. Belly button 98. Babies with spastic cerebral palsy have a. Strong Moro reflex when startled b. Which is stiff, tight muscles on one or both sides of the body c. Exaggerated movements, limited mobility and abnormal gait 99. S/S of infection a. Lethargy, increased HR, increased temp, chills, new onset of cough 1. S/S of Prolapsed cord a. Seeing or feeling the cord before the baby is delivered b. Fetal distress from lack of oxygen can also be observed as a sudden or prolonged fetal heart deceleration on fetal monitor c. Encourage left lateral position 2. S/S of Placenta Previa a. Bright red painless vaginal bleeding during second half of pregnancy b. Some have contractions c. If diagnosed early on, will resolve on its own 3. Placenta Abruption S/S a. Painful vaginal bleeding b. Back pain, labor pain, pain in abdomen that does not relax c. Blood in amniotic fluid d. Feeling faint e. Not feeling the baby move as much as before 4. Postpartum Hemorrhage risk factors a. Placental abruption is the early detachment of the placent from uteris b. Placenta previa c. Overdistended uterus d. Multiple pregnancies e. Gestational hypertension or preeclampsia f. Prolonged labor g. Infections 5. 36 week pregnant, lab tests thatll be done a. Weight and BP b. Measure height of uterus to gauge baby growth c. Check baby HR d. Test for Group B