exam 2

Question 1

where to put pulse ox on infant

Answer 1

big toe or top of foot

Question 2

where to put pulse ox on older child

Answer 2

finger

Question 3

s/s of respiratory impairment

Answer 3

Nasal flaring
Head bobbing
Noisy breathing
Congestion
Wheezing-musical
Stridor—high pitched, obstruction
Grunting
See-saw respirations

Question 4

Commonly seen with obstruction – a sign that child is having to work harder to breathe

Answer 4

retractions

Question 5

tx for strep throat

Answer 5

penicillin

Question 6

when is a tonsillectomy done

Answer 6

less than 3 and with recurrent severe strep infections

Question 7

what med is not recommended for someone who had their tonsils removed

Answer 7

codeine

Question 8

tonsillectomy diet

Answer 8

no until awake and no s/s of hemorrhage

Question 9

inherited autosomal recessive dysfunction of exocrine, sweat glands; increased mucus production, decreased pancreatic secretions

Answer 9

cystic fibrosis

Question 10

complication of cystic fibrosis

Answer 10

hemoptysis- coughing up blood

Question 11

airway edema, muscles around airways constrict, mucus production

Answer 11

asthma

Question 12

hallmark sign of asthma

Answer 12

wheezing

Question 13

most common form of coup

Answer 13

acute laryngo-tracheo-bronchitis

Question 14

unoxygenated blood going out to the body which can lead to death

Answer 14

eisenmenger syndrome

Question 15

2 major s/s of congenital heart defects

Answer 15

cyanosis and heart failure

Question 16

earliest s/s of heart failure

Answer 16

tachycardia

Question 17

how is heart failure best evaluated

Answer 17

changes in weight

Question 18

complication of cardiac cath

Answer 18

hemorrhage at site of infection

Question 19

dilation of the coronary arteries; aneurysms

Answer 19

kawasaki disease

Question 20

In which of the following CHD’s would the nurse need to take upper and lower extremity BP’s?

Answer 20

coarctation of aorta

Question 21

therapeutic level for digoxin

Answer 21

0.8-2

Question 22

normal dosing of digoxin

Answer 22

0.01 mg/kg/day

Question 23

what are we watching out for in tonsillectomy

Answer 23

fever and mild earache

Question 24

what is important to have in the room for rsv patients

Answer 24

suctioning

Question 25

tx of rsv

Answer 25

ribavirin; Synagis- preventative NOT A TX

Question 26

onset happens at night

Answer 26

acute epiglottitis

Question 27

diagnosis of acute epiglottis

Answer 27

x ray

Question 28

most common form of croup

Answer 28

LTB

Question 29

TX with LTB

Answer 29

dont let them cry; high humidity o2 hood, nasal cannula, simple mask, nonrebreather, epi, nebulizer

Question 30

baby tastes salty

Answer 30

cystic fibrosis

Question 31

diet for cystic fibrosis

Answer 31

high in everything!!

Question 32

need this before they eat any meals

Answer 32

pancreatic enzyme; cystic fibrosis

Question 33

patients will be on HIGH DOSE OF ASPIRIN

Answer 33

Kawasaki disease

Question 34

biggest complication of Kawasaki disease

Answer 34

MI

Question 35

Tx for Kawasaki disease

Answer 35

iv gamma globulin

Question 36

max milk

Answer 36

32 oz

Question 37

hemoglobin

Answer 37

7-8 is low

Question 38

hematocrit

Answer 38

45 is high

Question 39

biggest thing with sickle cell disease

Answer 39

keep them hydrated

Question 40

patient with an epi pen should have

Answer 40

hospital allergy band, home medic alert bracelet

Question 41

furosemide

Answer 41

k wasting; MONITOR K LEVELS

Question 42

what is normal after a tonsillectomy

Answer 42

mild ear ache, low grade fever, and mouth odor