Nurs 6500 Peds Final Exam Questions With Complete Solutions

Nurs 6500 Peds Final Exam Questions With Complete
Solutions


Hip Dysplasia
- S/S
- Dx
- Tx
= Femur doesn't fit properly into the hip socket (acetabulum)
S/S
- Limited hip abduction (inwards to outwards)
- "Clunk" during hip movements
- Leg length discrepancy
- Limping
Dx
- Hx and physical
- Ortolani (abducts) and Barlow (adducts) tests
- Imaging (radiographs)
Tx
1. Pavlik Harness - babies under 6
2. Closed Reduction = Non-surgical procedure to manually
realign the hip joint
3. Open Reduction = Surgical procedure to realign hip joint

,4. Spica Casting = Full body case that immobilizes the hip and
legs holding them in place while they heal
Glomerulonephritis
- S/S
- Dx
- Tx
- Teaching
= Glomeruli (tiny filters) in the kidneys becomes inflamed
leading to issues with waste and fluid removal
S/S
1. Swelling in the face, hands, feet or abdomen
2. Blood or protein in the urine
- Tea colored urine
- Foamy urine
3. Hypertensive
4. Fatigue
Dx
- Urinalysis
- Labs
- Kidney biopsy (assess kidney function)
Tx

, - Manage symptoms and prevent further damage (dietary
changes, medications)
- Dialysis
- Kidney transplant
Teaching
- Explain dietary changes needed - low sodium diet
- Medication Adherence
- Activity management (avoid strenuous activity)
Nephrotic Syndrome
- S/S
- Dx
- Tx
= Kidneys leak excessive protein into urine leading to swelling
and high cholesterol d/t damage of glomeruli
S/S
1. Excessive proteinuria
2. Edema (significant)
3. High cholesterol - leading to foamy urine and wgt. gain d/t
fluid retention
Dx
- Hx and Physical
- Urinalysis