NEWEST 2024 ACTUAL EXAM COMPLETE 400
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
A localized dilation of an artery either within the original diameter
of the artery (fusiform) or an out pouching of the artery (saccular).
- ANSWER >>>Aortic Aneurysm
What is aortic aneurysm the result of - ANSWER >>>a weakening
of the arterial wall and occurs where arteries curve or flex.
Where is the aortic aneurysm located? - ANSWER >>>Can be in
the abdominal area such as abdominal aortic aneurysm or
thoracic aorta
What is the cause of aortic aneurysm? - ANSWER >>>•
Hypertension
• Atherosclerosis
• Smoking
• Age
• Family history
• Syphilis
• Marfan's syndrome
• Blunt trauma.
Sudden expansion with danger; the patient may experience a
sudden increase in pain with radiation to groin, buttocks, and legs
with signs and symptoms of hypovolemic shock. - ANSWER
>>>Ruptured Abdominal Aortic Aneurysm
,blood has tunneled into the artery wall between the layers of the
arterial wall. The effect is decreased perfusion to organs. -
ANSWER >>>Aortic Dissection
What is Aortic Dissection accompanied by? - ANSWER >>>by
diaphoresis, nausea, vomiting, faintness, apprehension.
What is the treatment for treatment for Aortic Dissection? -
ANSWER >>>for partial dissection is medical management with
control of blood pressure maintained below 100-120 mmHg, or in
the event of dissection with hemodynamic compromise,surgical
repair surgical repair.
Blood is diverted into the artery wall. - ANSWER >>>Aortic
Dissection
A narrowing in the aorta usually near the ductus arteriosus,
causing increased pressure in the head and upper extremities
and decreased pressure in the body and lower extremities. -
ANSWER >>>Coarctation of the Aorta (CoA)
Blood flows from the aorta to the pulmonary artery through an
opening, which usually closes during the first weeks of life -
ANSWER >>>Patent Ductus Arteriosus (PDA):
Aortic dissection symptoms - ANSWER >>>are sudden pain
described as tearing, ripping, or stabbing in the anterior chest,
back, neck, throat, jaw, or teeth.
Blood does not flow easily because the entrance of the pulmonary
artery is narrow, causing hypertrophy of the RV - ANSWER
>>>Tetralogy of Fallot (TOF):
,Blood flows between all four chambers due to a low ASD, high
VSD and modified valves. - ANSWER >>>Atrioventricular Septal
Defect (ASD):
Blood does not flow because the aortic valve has narrowed,
causing hypertrophy in the LV and decreased cardiac output -
ANSWER >>>Pulmonic Stenosis (PS)
Ineffective airway clearance related to retained secretions as
evidenced by abnormal breath sounds. What's outcome? -
ANSWER >>>Pt. Will exhibit clear breath sounds in bilateral
lower lobes after nebulizer and chest physiotherapy (PT)
Ineffective airway clearance related to retained secretions as
evidenced by abnormal breath sounds. What's interventions? -
ANSWER >>>-Provide nebulizer treatment and chest and chest
physiotherapy/postural drainage as prescribed
-Administer IV antibiotics on time
Caregiver role strain related to perceived lack of support as
evidenced by lack of compliance to prescribed treatment regimen.
What is the outcome? - ANSWER >>>Grandmother will identify
resources to assist with caring for the child with chronic illness by
discharge.
Caregiver role strain related to perceived lack of support as
evidenced by lack of compliance to prescribed treatment regimen.
What is the interventions? - ANSWER >>>-Provide grandmother
with contact information for the American Lung Association and
Cystic Fibrosis Foundation
-Refer the pt.'s family to a hospital social worker.
Imbalanced nutrition: less than body requirements related to
inadequate absorption of calories as evidenced by height and
, weight below 3rd percentile. What is the outcome? - ANSWER
>>>The child will gain 2 pounds within one month
Impaired Gas Exchange related to poor perfusion as evidenced
by cyanosis and clubbing of fingers. What is the outcome? -
ANSWER >>>The child will maintain oxygen saturation above
92% on room air by discharge.
Imbalanced nutrition: less than body requirements related to
inadequate absorption of calories as evidenced by height and
weight below 3rd percentile. What is the interventions? -
ANSWER >>>-Elicit the patient's food preferences when
completing the menu
-Provide pancrelipase with meals and snack
Impaired Gas Exchange related to poor perfusion as evidenced
by cyanosis and clubbing of fingers. What is the interventions? -
ANSWER >>>-Limit feeding times to 20 minutes
-Place child in knee-chest position during that spells
- ANSWER >>>Group B streptococcal infection
- ANSWER >>>Hirschsprung's
- ANSWER >>>necrotizing enterocolitis,
- ANSWER >>>Pyloric stenosis
- ANSWER >>>Choanal atresia,
- ANSWER >>>Bronchopulmonary dysplasia
- ANSWER >>>Hydrocephalus
- ANSWER >>>Omphalocele,