NUR 4010- PEDS Exam III Questions With
Verified Answers
What are the characteristic signs of acute respiratory distress syndrome (ARDS)?
-respiratory distress (increased dyspnea)
-hypoxia (increased O2 demands)
When a patient goes into acute respiratory distress syndrome (ARDS), what type of pressure will they
need to help inflate their lungs?
PEEP (positive end expiratory pressure)
What is the treatment for carbon monoxide poisoning?
100% O2 ('humidified'?)
What are three factors of inhalation injury that determine the severity?
-type of substance
-environment
-duration of exposure/contact
What can passive or secondhand smoke cause later in life?
-may lead to CLD (chronic lung disease)
-greater risk for ear infections
At what age do children develop receptors that can respond to albuterol?
3-4 months old
T of F: Asthma I can be diagnosed at birth?
FALSE!
What are the two main factors of asthma?
-obstructive
-inflammatory (secondary to hyper responsiveness)
What are the three strongest predisposing factors for developing asthma?
1. familial asthma
2. allergies
3. eczema
What type of medication would a patient with 'persistent' asthma need?
inhaled corticosteroid
What do the different stages of severity of asthma represent?
stages/steps depend on symptoms and medications patient uses
How do you classify if asthma is mild/moderate/severe?
based on how frequent symptoms/bouts of steroid therapy
, When would you use a beta-2 agonist?
quick relief (i.e. albuterol)
When would you give magnesium sulfate to a patient with asthma and why?
-give to status asthmaticus
-Mg sulfate is a smooth muscle relaxer
What are the side effects of albuterol?
tachycardia, jittery, hypokalemia, and lactic acidosis (increased muscle breakdown(
What is the main purpose of Atrovent (ipatropium bromide?
-anticholinergic (dries excess secretions)
What is tachyphylaxis?
Increased tolerance to a drug that is administered repeatedly (i.e. overuse of albuterol decreases its
efficacy)
How can you tell a patient is an asthmatic via a chest x-ray?
hyper-expansion of the lungs (>9 ribs)
What is the diagnostic test for cystic fibrosis?
sweat chloride test
What type of diet do patients with cystic fibrosis need?
high fat/high calorie (150% RDA) with supplemental enzymes prior to meals
What is the typical presentation of a patient with cystic fibrosis?
-wheezing
-dry, non-productive cough
-obstructive emphysema
-patchy atelectasis
-cyanosis
-digital clubbing
-repeated bouts of bronchitis and pneumonia
-dehydration
-hyponatremic
-hypoalbuminemia
What is steatorrhea and why do CF patients have it?
-steatorrhea is excretions of undigested food in stool; frothy/foul smelling (fat)
-CF patients have a problem with digestion, hence why they take enzymes during meals
What is the earliest postnatal manifestation of CF?
meconium ileus
Verified Answers
What are the characteristic signs of acute respiratory distress syndrome (ARDS)?
-respiratory distress (increased dyspnea)
-hypoxia (increased O2 demands)
When a patient goes into acute respiratory distress syndrome (ARDS), what type of pressure will they
need to help inflate their lungs?
PEEP (positive end expiratory pressure)
What is the treatment for carbon monoxide poisoning?
100% O2 ('humidified'?)
What are three factors of inhalation injury that determine the severity?
-type of substance
-environment
-duration of exposure/contact
What can passive or secondhand smoke cause later in life?
-may lead to CLD (chronic lung disease)
-greater risk for ear infections
At what age do children develop receptors that can respond to albuterol?
3-4 months old
T of F: Asthma I can be diagnosed at birth?
FALSE!
What are the two main factors of asthma?
-obstructive
-inflammatory (secondary to hyper responsiveness)
What are the three strongest predisposing factors for developing asthma?
1. familial asthma
2. allergies
3. eczema
What type of medication would a patient with 'persistent' asthma need?
inhaled corticosteroid
What do the different stages of severity of asthma represent?
stages/steps depend on symptoms and medications patient uses
How do you classify if asthma is mild/moderate/severe?
based on how frequent symptoms/bouts of steroid therapy
, When would you use a beta-2 agonist?
quick relief (i.e. albuterol)
When would you give magnesium sulfate to a patient with asthma and why?
-give to status asthmaticus
-Mg sulfate is a smooth muscle relaxer
What are the side effects of albuterol?
tachycardia, jittery, hypokalemia, and lactic acidosis (increased muscle breakdown(
What is the main purpose of Atrovent (ipatropium bromide?
-anticholinergic (dries excess secretions)
What is tachyphylaxis?
Increased tolerance to a drug that is administered repeatedly (i.e. overuse of albuterol decreases its
efficacy)
How can you tell a patient is an asthmatic via a chest x-ray?
hyper-expansion of the lungs (>9 ribs)
What is the diagnostic test for cystic fibrosis?
sweat chloride test
What type of diet do patients with cystic fibrosis need?
high fat/high calorie (150% RDA) with supplemental enzymes prior to meals
What is the typical presentation of a patient with cystic fibrosis?
-wheezing
-dry, non-productive cough
-obstructive emphysema
-patchy atelectasis
-cyanosis
-digital clubbing
-repeated bouts of bronchitis and pneumonia
-dehydration
-hyponatremic
-hypoalbuminemia
What is steatorrhea and why do CF patients have it?
-steatorrhea is excretions of undigested food in stool; frothy/foul smelling (fat)
-CF patients have a problem with digestion, hence why they take enzymes during meals
What is the earliest postnatal manifestation of CF?
meconium ileus
