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NUR 257 Exam 2 Questions with Solutions

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Exam of 5 pages for the course NUR 257 at NUR 257 (NUR 257 Exam 2)

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NUR 257
Course
NUR 257

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NUR 257 Exam 2

What is a pancreatic enzyme used for? - answer- prevent pancreatic insufficiency in
cystic fibrosis patients
- should be taken with each meal and snack given

Ear drop administration - answer- 0 to 3 years olds: pull pinna down and back
- 3 and up: pull pinna up and back

Asthma medication - answer- takes 10-15 minutes to complete
- nervous, heart rate increased, jittery

status asthmaticus - answer- life-threatening episode of airway obstruction that's
unresponsive to common treatment

eczema corticosteroid application - answer- be sure to have the correct height and
weight, to make sure that it is a safe dose for the patient

Pediculosis Capitis (Head Lice) - answer-intense itching, small, red bumps on the scalp,
nits (white specks) on the hair shaft
- avoid home remedies for treatment

eczema (atopic dermatitis) - answer- inflammatory skin disease
- cannot be cured but can be well controlled
- change diapers frequently and avoid irritants

acne - answer- most common skin condition during adolescence
- risk factors: genetics, hormone fluctuations, cosmetics, exposure to grease, diet (high
glycemic index food and dairy)

Fifth Disease (Parvovirus B19) - answer- Child with a fever and "slapped cheek" rash on
the face that spreads to his body
- fever, runny nose, headache (before rash)

Measles precautions - answer- airborne
- spread through direct contact and droplets

Measles (Rubeola) - answer- Koplik's spots are associated with this disease and appear
2 days before rash
- red rash stars at face and moves down, along with a spiked fever
- mild fever coryza, conjunctivitis, fatigue, cough, runny nose, red eyes, sore throat. -
conjunctivitis

, measles (rubella) - answer- German Measles, rash that starts on face, 3 day measles
-Often more mild and often undetected
- cannot get vaccine if you are pregnant

pertussis (whooping cough) - answer- an airborne bacterial infection that affects mostly
children younger than 6 years.
- highly contagious through droplet infection
- Dtap vaccine

varicella - answer- spread through direct contact, droplet, and contaminated objects
- 1 to 2 days before rash: fever, fatigue, loss of appetite, headache

conjunctivitis (pink eye) - answer- red/ pink in sclera, swelling of conjunctiva, tearing,
purulent drainage, crusty

bacterial conjunctivitis - answer- starts in on one eye and usually spreads to both eyes
heavy discharge and lash crusting
- requires an antibiotic

viral conjunctivitis - answer- after a viral infection
- resolves on own 7-14 days

allergic conjunctivitis - answer- Inflammation of the conjunctiva due to a reaction from
allergy
- clears with allergy medication

HIV/AIDS - answer- a viral infection that affects the immune system and can lead to
organ dysfunction
- can pass to infants through breast milk

Post-op care tonsillectomy - answer- elevate head of bead to reduce the risk of
aspiration
- ensure gag reflex is intact before offering fluid

tonsillectomy hemorrhage complications - answer- frequent swallowing, clearing throat,
restless, red emesis, tachycardia, pallor

bacterial pneumonia - answer- inflammation of the pulmonary parenchyma
- have child lay on affected side to splint the chest and reduce the discomfort caused by
pleural rubbing

bacterial pneumonia s/s - answer- high fever, cough, tachypnea, retractions, nasal
flaring, chest pain, chest dullness with percussion

viral pneumonia - answer- caused by several different types of viruses and accounts for
approximately half of all pneumonias

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Institution
NUR 257
Course
NUR 257

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