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N421 FINAL EXAM Questions and Answers
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What are the 3 classic S/Sx of asthma? Ans: Cough
Dyspnea
Wheeze
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CYSTIC FIBROSIS
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1. Targets the ___ glands leading to secretions of ____
2. Characterized by dysfunction of ____, _____, and ____
3. Meds (3!) and Therapy indicated? Ans: 1. exocrine glands --> viscous
NaCl secretions
2. respiratory tract, pancreas, GI tract
3. Enteric coated pancreatic enzymes, ABX, Pulmozyme, Airway
Clearance Therapy (ART)
SEIZURES
1. Partial seizures affect ____. Simple partial is characterized by ____,
while complex partial is characterized by ____
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2. Generalized seizures affect ___. Tonic clonic seizures are characterized
by ____ Ans: 1.
- One area of the brain
- no changes in LOC, smell aura
- change in LOC, BLANK STARE!
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2.
- the entire brain
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- jerking motion w/ hypertonia, urinary incontinence
Your pt is having a seizure. They have a blank stare with no changes in
their vital signs.
1. What type of seizure is this?
2. What is the Tx? Ans: 1. Complex Partial
2. O2 blow by, blood draw for anti-seizure med levels
The nurse is explaining the risks of anaphylaxis that can occur in children.
Major risks of anaphylaxis include: (Select all that apply)
a. Vasodilation and hypotension
b. Bronchodilation
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c. Decreased level of consciousness
d. Angioedema Ans: a. Vasodilation and hypotension
c. Decreased level of consciousness
d. Angioedema
Which type of shock is characterized by a hypersensitivity reaction
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causing massive vasodilation and capillary leaks, which may occur
when exposed to an allergen?
a. Hypovolemic
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b. Anaphylactic
c. Cardiogenic
d. Neurogenic Ans: b. Anaphylactic
All of the following interventions are treatments for anaphylactic shock
except:
a. Amoxicillin 50mg/kg for 5 days
b. Put the patient in the supine position and raise their legs
c. IM Epinephrine
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d. Normal saline IV bolus to improve perfusion. Ans: a. Amoxicillin
50mg/kg for 5 days
An 8-year-old girl with a change in level of consciousness is being
assessed. All of these could be signs of anaphylactic shock except:
a. Capillary refill time: 4 seconds
b. Oxygen saturation: 99%
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c. BP: 71/52
d. HR: 136 Ans: b. Oxygen saturation: 99%
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Your pt is in anaphylactic shock. Describe what you expect to see in
each assessment
1. Respiratory system
2. Integumentary System
3. GI system
4. CNS Ans: 1. WHEEZING d/t bronchoconstriction
2. Rashes and edema d/t vasodilation and increased permeability
3. abd pain
4. Changes in LOC