Exam 3 - Resp Cardio Endo MSK

  1. For a child with Cystic Fibrosis, what time should CPT (chest physical therapy) begin each day?
    30 min before breakfast
  2. What are some symptoms of Cystic Fibrosis (CF)?
    • dyspnea, wheezing
    • salty tears, saliva, sweat
    • distended abdomen
    • barrel chest
    • clubbing of fingers and toes
    • large foul-smelling stool
  3. Expected nursing assessments of a newborn with suspected cystic fibrosis would include:
    Observe frequency and nature of stools

    meconium ileus - abnormally thick meconium caused by an absence of pancreatic enzymes that normally digest proteins make stool putty-like
  4. An abnormal opening between the right and left atria? Blood that already contains O2 is forced from the left atrium back to the right atrium
    Atrial septal defect
  5. The most common heart anomaly. An opening between the right and left ventricles of the heart.
    Ventricular septal defect
  6. Blood passing from the aorta (high pressure) into the pulmonary artery - causing oxygenated blood to recycle through the lungs, overburdening the pulmonary circulation making the heart pump harder.
    Patent ductus arteriosus
  7. A tightening or narrowing of the aortic arch of the descending aorta. difference in B/P and pulses of upper and lower extremities - may develop later in childhood
    Coarctation of aorta
  8. Four defects in one: Stenosis or narrowing of pulmonary artery, hypertrophy of the right ventricle, aorta displacement (dextroposition), ventricular septal defect
    Tetralogy of Fallot
  9. theĀ tricuspidĀ heart valve is missing or abnormally developed. The defect blocks blood flow from the right atrium to the right ventricle.
    tricuspid atresia
  10. This results from a pituitary hypofunction that results in a decreased secretion of ADH
    Diabetes Insipidus (DI)
  11. What are the S/S of diabetes insipidus?
    • polyuria
    • polydipsia
    • enuresis
    • insatiable thirst
    • infants relieved with water not milk
    • dehydration
  12. What is the treatment for diabetes insipidus
    Daily hormone replacement of vasopressin
  13. What are the nursing interventions for diabetes insipidus?
    • accurate I&O
    • monitor for fluid overload
    • seizure precautions
    • administer ADH-antagonizing meds
  14. This disease results when glucose is unable to enter the cell and remains in the blood, causing hyperglycemia
    Diabetes Mellitus I
  15. What is the treatment for Diabetes mellitus I?
  16. What is the goal range of glucose for DMI?
    80-120 mg/dL
  17. What are the causes of diabetic ketoacidosis (DKA)?
    • dehydration
    • electolyte imbalance
    • acidosis
    • May lead to coma or death
  18. What are some signs of Developmental dysplasia of the hip (DDH)?
    • affected leg shorter than other leg
    • telescoping or piston mobility of joint
    • trendelenburg sign
    • greater trochanter is prominent and above line of iliac spine
    • waddling gait
  19. This disease is a result of avascular necrosis of the femoral head
    Legg-Calve-Perthes disease
  20. What are S/S of Legg-Calve-Perthes disease?
    • limp
    • soreness or stiffness
    • limited ROM
    • vague history of trauma
    • pain
  21. This is a congenital neural tube defect characterized by malformation of the spinal cord
    spina bifida
  22. This type of spina bifida in which the opening is small and there is no associated protrusion of structures
    spina bifida occulta
  23. This type of spina bifida consists of the development of a cystic mass in the midline of the opening of the spine
    spina bifida cystica meningocele

    no neurologic deficits
  24. This type of spina bifida is more serious and a protrusion of the membranes and spinal cord

    varying and serious degrees of neurologic deficit
  25. Why should honey corn syrup be avoided in infants?
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Exam 3 - Resp Cardio Endo MSK
Exam 3 - Resp, Cardio, Endo, MSK