Random!
Lupus!
Which two conditions are under the umbrella diagnosis of COPD?
Chronic Bronchitis/Emphysema
Name 3 nonpharmacologic ways to prevent Deep Vein Thrombosis
Ankle Pumps, Quad Sets, Gluteal Tightening, Straight Leg Raises, SCDs, Ted Hose, Turning and Ambulation
Piaget's Theory of Cognitive Development includes this milestone which is the knowledge that a person or object continues to exist even when out of sight
Object Permanence
Usually happens around 9mos of age
If a child presents with bruises/wounds at varied stages of healing, what should be ruled out right away?
Abuse
A drop in systolic pressure of more than 20 mm HG when BP is taken flat and standing
Orthostatic hypotension
When using an otoscope to visualize the tympanic membrane of a 2-year old, this is the correct direction to pull the pinna
Down/Back
It is the responsibility of the circulating nurse to perform this safety procedure to prevent errors prior to initiating surgical anesthesia
Time-out
At this age infants can sit without support
6 mos.
Weak distal pulses can be a sign of...
(Not a cardiac abnormality, think broader)
Vasoconstriction/Early Shock
What is the name for the amount of blood ejected by the left ventricle during each systole?
Stroke Volume
A palpable vibration when a person speaks
Fremitus
Fremitus can be used to assess the lungs. For example, fremitus increases when the lungs are consolidated, like in pneumonia, and decreases when the lung moves away from the chest wall, like in pleural effusion
Name 1 intervention you would want to consider in the post-op area if a patient is getting a tonsillectomy and/or adenoidectomy
O2 setup
Humidification
No straws
Nothing red
HOB at least 30 deg.
Bipolar woman gives birth to a child w/ holosystolic murmur worse on inspiration.
What does the child have, most likely?
Ebstein's Anomaly
The tricuspid valve is located between the right atrium and right ventricle of the heart, and separates the two chambers. In Ebstein's anomaly, the tricuspid valve forms too far down in the heart into the ventricle, causing it to not close properly. Can be caused by a mom who takes Lithium for BPD.
A holosystolic murmur, also called a pansystolic murmur, is a heart sound heard through a stethoscope that occurs throughout the entire systolic phase of the cardiac cycle, meaning it starts right after the first heart sound (S1) and continues until the second heart sound (S2), indicating turbulent blood flow caused by a faulty heart valve
Inhalation increases venous return to the R side of the heart (this is where the TV is) so you can hear how badly that valve is working on inspiration
Unless a child is seriously injured in this area, where is the best spot to begin your full body assessment?
The feet
Name the 3 components of Cushing's Triad
When would this occur?
Hypertension (widened pulse pressure--what does this mean?), Bradycardia, Bradypnea
Indicates late signs of intracranial pressure. Warning sign of brain herniation
This condition notes a chest which is equal anteroposterior to transverse diameter
What disease would this occur in??
A barrel chest
COPD (Chronic over-inflation with air)
Name this complication of general surgery. S/S include: rapid rise in temperature, tachycardia and ventricular dysrhythmia, tachypnea, cyanosis, rigidity of skeletal muscles
Malignant Hyperthermia
Baby is born w/ respiratory distress, scaphoid abdomen, and stomach bubble seen in left thorax.
What is this?
Congenital diaphragmatic hernia
Congenital diaphragmatic hernia (CDH) is a birth defect that occurs when the diaphragm doesn't form properly, leaving an opening in the muscle that separates the chest and abdominal cavities:
Most common cause for seizure in a child?
Fever (febrile seizure)
Name 4 anterior pituitary hormones
Growth hormone (GH), Prolactin (PRL ), Thyroid Stimulating Hormone (TSH), Adrenocorticotropin Hormone (ACTH), Gonadotropins: Follicle Stimulating Hormone (FSH), Luteinizing Hormone (LH)
What is xerostomia?
Dry mouth
What are 3 things a nurse should include in discharge teaching for a patient with dumping syndrome?
In what clinical setting/patient condition is dumping syndrome typically noticed?eat small frequent meals eat a high protein diet limit fat intake limit carbohydrates in diet avoid very hot and cold food and beverages
It's most common in people who have had surgeries that remove or bypass large portions of the stomach, such as gastrectomy or gastric bypass surgery.
The most common type of fracture in children- often characterized as an "incomplete" fracture. One side of the bone is broken, the other side is bent
Green stick fracture
Most common cause for shock in a child?