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NSG3107 |\Midterm |\ 1 |\EXAM |\QUESTIONS |\
WITH |\ANSWERS
Intentional |\Health |\Problem |- |\CORRECT |\ANSWERS |\✔✔Not |
Preventable ex. |\substance |\abuse Unintentional |\Health |\Problem |- |\CORRECT |\ANSWERS |\✔✔Preventable ex. |\drowning infant |\mortality |- |\CORRECT |\ANSWERS |\✔✔death |\of |\an |\infant |\in |\the |
first |\year |\of |\life 1st |\ 2 |\leading |\causes |\of |\death |\in |\Infants |- |\CORRECT |\ANSWERS |
✔✔congenital |\abnormalities |\and |\preterm |\birth morbidity |\statistics |- |\CORRECT |\ANSWERS |\✔✔measurements |\of |\the |
prevalence |\of |\a |\specific |\illness |\in |\the |\population |\at |\a |\particular |\time 5 |\Step |\Nursing |\Model |- |\CORRECT |\ANSWERS |\✔✔ADPIE assessment, |\diagnosis, |\planning, |\intervention, |\evaluation
2 |\most |\important |\things |\in |\FCC |- |\CORRECT |\ANSWERS |
✔✔empowerement |\and |\enabling atraumatic |\care |- |\CORRECT |\ANSWERS |\✔✔therapeutic |\care |\that |
minimizes |\or |\eliminates |\the |\psychological |\and |\physical |\distress |
experienced |\by |\children |\and |\their |\families |\in |\the |\health |\care |\system 3 |\principles |\of |\atraumatic |\care: |- |\CORRECT |\ANSWERS |\✔✔prevent |
separation, |\promote |\sense |\of |\control, |\minimize |\bodily |\injury homecare |\vs. |\hospice |\care |- |\CORRECT |\ANSWERS |\✔✔homecare |\is |
chronic, |\hospice |\is |\for |\limited |\life |\span healthy |\community |- |\CORRECT |\ANSWERS |\✔✔access |\to |\quality |
education, |\safe/healthy |\homes, |\adequate |\employment, |
transportation, |\physical |\activity, |\nutrition, |\and |\quality |\health |\care levels |\of |\prevention |- |\CORRECT |\ANSWERS |\✔✔primary |(avoidance), |
secondary |(detection), |\tertiary |(reduce) family |\centered |\home |\care |- |\CORRECT |\ANSWERS |\✔✔provided |\in |
family's |\residence |\for |\children |\w/ |\complex |\health |\needs family |\contributes beneficial |\partnership
what |\is |\culture |- |\CORRECT |\ANSWERS |\✔✔shared |\patterns |\of |\learned |
behaviours |+ |\calues |\that |\are |\transmitted |\over |\time cultural |\competence |- |\CORRECT |\ANSWERS |\✔✔An |\understanding |\of |
how |\a |\patient's |\cultural |\background |\shapes |\his |\beliefs, |\values, |\and |
expectations |\for |\therapy. cultural |\sensitivity |- |\CORRECT |\ANSWERS |\✔✔knowledge |, |\awareness, |
and |\acceptance |\of |\other |\cultures 5 |\steps |\to |\cultural |\competence |- |\CORRECT |\ANSWERS |\✔✔1. |\valuing |
diversity
- |\capacity |\for |\cultural |\self-assessment
- |\being |\conscious |\of |\the |\dynamics |\inherent |\when |\cultures |\interact
- |\institutionalized |\cultural |\knowledge
- |\adaptations |\of |\service |\delivery |\reflecting |\an |\understanding |\of |
cultural |\diversity chronic |\illness |- |\CORRECT |\ANSWERS |\✔✔long |\term |\condition, |
interferes |\w/ |\daily |\functioning congenital |\abnormality |- |\CORRECT |\ANSWERS |\✔✔structural |\or |
functional |\anomalies |\that |\occur |\during |\intrauterine |\life
developmental |\delay |- |\CORRECT |\ANSWERS |\✔✔physical, |\intellectual, |
or |\another |\type |\of |\delay |\in |\achieving |\milestones developmental |\disability/disorder |- |\CORRECT |\ANSWERS |\✔✔cognitive |
limitations |\due |\to |\presence |\of |\a |\developmental |\disability disability |- |\CORRECT |\ANSWERS |\✔✔ 6 |\months |+, |\daily |\activities |\are |
limited |\by |\long-term |\conditions handicap |- |\CORRECT |\ANSWERS |\✔✔social |\and |\enviro |\consequences |
of |\an |\individual's |\impairment life-limiting |\illness |- |\CORRECT |\ANSWERS |\✔✔die |\before |\adulthood |\or |
that |\results |\in |\a |\limited |\expectation |\of |\life medically |\complex |- |\CORRECT |\ANSWERS |\✔✔1. |\1+ |\chronic |\conditions
- |\fcnal |\limitations
- |\high |\HC |\utilization
- |\coordinated |\care |\by |\a |\specialized |\interdisciplinary |\team |\of |\HCPs 5 |\distinct |\patterns |\of |\coping |- |\CORRECT |\ANSWERS |\✔✔1. |\develops |
competence |\and |\optimism
Child's |\concept |\of |\illness |\is |\more |\important |\than |\intellectual |
maturity |\in |\predicting |\anxiety isolation |- |\CORRECT |\ANSWERS |\✔✔added |\stressor probable |\limited |\understanding |\of |\child dealing |\w/ |\child's |\fears potential |\for |\sensory |\deprivation HIMSS |- |\CORRECT |\ANSWERS |\✔✔global |\not |\for |\profit |\organization |
focused |\on |\better |\health |\through |\info |\and |\tech |
leads |\efforts |\to |\optimize |\health |\engagements |\and |\care |\outcomes |
using |\info |\tech ABCDEFG |- |\CORRECT |\ANSWERS |\✔✔airway breathing circulation |
disability exposure fluids glucose confidentiality |- |\CORRECT |\ANSWERS |\✔✔protect |\user |\and |\pas
access. |\disclose |\only |\the |\info |\you |\need |\to |\care |\for |\your |\pt accountable |\for |\accurate |\info definitions |\of |\pain |- |\CORRECT |\ANSWERS |\✔✔unpleasant |\sensory |+ |
emotional |\experience subjective whatever |\the |\person |\says |\it |\is, |\whenever |\they |\experience |\it acute |\pain |\and |\chonic |\pain |\length |\of |\time |- |\CORRECT |\ANSWERS |
✔✔acute |\is |\ 3 |\months |\or |\less chronic |\is |\ 3 |\months |\or |\more clinical |\barriers |\to |\Tx |\of |\pain |- |\CORRECT |\ANSWERS |
✔✔underutilization |\of |\pain |\measurement |\tools |\coupled |\w/ |
inadequate |\assessment inappropriate |\timing |(need |\to |\measure |\at |\rest |\and |\w/ |\movement, |
before/after |\Tx) failure |\to |\recognize |\multi-dimensional |\pain healthcare |\biases |- |\CORRECT |\ANSWERS |\✔✔belief |\that |\pt. |\anxiety |\w/ |\pain |\experience |\means |\analgesics |\do |\not |\need |\to |\be |\used |\is |\NOT |
appropriate
chronic |\pain |- |\CORRECT |\ANSWERS |\✔✔pain |\outlasts |\normal |\time |\of |
healing may |\be |\due |\to |\an |\underlying |\disease |\process, |\or |\may |\be |
considered |\a |\disease |\state |\in |\itself |
ex. |\complex |\regional |\pain |\syndrome, |\fibromyalgia, |\phantom |\pain comprehensive |\pain |\assessment |\LMNOPQRST |- |\CORRECT |\ANSWERS |
✔✔location mechanics nociceptive/neuropathic onset palliative/provocative quality/quantity radiation/region severity timing pain |\measurement |- |\CORRECT |\ANSWERS |\✔✔use |\a |\validated |\pain |
rating |\scale qualify |\pain |\w/ |\descriptors |\and |\quantify |\w/ |\numbers |
consider |\reliability |\and |\validity |\factors
need |\for |\consistent |\and |\standardized |\pain |\assessments |- |\CORRECT |
ANSWERS |\✔✔fail |\to |\obatin |\pain |\rating |\they |\are |\likely |\to |
underestimate |\pain, |\especially |\in |\mod-severe |\range WHO |\Pain |\Ladder |- |\CORRECT |\ANSWERS |\✔✔1. |\non-opioide/NSAIDs
- |\weak |\opioid
- |\stronger |\opioids the |\ 3 |\P |\approach |\to |\Pain |- |\CORRECT |\ANSWERS |\✔✔pharmacology physiotherapy psychotherapy PRN |\vs |\scheduled |\dosing |- |\CORRECT |\ANSWERS |\✔✔PRN:
- |\active |\participation
- |\flexibility |\in |\dosing
- |\rapid |\response |\to |\pain |\
- |\intermittent |\pain
- |\excessive |\sedation |\at |\peaks |
Scheduled: - |\stable |\blood-opioid |\levels
- |\less |\drug |\needed |\to |\prevent |\recurrence |\of |\pain
- |\considered |\if |\pain |\lasts |>12 |\hrs/ |\ 24 |\hrs
distraction upright |\holding medical |\play pain |\management |\during |\needles |- |\school |\age |+ |\adolescents |- |
CORRECT |\ANSWERS |\✔✔topical |\anesthetics distract/prep relax/guided |\imagery CBT choice |\of |\strategy |+ |\timing ADVANCE |\program |- |\CORRECT |\ANSWERS |\✔✔anxiety, |\distract, |\video |
education, |\adding |\parents, |\no |\excessive |\reassurance, |\coaching, |
exposure/shaping dehydration |- |\CORRECT |\ANSWERS |\✔✔output |> |\input clinical |\signs |\of |\dehydration |- |\CORRECT |\ANSWERS |\✔✔weight |\loss, |
pulse |\increase, |\respiratory |\rate |\rapid isotonic/hyoptonic/hypertonic |\dehydration |- |\CORRECT |\ANSWERS |
✔✔isotonic: |\loss |\of |\water |\and |\sodium |
hypotonic: |\loss |\of |\more |\sodium |\than |\water
hypertonic: |\loss |\of |\more |\water |\than |\sodium IV |\bolus |- |\CORRECT |\ANSWERS |\✔✔ 20 |\cc/kg Calculating |\maintenance |\fluids |- |\CORRECT |\ANSWERS |\✔✔ 4 |\ml/kg 40 |\mls |+ |\2ml/kg 60 |\mls |+ |\ 1 |\ml/kg urine |\output |- |\CORRECT |\ANSWERS |\✔✔ 2 |\ml/kg/hr |\infants 1 |\ml/kg/hr |\child 0.5 |\ml/kg/hr |\adolescent diarrhea |- |\CORRECT |\ANSWERS |\✔✔frequent |\passage |\of |\loose, |\watery |\stools therapeutic |\management |\of |\diarrhea |- |\CORRECT |\ANSWERS |
✔✔assess |\fluid-electrolye |\balance rehydrate maintain |\fluid |\therapy reintroduce |\normal |\diet
hirschsprung's |\symptoms |- |\CORRECT |\ANSWERS |\✔✔failure |\to |\pass |
meconium |\shortly |\after |\birth, |\to |\pass |\1st |\stool |\w/in |\24-48 |\hrs |\after |
birth |
constipation abdominal |\distention vomiting poor |\weight |\gain |
slow |\grwoth malabsorption Hirschsprung's |\management |- |\CORRECT |\ANSWERS |\✔✔diagnosis
- |\abdominal |\x-ray, |\barium |\enema |(if |\no |\perforation), |\rectal |\biopsy |
therapeutic |\management - |\surgery |(laparoscopic: |\ 2 |\stages |= |\temporary |\ostomy |\then |\pull- through |\procedure) acute |\appendicitis |- |\CORRECT |\ANSWERS |\✔✔peak |\btwn |\10-17 |\y/o mod |\increase |\WBC |\count ultrasound |\sometimes |\helpful do |\not |\apply |\heat |
do |\not |\give |\laxatives
S+S |\of |\appendicitis |- |\CORRECT |\ANSWERS |\✔✔peri-umbilical |\pain |
pain |\goes |\to |\RLQ anorexia nausea, |\vomiting, |\diarrhea, |\low |\grade |\fever, |\rebound |\tenderness, |
guarding referred |\pain |
mcburney |\point management |\of |\appendicitis |- |\CORRECT |\ANSWERS |\✔✔iv/blood |\work |\bolus analgesic NG |\tube |\if |\peritonitis |\or |\obstruction |
antibiotics npo surgical |\consult hold |\pain |\meds |\until |\you |\rule |\out |\infection inflammatory |\bowel |\disease |- |\CORRECT |\ANSWERS |\✔✔IBS |- |\usually |
due |\to |\a |\food |\sensitivity 2 |\major |\forms |\of |\chronic |\intestinal |\inflammation |\
- |\chron |\disease |\2. |\ulcerative |\colitis
- |\diagnostic |\evaluation:
visible |\gastric |\peristalisis |\L |--> |\R |\following |\feeding |
curdled |\milk |\appearance |\in |\emesis |
dim/absent |\bowel |\sounds management |\of |\HPS |- |\CORRECT |\ANSWERS |\✔✔NPO IV |\access/blood |\work |
replace |\fluids |+ |\electrolytes |
monitor |\urine |\output |
Tx |\is |\surgical |\repair Itussusception |'telescoping' |- |\CORRECT |\ANSWERS |\✔✔a |\loop |\of |
bowel |\has |\slipped |\into |\another |\section |\of |\bowel |
swelling, |\decreased |\blood |\flow, |\obstruction, |\and |\tissue |\damage classic |\triad |\for |\itussusception |- |\CORRECT |\ANSWERS |\✔✔vomiting |
'current |\jelly' |\stools colicky |\abdominal |\pain management |\of |\itussusception |- |\CORRECT |\ANSWERS |\✔✔decrease |\w/ |\air |\enema |\if |\child |\stable surgical |\emerg |
complications: |\dehydration, |\rupture |\of |\bowel, |\shock, |\sepsis
components |\for |\assessing |\respiratory |\fcn |- |\CORRECT |\ANSWERS |
✔✔look |
listen feel otitis |\media |(OM) |\ear |\infections |- |\CORRECT |\ANSWERS |\✔✔most |
common |\illnesses |\in |\young |\children diagnosis: |\lots |\of |\fluid |\present amoxicillin |\is |\drug |\of |\choice myringotomy |- |\small |\incision |\into |\eardrum |\to |\drain |\fluid 5 |\key |\points |\for |\OM |- |\CORRECT |\ANSWERS |\✔✔pain |
drain |\fluid |
educate |\family emotional |\support prevent |\complications/recurrence acute |\epiglottitis |- |\CORRECT |\ANSWERS |\✔✔h. |\influenza |+ |\s. |
pneumonia |(most |\common), |\staphylococcus |\aureus frog |\like |\croaking |\sound |
potential |\for |\respiratory |\obstruction |\
