Download NSG222/ NSG 222 Exam 5: (New 2024/ 2025 Update) Family Nursing Review| Questions and Verif and more Exams Nursing in PDF only on Docsity!
NSG222/ NSG 222 Exam 5: (New 2024/ 2025
Update) Family Nursing Review| Questions
and Verified Answers| 100% Correct| A
Grade– Herzing
QUESTION
treatment for chicken pox (Varicella Zoster) Answer:
- strict isolation
- bathe daily
- loose fitting clothing
- calamine lotion
- mittens if scratching
- keep fingernails short
- occupy child as much as possible
QUESTION
roseola Answer:
- caused by herpesvirus 6
- most common 6 months or younger
- high fever 105 - 106
- pink maculopapular rash on trunk within 24 hours of fever
QUESTION
Fifth Disease Answer:
- caused by human parvovirus
- slapped cheek appearance
- fever
- URI
QUESTION
treatment for Fifth Disease Answer:
- antipyretics
- antipruritics
QUESTION
cat scratch disease information Answer:
- caused by Bartonella henselae in cat saliva
- lymphadenopathy
- treated with antibiotics
- aspirate swollen lymph nodes
QUESTION
rabies information Answer:
- flu-like symptoms early on
- encephalitis
- low survival rate once symptoms develop
- avoid stray animals and any animal exhibiting strange behavior
QUESTION
Lyme disease information Answer:
- tick-borne disease
- ring-like rash at site of bite
- treated with antibiotics
hemolytic streptococcus
- erythematous papules or vesicles
- treated with topical or systemic antibiotics
QUESTION
fungal skin infections Answer:
- caused by tinea
- scaly skin, erythema
- treated with antifungals
QUESTION
inflammatory skin conditions Answer:
- diaper dermatitis
- contact dermatitis (24- 48 after contact)
- urticaria (hives caused by food, drugs, animals, environment)
- atopic dermatitis (eczema)
- seborrhea (cradle cap)
- psoriasis (silvery, scaly plaque)
QUESTION
Which inflammatory skin condition is not typically itchy? Answer: psoriasis
QUESTION
acne neonatorum Answer:
- newborn acne (2- 4 weeks)
- occurs on face, upper chest, and back
QUESTION
acne vulgaris Answer:
- adolescent acne
- occurs on face, neck, chest, and back
QUESTION
burns related to child abuse Answer:
- uniform appearance
- stocking/glove distribution
QUESTION
medications for integumentary issues Answer:
- antibiotics (bacterial)
- corticosteroids (dermatitis)
- antifungals (tinea)
- benzoyl peroxide (acne)
- antihistamines (contact dermatitis)
- isotretinoin (acne)
- silver sulfadiazine (burns)
QUESTION
conjunctivitis symptoms Answer:
- itchiness
- excessive tearing/watery discharge
- redness
- viral infection
- barking noise is characteristic
- most common in children 6 months to 3 years
QUESTION
treatment for croup Answer:
- oxygen with humidity
- cool mist tent
- epinephrine aerosol
- corticosteroids (Dexamethasone)
QUESTION
epiglottitis Answer:
- inflammation of epiglottis
- medical emergency
- caused by Hib
- treated with antibiotics
QUESTION
symptoms of epiglottitis Answer:
- respiratory distress
- drooling
- dysphagia
- irritability
- high fever
- anxiety/frightened appearance
QUESTION
nursing management of epiglottitis Answer:
- do not leave child alone
- do not place in supine position
- apply 100% oxygen
- keep child/parent calm
- ensure emergency trach equipment is at bedside
QUESTION
epistaxis (nosebleed) treatment Answer:
- sit up and lean forward
- apply pressure by pinching nose
- breathe through mouth
QUESTION
causes for pneumothorax Answer:
- chronic lung disease
- surgery
- trauma
QUESTION
symptoms of pneumothorax Answer:
- chest pain
- tachypnea
- grunting
- cyanosis
- absent/diminished breath sounds on affected side
QUESTION
management of submersion injury Answer:
- ABCs
- airway suction
- 100% oxygen
- intubate if needed
- chest compressions if no pulse
- NG/OG tube to decompress stomach
- remove all wet clothing
- slow rewarming (warm blankets, warm IV fluids)
QUESTION
What can occur if body is rewarmed too quickly? Answer:
- electrolyte imbalances
- arrhythmias
- neurologic injury
QUESTION
trauma assessment Answer:
- airway
- breathing
- circulation
- disability (neurologic exam)
- exposure (remove clothing)
QUESTION
airway assessment maneuvers Answer:
- jaw-thrust (spinal cord injury)
- head tilt-chin lift (no spinal cord injury)
QUESTION
treatment options for poisoning/overdose Answer:
- activated charcoal
- naloxone
- whole bowel irrigation
- dialysis
QUESTION
medical treatments for infection Answer:
- hydration
- fever reduction (antipyretics)
- antibiotics
- antivirals
- antipruritics
QUESTION
Measles (Rubeola) Answer:
- caused by measles virus
- erythematous maculopapular rash
- Koplik spots, possibly in mouth (red spots with white center)
- more severe than German Measles/Rubella
QUESTION
treatment for measles/rubeola Answer:
Answer:
- inflam- mation/edema
- increased mucus production
- bronchospasm
QUESTION
3 treatments for asthma Answer:
- steroids
- bronchodilators
- avoid triggers
QUESTION
long-acting beta agonists (LABA) Answer:
- long-term management of asthma or exercise-induced asthma
- used with corticosteroids
- Formoterol, Salmeterol, Albuterol, Theophylline
QUESTION
short-acting beta agonists (SABA) Answer:
- management of acute exacerbations
- Albuterol, Levalbuterol, Xoponex
QUESTION
4 classifications of congenital heart disease Answer:
- increased pulmonary blood flow
- decreased pulmonary blood low
- obstruction to systemic blood flow
- mixed blood flow condition
QUESTION
increased pulmonary blood flow defects Answer:
- atrial septal defect (ASD)
- ventricular septal defect (VSD)
- patent ductus arteriosus (PDA)
QUESTION
symptoms of patent ductus arteriosus (PDA) Answer:
- machine-like murmur
- dyspnea
- widened pulse pressure
- bounding peripheral pulses
QUESTION
treatment for patent ductus arteriosus (PDA) Answer:
- Indomethacin
- surgical repair
QUESTION
decreased pulmonary blood flow defects Answer:
- Tetralogy of Fallot
- tricuspid atresia
- administer oxygen
- calm patient (Morphine, Propranolol)
- may need to sedate
- IV fluids
- knee-chest maneuver
QUESTION
obstructive blood flow defects Answer:
- coarctation of the aorta
- pulmonary stenosis
- aortic stenosis
QUESTION
mixed blood flow defects Answer:
- transposition of the great vessels
- truncus arteriosus
- total anomalous pulmonary venous return
- hypoplastic left heart syndrome
QUESTION
When is a newborn tested for congenital cardiac heart disease (CCHD)? Answer: at least 24 hours old
QUESTION
symptoms of congenital heart disease Answer:
- clubbing of fingers
- frequent respiratory infections
- polycythemia
QUESTION
nursing management to improve tissue oxygenation Answer:
- provide oxygen
- suction as needed
- place in semi-Fowler or Fowler position
QUESTION
ways to decrease cardiac demand Answer:
- limit physical activity
- preserve body temperature
- prevent/treat infections
- reduce breathing effort
- limit feedings to 20 minutes
- may need to sedate
QUESTION
post op care after cleft lip/palate repair Answer:
- prevent injury to suture line
- encourage breast feeding
- avoid pacifiers, suction catheters, or plastic syringes
- prevent vigorous crying
- promote adequate nutrition
- encourage parent bonding
QUESTION
- immunomodulators / immunosuppressants
- anti-inflammatories
- surgery
QUESTION
What do palpable kidneys indicate? Answer: abnormality such as obstruction, en- largement, or mass
QUESTION
Nursing management of bladder exstrophy Answer:
- avoid latex products**
- prevent infection
- provide catheterization
- monitor urine (blood tinge is normal immediately post op)
QUESTION
nursing management for acute poststreptococcal glomerulonephritis Answer:
- caused by strep infection, URI, skin infection so treat the infection with antibiotics**
- monitor urinary output
- monitor for crackles or increased BP
QUESTION
cryptorchidism Answer:
- undescended testes (occurs at 7 months gestation)
- babies born before 7 months gestation are not mature enough to have descent and are not diagnosed with this
QUESTION
post operative care of circumcision Answer:
- petroleum jelly and gauze (not with plastibell)
- monitor for redness, bleeding, or swelling
- assess for voiding 6 - 8 hours after procedure
- snug fitting diaper
QUESTION
components of health history Answer:
- demographics
- chief complaint
- past health history
- review of systems
- family history
- developmental history
- functional history (can they see TV, do they exercise)
QUESTION
measurements obtained for pediatric patients Answer:
- height/length
- weight
- head circumference (under age 2)
- BMI / length for weight
QUESTION
order of physical exam steps of pediatric patient Answer:
