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NURSl 307/l NURS307l Finall Examl –l Pedsl |l WCUl (Latestl 2026/l 2027l Update)l 100%l Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Respiratoryl failurel becausel theyl willl gol intol respl distress;l S/Sl are...l
Answer:
bradycardia,l bradypnea,l del sat,l cyanosis
Q:l Ptl inl respiratoryl failurel willl need:l
Answer:
endotracheall andl mechanicall ventilation
Q:l Respiratoryl failurel isl confirmedl byl assessment:l severityl isl definedl by...l
Answer:
capillaryl orl arteriall bloodl gasl analysis
Q:l Infectivel Endocarditis:l Causativel factorl
Answer:
-Staphylococcusl aureus -viridansl streptococci
Q:l Infectivel endocarditis:l symptomsl
Answer:
**Rothl spots,l janewayl lesions,l oslerl nodes "FROMl JANE" -Fever -Rothl Spots -Olserl Nodes 1 / 4
-Murmur -Janewayl lesions -Anemia -Nail-bedl hemorrhage -Emboli
Q:l Infectivel endocarditis:l TXl
Answer:
-highl dosel ofl antibioticsl IVl forl 2l tol 8l weeks
Q:l Infectivel endocarditis:l Preventionl
Answer:
adminl ofl prophylacticl abxl therapyl tol highl riskl ptsl priorl tol dentall proceduresl (1l hrl beforel procedure)
Q:l Pulmonaryl HTNl isl definedl byl a:l
Answer:
mPAPl ofl 25l mmHgl orl greaterl inl childrenl olderl thanl 3l mthsl ofl age
Q:l Pulmonaryl HTN:l 3l causesl
Answer:
1)l increasedl pulml venousl pressurel (i.e.l mitrall stenosis,l leftl ventriclel noncompliance) 2)l post-tricuspidl cardiacl shuntsl (i.e.l largel VSD,l largel PDA) 3)l smalll pulmonaryl arteries
Q:l Pulmonaryl arteryl hypertension:l S/Sl
Answer:
-dyspneal withl orl w/outl exercisel (mostl common) -chestl painl (coronaryl ischemial inl RVl froml hypertrophy) -syncopel (r/tl decreasedl CO) -RSl heartl dysfunctionl (venousl congestionsl &l edema)l =l poorl prognosis
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Q:l Pulmonaryl arteryl hypertension:l educationl
Answer:
-exercisel prescriptionsl arel specificl tol eachl pt -ptsl shouldl avoidl highl altitudesl bcl ofl thel relativel hypoxia -usel ofl anticoagulantsl -digoxinl &l diureticsl forl RSl HF
Q:l Pulmonaryl arteryl hypertension:l prostacyclinl infusionl educationl
Answer:
-cannotl bel interruptedl -l canl causel HTNl crisis -havel backl upl systemsl inl place -preparationl ofl infusion/usel ofl equipmentl &l maintainingl sterilityl ofl centrall line
Q:l Patientsl withl pulmonaryl arteryl hypertensionl arel atl riskl for:l
Answer:
thromboembolicl events
Q:l Carditis:l S/Sl
Answer:
-symptoml ofl Rheumaticl fever -tachycardial outl ofl proportionl tol degreel ofl fever -cardiomegaly -newl murmursl orl changel inl preexistingl one -muffledl heartl sounds -pericardiall frictionl rub -chestl pain -changesl inl ecgl (prolongedl PRl interval)
Q:l Carditis:l
Answer:
generall inflammationl ofl thel heart
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Q:l Inl ptsl withl carditis...l
Answer:
10l yearsl isl recommendedl orl untill 21l yearsl old
Q:l Carditis:l TXl ofl choicel
Answer:
IMl injectionsl ofl benzathinel penicillinl Gl q28l days
Q:l Transpositionl ofl thel greatl arteries:l descriptionl
Answer:
-Wherel thel aortal andl pulmonaryl connectionsl tol thel heartl arel SWITCHED -Deoxygenatedl bloodl froml thel rightl ventriclel isl beingl pumpedl outl tol thel bodyl afterl bloodl isl oxygenatedl inl thel lungsl andl goesl tol thel leftl sidel (LA,l LV),l itl isl beingl pumpedl rightl backl intol thel lungs -Thel pulmonaryl arteryl leavesl thel leftl ventricle,l andl thel aortal exitsl froml thel rightl ventricle,l withl nol communicationl betweenl thel systemicl andl pulmonaryl circulations
Q:l Whatl kindl ofl defectl isl TGA?l
Answer:
MIXED
Q:l TGA:l Survivall requiresl that...l
Answer:
thel childl havel al PADl orl al septall defect
Q:l TGA:l S/Sl
Answer:
-Cyanosis -Poorl feeding,l failurel tol thrive -Tachypnea -HF
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