Nr 328 Final Exam With 100% Correct Answers-Spring ( August-Nov) 2023/2024-Pediatrics Final Exam Review (Wk. 1-8)

Acute Lymphocytic Leukemia (ALL) {Ans: S/S: - Fever, Pallor, Bruising/bleeding, Petechiae, Lethargy/malaise, Anorexia - low platelet counts Interventions: - avoid activities that may result in bleeding (contact sports) - Signs of bleeding- bruising, petechiae - Signs of infection}Stages of Spina Bifida {Ans: Occulta- Defect in bony canal nothing protrudes (dimple at end of spine w/ tuff of hair) Cystica Meningocele- Defect. Meninges protrudes Cystica Meningomyelocele- Meninges and spinal cord protrude through. Risk of paralyzation.}Goal of TPN {Ans: maintain viability of small intestine}Osteomyelitis {Ans: S/S: - Only sign may be limping Treatments: - Need long term antibiotics (PICC line) Interventions: - erhtyrthocye sedimention rate (ESR) determines if antibiotics are treating the infection}Fluid overload patients & acuity {Ans: tachypnea & pulmonary congestion}Chemo side effect care {Ans: - Renal function: spec gravity, I&O, daily weights - Nutrition- diet, N/V, constipation - Oral mucosal ulcers --> soft bristle toothbrush, reg oral care - N/V: antiemetic 30min prior to chemo and Q4-6hr around clock}Crohn's disease diet {Ans: high protein, high cal}Nephrotic Syndrome {Ans: S/S: - proteinuria, low norm BP, fatigue, general/facial edema, frothy yellow urine, decreased UO, hypoalbumin, normal K+ Dx: - (-) ASO Interventions: - Corticosteroids