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dcrone dcrone
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Posts: 556
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6 years ago
A tonsillectomy or adenoidectomy is contraindicated in what conditions? (Select all that apply.)
 
  a. Cleft palate
  b. Seizure disorders
  c. Blood dyscrasias
  d. Sickle cell disease
  e. Acute infection at the time of surgery



(Question 2) What interventions can the nurse teach parents to do to ease respiratory efforts for a child with a mild respiratory tract infection? (Select all that apply.)
 
  a. Cool mist
  b. Warm mist
  c. Steam vaporizer
  d. Keep child in a flat, quiet position
  e. Run a shower of hot water to produce steam



(Question 3) The nurse is caring for a newborn with suspected congenital diaphragmatic hernia. What of the following findings would the nurse expect to observe? (Select all that apply.)
 
  a. Loud, harsh murmur
  b. Scaphoid abdomen
  c. Poor peripheral pulses
  d. Mediastinal shift
  e. Inguinal swelling
  f. Moderate respiratory distress



(Question 4) The nurse is preparing a staff education program about pediatric asthma. What concepts should the nurse include when discussing the asthma severity classification system? (Select all that apply.)
 
  a. Children with mild persistent asthma have nighttime signs or symptoms less than two times a month.
  b. Children with moderate persistent asthma use a short-acting -agonist more than two times per week.
  c. Children with severe persistent asthma have a peak expiratory flow (PEF) of 60 to 80 of predicted value.
  d. Children with mild persistent asthma have signs or symptoms more than two times per week.
  e. Children with moderate persistent asthma have some limitations with normal activity.
  f. Children with severe persistent asthma have frequent nighttime signs or symptoms.



(Question 5) What medication is contraindicated in children post tonsillectomy and adenoidectomy?
 
  a. Codeine
  b. Ondansetron (Zofran)
  b. Amoxil (amoxicillin)
  c. Acetaminophen (Tylenol)



(Question 6) A child has a streptococcal throat infection and is being treated with antibiotics. What should the nurse teach the parents to prevent infection of others?
 
  a. The child can return to school immediately.
  b. The organism cannot be transmitted through contact.
  c. The child can return to school after taking antibiotics for 24 hours.
  d. The organism can only be transmitted if someone uses a personal item of the sick child.



(Question 7) Fetal alcohol syndrome involves a disorder that alters the
 
  A. sequence of base pairs in the genes of the fetus.
  B. structural integrity of the chromosomes of the fetus.
  C. expression of genes in the fetus.
  D. gametes of the fetus.



(Question 8) Consider a mother with normal vision who has a son with red-green color blindness. The mother was a carrier of the affected gene, as she had a normal phenotype but
 
  A. two recessive alleles.
  B. two dominant alleles.
  C. one dominant and one recessive allele.
  D. a codominant set of alleles.
  E. an incompletely penetrating genotype.



(Question 9) Someone with the genotype associated with hereditary pancreatitis might not show symptoms of the disorder because the disorder does not have a _________ level of 100.
 
  A. dominance
  B. penetrance
  C. polygenicity
  D. homozygous
  E. sex-linkage



(Question 10) Blood type is an example of a trait that demonstrates
 
  A. strict Mendelian inheritance.
  B. codominant inheritance.
  C. incomplete dominance.
  D. polygenic dominance.
  E. sex-linked recessiveness.
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Replies
wrote...
6 years ago
1) ANS: A, C, E
Contraindications to either tonsillectomy or adenoidectomy are (1) cleft palate because both tonsils help minimize escape of air during speech, (2) acute infections at the time of surgery because the locally inflamed tissues increase the risk of bleeding, and (3) uncontrolled systemic diseases or blood dyscrasias. Tonsillectomy or adenoidectomy is not contraindicated in sickle cell disease or seizure disorders.

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2) ANS: A, B, C, E
Warm or cool mist is a common therapeutic measure for symptomatic relief of respiratory discomfort. The moisture soothes inflamed membranes and is beneficial when there is hoarseness or laryngeal involvement. A time-honored method of producing steam is the shower. Running a shower of hot water into the empty bathtub or open shower stall with the bathroom door closed produces a quick source of steam. Keeping a child in this environment for 10 to 15 minutes may help ease respiratory efforts. A small child can sit on the lap of a parent or other adult. The child should be quiet but upright, not flat. The use of steam vaporizers in the home is often discouraged because of the hazards related to their use and limited evidence to support their efficacy.

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3) ANS: B, D, F
Clinical manifestations of a congenital diaphragmatic hernia include a scaphoid abdomen, a mediastinal shift, and moderate to severe respiratory distress. The infant would not have a harsh, loud murmur or poor peripheral pulses. Inguinal swelling is indicative of an inguinal hernia.

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4) ANS: D, E, F
Children with mild persistent asthma have signs or symptoms more than two times per week and nighttime signs or symptoms three or four times per month. Children with moderate persistent asthma have some limitations with normal activity and need to use a short-acting -agonist for sign or symptom control daily. Children with severe persistent asthma have frequent nighttime signs or symptoms and have a PEF of less than 60.

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5) ANS: A
Codeine is contraindicated in pediatric patients after tonsillectomy and adenoidectomy. In 2012, the Food and Drug Administration issued a Drug Safety Communication that codeine use in certain children after tonsillectomy or adenoidectomy may lead to rare but life-threatening adverse events or death. Zofran, amoxicillin, and Tylenol are not contraindicated after tonsillectomy and adenoidectomy.

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6) ANS: C
Children with streptococcal infection are noninfectious to others 24 hours after initiation of antibiotic therapy. It is generally recommended that children not return to school or daycare until they have been taking antibiotics for a full 24-hour period. The organism is spread by close contact with affected personsdirect projection of large droplets or physical transfer of respiratory secretions containing the organism.

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7) C

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8) C

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9) B

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10) B
dcrone Author
wrote...
6 years ago
Words can't even express my thanks
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