PD Alterations in Health

Cryptorchidism is when one or both testes fail to _____.

Descend into the scrotum

Cryptorchidism is corrected through ______ if it doesn’t descend spontaneously.

Orchiopexy

Infants with hypospadias should NOT be ______ as the skin can be used later for surgical repair.

Circumcised

Expiratory wheezing is indicative of the _____ ______ narrowing.

Lower airway (asthma, bronchitis)

Inspiratory stridor or wheezing is indicative of the ____ ______ narrowing.

Upper airway (croup, epiglottitis)

Acyanotic defects such as these generally involve increased pulmonary blood flow or obstruction without desatting.

VSD, ASD, PDA

Cyanotic defect such as this allow poorly oxygenated blood into systemic circulation, leading to cyanosis

Tetralogy of Fallot (TOF)

During a tet spell, a nurse’s first intervention is to:

Bring knee-to-chest position

Knee to chest position during a Tet Spell improves pulmonary blood flow and oxygenation by:

Increasing systemic vascular resistance > decreases right to left shunting

An infant that is sweating & getting tired during feeds with poor weight gain can be indicative of:

Cardiac disease or HF

Severe pain unrelieved by analgesics, especially with passive movement/stretching, is indicative of _____ _______ and must notify provider immediately

Compartment syndrome

The 3 P’s with unexplained weight loss is indicative of:

Diabetes

A cold, clammy, and shaky patient is indicative of:

Hypoglycemia

Dehydration, fruity/acetone breath, and Kussmaul respirations (deep, rapid breathing) is indicative of:

DKA

A child with PKU (Phenylketonuria) must restrict _____ as they cannot properly metabolize it.

Phenylalaine

The best indicator of fluid balance/change in a child is their:

Daily weight

Persistent jaundice, dark urine, and PALE/clay colored stools is indicative of:

Biliary atresia

A child taking this medication needs to have the nurse monitor appetite, weight, growth, and sleep:

ADHD Stimulants

An increasing head circumference, bulging fontanel, and setting-sun eyes are indicative of:

Infant hydrocephalus

Hemophilia A is a factor ____ deficiency

Factor VIII

Hemophilia B is a factor ______ deficiency

Factor IX

When treating a child with precocious puberty, providers should treat the child according to ______ age, not physical appearance.

Chronological age

If epiglottitis is suspected, the nurse should NOT:

Inspect the throat with a tongue depressor

If bacterial meningitis is suspected, the nurse should initiate:

Droplet precautions

Bottle propping or flat feeding increases the risk of ___ ____ in infants.

Otitis media

Tick exposure, erythemia migrans (bullseye rash) is indicative of:

Lyme disease

Untreated ____ leads to tubal scarring, infertility, and increased risk of ectopic pregnancy

Pelvic Inflammatory Disease (PID)

Gowers sign, calf pseudohypertrophy, and progressive proximal weakness is indicative of:

Duchenne Muscular Dystrophy

A child that develops gowers sign and calf pseudohypertrophy later in life and milder is indicative of:

Becker Muscular Dystrophy

Cystic Fibrosis increases the risk for reccurent ___ ____:

Respiratory infections

One of the primary therapies for cystic fibrosis is:

Chest physiotherapy and airway-clearance techniques

Children with cystic fibrosis must take ____ ____ with meals and snacks as they have malabsorption of fats/fat soluble vitamins.

Pancreatic Enzymes

Cystic Fibrosis causes elevated ___ ___ due to abnormal chloride transport.

Sweat chloride