Evolve Case Studies
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What is important to protect burn patients from?
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Getting an infection
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Are Range of motion exercise indicated for burn patients?
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Yes
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What is the most important intervention to reduce chance of infection for a burn patient?
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Hand washing
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how do you assess for a cleft palate?
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Insert a gloved finger into the mouth
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Should you show \"after\" Pictures of cleft lip surgery to parents?
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Yes
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What happens with feeding with cleft palate?
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Food escapes to the nasal cavity
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What is repaired first, the cleft lip or the cleft palate?
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The cleft lip
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What should you practice with the baby before the cleft repair surgery?
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Putting it in restraints
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What type of feeder is used after repair of a cleft lip?
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Breck feeder
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What health complication is the patient at greater risk for after repair of a cleft palate?
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middle ear infections
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What food should be given to the patient after cleft repair surgery?
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Soft baby food with water
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how do you assess for crepitus when it comes to a fracture?
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Move the affected area and listen for grinding
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Can you give morphine close before a surgery happens?
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Yes
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What is an example of skeletal traction?
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90-90 femoral traction
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Should traction weights be on the floor or suspended?
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They should be suspended
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Can you still discipline a child when they are hospitalized?
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Yes
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how should a new cast be lifted?
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With the palms of the hands, not the finger tips
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When should begin to tell a preschooler about cast removal process?
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Shortly before it is done
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What would be an indicator of a congential heard defect?
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The baby is never able to get full from feedings
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What position should a child be in after heart catheterization?
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They should be in the prone position
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What is an intervention that can help babies with CHD get more intervention?
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Use a soft nipple with a larger hole in it
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What is the best indicator of exertion for a child with CHD?
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The pulse oximeter
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What are the parameters that must be checked before administering digoxin?
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The hear rate must be above 90 bpm
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is it ok to tell someone what room a patient is in?
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yes
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What size of doses is digoxin normally given in?
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Small doses
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What is the best pulse to use to check for pulse in infants?
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Brachial
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When in the day should digoxin be administered?
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Before meals
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What is a normal value for sweat chloride/
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less than 40
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What is the gold standard for diagnosing CF?
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The sweat test
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What is an example of secondary care?
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Screenings for health problems
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Is physical activity good to incorporate in the daily life of a patient with CF?
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yes. Physical activity is important so that secretions can be mobilized
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For a child to get CF, which parents must have the disease?
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Both parents
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Can pancreatic enzyme beads be taken out of the capsule and mixed with food/
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Yes
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At what point in a child's life should the second dose of MMR be administered?
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between 4-6 years
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what are CF patients at risk for that might be more likely to occur at the beach?
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Decreased electrolyte levels
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Who cannot take antihistamines?
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children under 2 years of age
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What should you also use when you are suctioning an infant/
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Saline drops to help mobilize the secretions
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Should IV fluids be given to patients suffering from sickle cell crisis? Why?
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yes because they will decrease blood viscosity and decrease the risk for clotting
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What is a common cause of sickle cell crisis that needs to be ruled out soon into treatment?
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Blood infection
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What is normal to find in the urine when a sickle cell crisis is occuring?
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Blood in the urine is a normal finding
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What is a common behavior for a teen who is experiencing a divorce of their parents?
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They may show more loyalty to one parent
