Evolve Case Studies

question

What is important to protect burn patients from?
answer

Getting an infection
question

Are Range of motion exercise indicated for burn patients?
answer

Yes
question

What is the most important intervention to reduce chance of infection for a burn patient?
answer

Hand washing
question

how do you assess for a cleft palate?
answer

Insert a gloved finger into the mouth
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Should you show \”after\” Pictures of cleft lip surgery to parents?
answer

Yes
question

What happens with feeding with cleft palate?
answer

Food escapes to the nasal cavity
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What is repaired first, the cleft lip or the cleft palate?
answer

The cleft lip
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What should you practice with the baby before the cleft repair surgery?
answer

Putting it in restraints
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What type of feeder is used after repair of a cleft lip?
answer

Breck feeder
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What health complication is the patient at greater risk for after repair of a cleft palate?
answer

middle ear infections
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What food should be given to the patient after cleft repair surgery?
answer

Soft baby food with water
question

how do you assess for crepitus when it comes to a fracture?
answer

Move the affected area and listen for grinding
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Can you give morphine close before a surgery happens?
answer

Yes
question

What is an example of skeletal traction?
answer

90-90 femoral traction
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Should traction weights be on the floor or suspended?
answer

They should be suspended
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Can you still discipline a child when they are hospitalized?
answer

Yes
question

how should a new cast be lifted?
answer

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?
answer

Shortly before it is done
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What would be an indicator of a congential heard defect?
answer

The baby is never able to get full from feedings
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What position should a child be in after heart catheterization?
answer

They should be in the prone position
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What is an intervention that can help babies with CHD get more intervention?
answer

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?
answer

The pulse oximeter
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What are the parameters that must be checked before administering digoxin?
answer

The hear rate must be above 90 bpm
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is it ok to tell someone what room a patient is in?
answer

yes
question

What size of doses is digoxin normally given in?
answer

Small doses
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What is the best pulse to use to check for pulse in infants?
answer

Brachial
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When in the day should digoxin be administered?
answer

Before meals
question

What is a normal value for sweat chloride/
answer

less than 40
question

What is the gold standard for diagnosing CF?
answer

The sweat test
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What is an example of secondary care?
answer

Screenings for health problems
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Is physical activity good to incorporate in the daily life of a patient with CF?
answer

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?
answer

Both parents
question

Can pancreatic enzyme beads be taken out of the capsule and mixed with food/
answer

Yes
question

At what point in a child’s life should the second dose of MMR be administered?
answer

between 4-6 years
question

what are CF patients at risk for that might be more likely to occur at the beach?
answer

Decreased electrolyte levels
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Who cannot take antihistamines?
answer

children under 2 years of age
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What should you also use when you are suctioning an infant/
answer

Saline drops to help mobilize the secretions
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Should IV fluids be given to patients suffering from sickle cell crisis? Why?
answer

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?
answer

Blood infection
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What is normal to find in the urine when a sickle cell crisis is occuring?
answer

Blood in the urine is a normal finding
question

What is a common behavior for a teen who is experiencing a divorce of their parents?
answer

They may show more loyalty to one parent

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