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85 Cards in this Set

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What is a common symptom of pertussis?
A dry hacking cough
How can nurses help prevent severe asthma exacerbations?
They can educate parents and children on the proper use of an albuterol inhaler
How can the effectiveness of an albuterol inhaler be demonstrated?
An increase in HR
How can a nurse help an infant experiencing decreased oxygenation with bronchiolitis?
By suctioning the nares. (admin. of albuterol is not effective)
What are common sings of cystic fibrosis?
Large loose stools, and thick, grey mucous
What is a sign of respiratory distress in an infant?
Respirations greater than 30
How do infants breathe and what should the nurse do to help them breathe better?
Infants are obligatory nose breathers and the nurse should provide frequent nasal suctioning
What is hirschsprung disease?
A congential anomaly resulting in mechanical obstruction from inadequate motility of part of the intestine
For a child with hirschsprung disease, is the use of an ostomy bag lifelong?
No, it is temporary until the colon returns to its normal size
What are three things the parents of a child with an ostomy bag are taught to do?
They are taught to assess the stoma, ensure that the appliance is secure, and to keep a one peice outift on to protect the bag
How should the nurse prepare for a child getting ready for surgery with pyloric stenosis?
The nurse should place the NG tube, and monitor for decompression of the stomach. The nurse should also correct any electrolyte or fluid imbalance.
Where would a child with appendicitis experience pain?
In the RLQ
When can a child who has undergone the repair of a ruptured appendix eat again?
When the child starts passing flatus
What is the priority intervention for the child with gastroenteritis?
Oral rehydration (If unsuccessful IV rehydration with lactated ringers, NS, or D5w and potassium.)
How should the nurse approach an adolescent who needs a foley catheter?
The nurse should give a detailed explanation and offer the opportunity to assent.
What kind of questions should be avoided when speaking to a toddler?
yes/no questions
What is an effective disciplinary strategy for a preschool child?
Time outs
What kind of questions should be avoided when speaking to a toddler?
yes/no questions
What is a good general nutritional guide for parents of a toddler?
1 TB of solid food per year of age.
What is an effective disciplinary strategy for a preschool child?
Time outs
How much milk should a toddler have every day?
No more than 16 oz.
What is a good general nutritional guide for parents of a toddler?
1 TB of solid food per year of age.
Are popcorn, nuts or raisins a good snack for a toddler?
No they are a choking hazard.
How much milk should a toddler have every day?
No more than 16 oz.
How should the child with a repaired cleft lip be positioned after surgery?
In an upright sitting position
Are popcorn, nuts or raisins a good snack for a toddler?
No they are a choking hazard.
What age group would enjoy puppets as a play activity?
Toddlers
How should the child with a repaired cleft lip be positioned after surgery?
In an upright sitting position
How should severe diaper dermatitis be treated?
Gently remove skin barrier ointments, refrain from using a blow dryer, and avoid the use of disinfecting commercial wipes.
What age group would enjoy puppets as a play activity?
Toddlers
How is strabismus treated?
With an eye patch over the stronger/unaffected eye/
How should severe diaper dermatitis be treated?
Gently remove skin barrier ointments, refrain from using a blow dryer, and avoid the use of disinfecting commercial wipes.
What kind of room would children with varicalle or TB be placed in?
The would be placed in a negative ariflow room
How is strabismus treated?
With an eye patch over the stronger/unaffected eye/
What kind of room would children with varicalle or TB be placed in?
The would be placed in a negative ariflow room
Erythema migrans is a manifestation of what disease?
Lyme disease
What is a common sign in an adolescent with mono? And what should be avoided?
Spleenomegaly. Contact sports for 4 weeks.
How would the nurse evaluate the effectiveness of treatment in a child with aids?
By their ability to take 3 oz. of formula every 3 hours.
When should lead levels be reported and environmental modifications made?
If the lead level is above 10mcg/dl
How is ringworm treated?
A topical ointment for 1-2 weeks.
How is lice treated?
Manual removal of nits and sealing porous non-washable toys in a bag for 2 weeks.
What is the specific gravity in a child with renal failure?
1.005 to 1.030.
Would an adolescent with asthma know the daily use of their medication?
Yes
What is a s&s of a child receiving a blood transfusion experiencing fluid overload?
Distended neck veins
What would the heart sound like in a child with a ventricular septal defect?
A loud hard murmur
What symptom will be present in a child with an Hct <35% and/or a Hgb <11.5?
Fatigue
When feeding an infant with a congenital heart disease, how often should they rest?
Between every 1-2 oz. They should be fed with a soft nipple with a large opening.
How many Iv lines should be inserted in the child presenting to the ED with a blood sugar of 410?
Two one for NS, potassium and insulin, and one for D10W
What is a risk for the child receiving growth hormone injections for hypopituitarism.
Cancer.
What will prevent spinal headache in the child who has just received a lumbar puncture?
Having the child lay flat
What reflexes will be absent in a 15 mo. old?
Babinski, moro, and palmar grasp
What are signs of increased ICP in a child with hydrocephalus and a VP shunt?
drowsiness and irritablitiy
Should the nurse ever adjust skeletal traction weights?
NO
How should the child with harrington rods be repositioned?
They should be log-rolled
When does a child with harrington rods begin to walk again?
3-4 days post op
What can a nurse do for a child who is dying?
The nurse can encourage the child to talk
How should the nurse treat a child who is experiencing an allergic reaction to PCN?
Stop the infusion, and admin. epinephrine IV push
What is a common side effect of vaccinations?
a low grade fever 24-48 hours after the vaccination
What can a nurse do for a child who is dying?
The nurse can encourage the child to talk
Why should the child with a viral illness not receive aspirin?
Due to the possibility of Reyes syndrome
How should the nurse treat a child who is experiencing an allergic reaction to PCN?
Stop the infusion, and admin. epinephrine IV push
What is a common sign of a child experiencing sexual abuse?
poor school performance
What is a common side effect of vaccinations?
a low grade fever 24-48 hours after the vaccination
What will be elevated in a child experiencing nephrotic syndrome?
Lipids
Why should the child with a viral illness not receive aspirin?
Due to the possibility of Reyes syndrome
T/F:Absent tears are a good thing in an infant.
False. This shows that their tear ducts are not well developed
What is a common sign of a child experiencing sexual abuse?
poor school performance
How are Hepatitis B and C transmitted?
They are transmitted through the blood
What will be elevated in a child experiencing nephrotic syndrome?
Lipids
What is a nursing intervention for a closed head injury?
Elevate the HOB 30 degrees
T/F:Absent tears are a good thing in an infant.
False. This shows that their tear ducts are not well developed
What should be implemented for the child who is unconscious with a closed head injury?
Seizure precautions.
How are Hepatitis B and C transmitted?
They are transmitted through the blood
What is a nursing intervention for a closed head injury?
Elevate the HOB 30 degrees
What should be implemented for the child who is unconscious with a closed head injury?
Seizure precautions.
When are the MMR vaccines given
The first is given at 15 mo. and the second is given between 4-6 years.
Why should growth hormone injections be given at bedtime?
To mimic the physiologic release of the hormone
Poor personal hygiene in a preschooler is a common sign of. . .
neglect
Which way should an infants car seat face?
It should face towards the back of the car
Common manifestations of DKA:
kussmaul respirations (respirations with an increased rate and depth), nausea, vomitting, abd. pain, polyuria, polydipsia, flushed, dry skin
What is the normal HbA1c level? What should a child's with DM be?
Normal 4-6%
Childs should be about 7.5%
T/F HbA1c levels have to be taken after the child has been NPO for 8 hours.
False. HbA1c levels can be taken at any time and without regard to food.
Why should a child recovering from dehydration not drink plain water?
Because it will not give them electrolytes or nutrients they need
When is varicella no longer contagious?
6 days after the lesions dissapear
Why should demerol not be given to children?
Because it can cause delirium