Health Assessment
How should the nurse assess the infant's respiratory rate
Can be held by parent
Child is calm/quiet
How does the nurse assess the tympanic membrane in an infant?
Pull the pinna down and back
Why is it important to ask families about herbal remedies?
The herb may interact with other medications
How long does it take oral pain medications to start working?
Appx. 45 minutes
How can a nurse administer oral medications that do not taste good?
Mix it with a small amount of non-essential food
How can you engage a pre-school child in health assessment?
Play a game
Involve them in the assessment
Demonstrate procedure on a doll
How does the nurse assess the tympanic membrane in a pre-schooler?
Pull the pinna up and back
When discharging a client with a new medication, what should the nurse include?
Why the child is taking the medication
Written information about the medication
The adverse effects of the medication
Give an example of distraction as a pain management technique
Blowing bubbles, using an iPad, watching a movie
Slower gastric emptying, increased intestinal motility, a proportionately larger small intestine surface area, higher gastric pH, and decreased lipase and amylase secretion compared to adults
What are characteristics of orthostatic vital signs?
BP has significant changes from sitting to standing position
What is a normal RR for a toddler?
20-30
A child admitted to the hospital wet the bed overnight. The parents are concerned because their child has not wet the bed in 2 years. How can the nurse explain this?
Regression is normal in times of stress and illness
Give an example of non-pharmacologic pain management
Relaxation, distraction, guided imagery
What are S/S of IV infiltration?
Cool to touch, swelling
How does a nurse weigh an infant? 3 steps
Place disposable covering on the scale
Tare the scale
Measure the child from head to toe
What is the role of the CCLS?
How does hippotherapy work to assist the special needs child?
Children ride horses, it assists in muscle development and strength, children have confidence with this therapy, physical therapists closely supervise this therapy
What pain scale is used for infants?
rFLACC
What are S/S of phlebitis?
Area is hot and red
What does the nurse assess when a client has a limb restrained?
Capillary refill
Perfusion
Pulses
Where does the nurse auscultate the infant's heart?
The apex at the midclavicular line
How does a child with special needs impact the family?
Multitude of emotions, life is changed, major focus is on the child with complex needs, may be overwhelmed with burdens of continual care, may experience fear, anger, sadness, guilt, frustration, resentment.
What are S/S that an infant is in pain?
Grimacing, furrowed brow, crying, increased pulse, sweating
What pain scale can be used with a 3-year-old?
FACES