Respiratory
At least 3 expected assessment findings of Cystic Fibrosis
What are steatorrhea
Productive cough
Chest x-ray reveals emphysema, pneumonia, or atelectasis
Sweat chloride test level of 60 mmol/L or more
Deficiency of fat soluble vitamins
Anemia?
Condition suspected with white pupil reflex
What is retinoblastoma?
At least 2 signs of digoxin toxicity
What are decreased heart rate, decreased appetite, nausea, vomiting?
3 iron rich foods, including one heme-rich food
What are spinach, fortified bread, legumes, nuts, tofu. Heme-rich (iron is absorbed better in the body): hamburger, chicken, fish?
True or False: Palliative and Hospice care are the same thing
What is False?
Palliative and hospice both focus on best quality of life for the child, but hospice care focuses on end-of-life care, with 6 months being estimated time of care.
At least 3 expected nursing actions for patient with Cystic Fibrosis
What are Chest physiotherapy; administering Dornase alfa, pancreatic enzymes, vits ADEK, albuterol, antibiotics, Magestrol acetate, Elexacaftor(cystic fibrosis transmembrane conductance regulator (CFTR)), stool sofeners; teaching dietary need of high protein and calories?
At least 2 nursing priorities for a patient with spina bifida
what are: positioning prone or side lying, keeping sac moist with a wet, sterile dressing, preventing infection through sterile technique, not using the radiant warmer (could cause drying of the sac), monitoring for ICP, precaution with latex (due to risk of allergy associated with spina bifida)
The four defining characteristics of Tetralogy of Fallot
What are: pulmonary stenosis, ventricular septal defect, right ventricular hypertrophy, overriding aorta
Nursing interventions for minor bleeding injury associated with Hemophilia
What are:
Standard protocols- rest, ice, compression, and elevation (RICE)
Possible immobilization
Purpose of dexamethasone or prednisolone in asthma treatment
What is to reducing inflammation and swelling in the bronchial tubes?
Therapeutic action of Dornase alfa
What is a mucolytic?
At least 3 expected assessment findings of a child with Down Syndrome
What are
Two treatments for coarctation of the aorta
What are administering prostaglandin, balloon angioplasty, surgical correction?
At least 3 possible assessment findings of iron deficiency anemia?
What are:
Type of head injury that can cause alterations in consciousness, headache, drowsiness, speech impairment, paralysis, breathing difficulties, slowed heart rate, coma, or death.
What is a subdural hematoma?
At least 2 possible complications of untreated streptococcal pharyngitis
What are rhematic fever, post-Streptococcal glomerulonephritis, pneumonia, meningitis?
4 signs of ADHD
What are...
Inattentive-
Hyperactive/Impulsive:
Cardiomyopathy, myocarditis, arrythmia, and other noncardiac conditions, such as illicit drug or toxin exposure are causes of this condition in the pediatric population.
What is heart failure?
At least 3 assessment findings for sickle cell anemia
What are:
Side effects and adverse effects of Phenytoin
(Phenytoin is used for seizure management; PO or IV)
Minor: bleeding gums (gingival hyperplasia), nausea, vomiting, dizziness, nystagmus
Severe: hypotension, irregular heartbeats, hypersensitivity syndrome, severe skin reactions, liver damage
Bonus points: nursing interventions for these medication complications?
At least 4 asthma triggers
What are: Pollen, Dust mites, Animal dander, Mold spores, Tobacco smoke, Air pollution, Strong odors and chemical fumes, Cold or dry air
At least 3 adverse effects of methylphenidate (Ritalin)
What are
Insomnia and nervousness (most common)
Impaired growth with long-term use in children, tachycardia, palpitations, headache, restlessness, weight loss, dry mouth, decreased appetite, constipation, emotional lability ?
Name 3 assessment findings r/t heart failure for any pediatric age group.
What are:
Infants: tachypnea and diaphoresis when feeding, as well as irritability and poor weight gain.
Children younger than 5 years: vague manifestations, such as abdominal pain, decreased appetite, fatigue, recurrent cough or wheezing, and poor weight gain.
Children older than 5 and adolescents: poor appetite, chest pain and palpitations, exercise intolerance, cough, wheezing, edema, difficulty breathing, abdominal pain, and syncope.
Sinus tachycardia r/t compensation in expected heart function
Sudden rapid weight gain may indicate sodium/fluid retention.
2 possible complications of sickle cell anemia
What are stroke, acute chest syndrome, infections, kidney scarring, visual acuity decreased, priapism (males)?
Clinical signs of epiglottitis, nursing priorities for management, and family education for prevention?
drooling, tripod position, severe respiratory distress, fever and other symptoms similar to croup
manage the airway! concerned for airway obstruction! ABC's! consider alternate airway (tracheostomy)
HiB vaccine