S.O.S.: I'm in Distress
The most common cause of bronchiolitis in infants and toddlers.
What is respiratory syncytial virus?
Three things the nurse should teach the parents of a child who has just had a tonsillectomy.
What are: child should avoid drinking with straws; keep child calm to avoid crying; medicate for pain; assess for signs of bleeding and seek medical attention if bleeding; avoid coughing; avoid citrus and red or brown fluids?
This infectious illness is characterized by a progressive cough that ends with an inspiratory 'whoop', sore throat, fever, and possible facial petechiae.
What is pertussis?
This disorder can extend from the front to the back of the roof of the mouth, causing feeding problems.
What is cleft palate?
These 3 post-operative nursing measures can prevent injury to the operative site for cleft lip and cleft palate repair.
What are prevent infants from putting hands in or near mouth with soft restraints; position on back or side; avoid straws, pacifiers, and utensils; no oral suctioning; direct flow of milk/formula away from defect to side of mouth; feed in upright position; burp frequently; raise head of crib after feedings; clean suture site?
A newborn is coughing and choking with some cyanosis with feedings. These two conditions may be suspect.
What are tracheoesophageal fistula and esophageal atresia?
This acute respiratory condition is characterized by drooling, dysphagia, respiratory distress, restlessness, and anxiety.
What is epiglottitis?
Two things that caregivers of children with epiglottitis need to know.
What are: importance of H Influenzae Type B vaccine; allow child to remain in position of comfort; avoid dehydration; proper administration of antibiotics; do not put anything in mouth/throat in attempt to visualize?
The order in which a bronchodilator inhaler and steroid inhaler should be administered when scheduled at the same time, and the reason why.
What is administer the bronchodilator first, wait 5 minutes, then administer the steroid inhaler? The bronchodilator will open the airways so the steroid can be well distributed.
I am a 3-week old newborn who is jaundiced, and my mom has noticed that my urine is very dark and my stools are almost white. The pediatrician is going to order diagnostic tests to see if I have this condition.
What is biliary atresia?
This GI condition can cause return of gastric contents back into the esophagus, and an infant with this disorder may be prescribed this classification of medications.
What is GERD and what are prokinetic drugs, histamine 2 antagonists, or protein pump inhibitors?
A 9-year-old presents to the emergency department. His parents report that he has had a fever, nausea/vomiting and pain in the right lower quadrant of the abdomen all day until 30 minutes ago when his pain was suddenly relieved. The surgeon suspected this has happened.
What is rupture of the appendix?
This chronic condition is due to a hyperresponsiveness of the airways, causing edema and narrowing with mucus production.
What is asthma?
Four priority interventions the newly hired nurse must know when caring pre-operatively for a newborn infant with tracheoesophageal fistula and esophageal atresia.
What are: protect airway/prevent aspiration; keep NPO; position upper body at 30-45 degree elevation; tube placement to LCS in blind pouch of esophageal atresia?
This vaccine is recommended for infants and children who are at higher risk and more vulnerable to developing RSV.
What is palivizumab?
A mom brings her 2-month-old to the clinic for a well check. The infant has lost weight since their last visit. The mother states her baby has forceful vomiting after every feeding, and the baby is then hungry again. This condition is suspected.
What is pyloric stenosis?
This congenital condition is characterized by absence of ganglion cells and lack of GI motility.
What is Hirschsprung Disease?
A primary goal when caring for an infant with tracheoesophageal fistula and/or esophageal atresia.
What is prevent aspiration/ protect airway?
This chronic, genetic, autosomal recessive disorder is characterized by a chromosomal deletion and can lead to respiratory failure.
What is cystic fibrosis?
Three things parents of infants and children diagnosed with RSV need to be taught.
What are: avoid spread of RSV with good handwashing; assess for fever and treat; signs and symptoms of worsening respiratory status; when to seek medical attention?
Children with cystic fibrosis are prescribed this therapy several times per day to improve lung function, prevent thickening of mucus production, and prevent infection.
What is chest physiotherapy?
This autoimmune disorder results in damage to the small intestine when gluten is ingested.
What is celiac disease?
Two possible GI complications a child with cystic fibrosis can have and a nursing intervention to help with preventing them.
What are pancreatitis and steatorrhea, and what are administer pancreatic enzymes and fat-soluable vitamins?
A 7-year-old presents with fever, chills, sore throat and body aching. The parents state they gave the child two, 325 mg aspirin tablets two hours ago for a temperature of 103 F. The nurse anticipates that these two diagnostic tests may be ordered by the health care provider to assess for possible liver injury due to the onset of what syndrome?
What are serum ammonia levels and liver function tests- ALT and AST, and what is Reye's Syndrome?
This condition happens when an exacerbated asthma attack becomes severe, accompanied by a low arterial Pa02 and a high arterial PaC02 level.
What is respiratory acidosis?
The correct steps, in order, for proper administration of prescribed inhalers.
What are: 1. exhale out through the mouth; 2. press canister for medication release; 3. inhale the medication via open mouth; 4. hold breath for at least 5 seconds, then slowly exhale?
This viral infection can be caused by various strains, and these are three types of supportive care interventions.
What is influenza, and what are hydration therapy, antipyretics, cough suppressants, antiviral medications (Tamiflu)?
Parents should be taught these 4 things about caring for their infant with pyloric stenosis.
What are pre-operative care measures, such as NPO, pacifier for comfort, diagnostic tests; what are post-operative care measures, such as burping infant frequently, assisting with feedings, reporting continued vomiting, when to bring infant to Emergency Dept.?
DAILY DOUBLE!
Three nursing interventions when caring for the infant with biliary atresia.
What are assess liver function; measure infant's abdominal girth daily; monitor I & O; monitor stools; low fat, high protein diet; administration of vitamins A, D, K?
Four important things caregivers of infants or children with inguinal hernias should know.
What are: risk for incarceration and strangulation; observe for lumps (hernia) on opposite side; care of surgical site; older children may require another repair later; infant/child should not have additional problems with the operative side?