Respiratory
What nursing interventions should be implemented first with a child with chest tightness, wheezing, difficulty breathing, and an O2 sat of 87% on RA?
What is administer O2 via N/C and albuterol via nebulizer to open up airway
How should you communicate with an adolescent?
The nurse should always be upfront and honest, give the patient time to talk with and without the patient's family in room, and provide detailed treatment plan.
Is impetigo contagious? Should a school nurse call the parents of a child who's lesions match the description of impetigo?
Impetigo is a bacterial contagious infection so the child would not be allowed to stay in school until treated for 48 hours.
The nurse would assess for which clinical manifestations in a cardiac defect that allows blood to shunt from the left side of the heart to the right side?
Tachypnea and crackles
As blood is shunted from the left side of the heart to the right side, pulmonary blood flow is increased and the child is at risk for congestive heart failure. Tachypnea and crackles are signs of heart failure.
List some common complications of Duchenne Muscular Dystrophy...
What is contractures, obesity, and frequent lung infections?
What is a common sign that a child is actively bleeding following a tonsillectomy?
What is swallowing frequently?
What components make up family centered care?
The family is the center of the child's sense of worth, the family should be involved in the healthcare decisions for their child, and the child usually does much better when the family members are present throughout the hospital visit.
Why are burns more serious in infants?
They have more BSA, their kidneys can't process rapid fluid shifts, and the immature immunity.
How are most rheumatic fevers contracted?
This comes from an untreated or incompletely treated strep infection.
What type of fracture would the nurse be most concerned for that would indicate possible child abuse?
Spiral fracture
List common symptoms associated with cystic fibrosis
What is difficulty digesting fatty foods, dry mouth, frequent URIs, risk for passing down gene for CF to future children; will need genetic counseling
What pain assessment tool would you use for an unconscious toddler?
The Comfort Scale is made to measure distress in unconscious infants, children, and adolescents.
A mother brings in her 4 month old baby who has had a persistent diaper rash for a week. The mother has tried using barrier creams without relief, in fact the rash is getting worse. The nurse notes a deep red rash with small pustules spreading out from the area. What is the most likely cause of the rash and what does the nurse expect for treatment?
Yeast infection - Nystatin antifungal cream to the affected area.
Yeast infections cause deep red diaper rash with satellite pustules that do not go away with the usual treatments for diaper rash.
What electrolyte would you monitor closely for cardiac patient?
Potassium
What is the symptom of exophthalmos suspected for in adolescent female?
Grave's Disease
What are s/s of impending resp. failure?
What is suprasternal, substernal, and intercostal retractions; nasal flaring; and cyanosis around the lips?
A nurse is choosing a toy for a preschooler who is seriously ill on bed rest in isolation. The child has been withdrawn and appears scared, but the nurse has been unable to get the child to talk. Which toy/action would be a great choice considering developmental stages and the child's situation to get the child to open up?
Art supplies like markers and paper that the nurse can also share their art with.
What are severe signs of dehydration in an infant?
What is: absense of tears, little urine output, sunken fontanels.
Placing a child in the knee-to-chest position is for what cardiac disorder?
What is Tetrology of Fallot?
What teaching would you provide to a mother of a preschool aged child with Type 1 Diabetes?
If hypoglycemic, give milk, carbs, or juice.
Eat extra snacks before or during exercise.
Monitor blood sugar and monitor urine for ketones every 3 hours while sick.
Always wear a medical alert bracelet.
What interventions are suggested for at home management of RSV?
Cool mist humidifier, antipyretics for fever, cough suppressant, increase fluids
What do teenagers need from their parents?
Firm expectations, responsible behaviors, family meals, affection and a sense of belonging.
A nurse is educating the parents of an infant who has been newly diagnosed with gastroesophageal reflux disease (GERD). What should the nurse include in teaching the parents about this disease?
What is: feed the baby smaller amounts more frequently, enlarge the hole in the nipple for thickened formula, & allow time for the baby to digest the last feeding before putting the baby down
What interventions would you expect for the nurse to implement following a cardiac cath?
How would you describe what is Type 1 Diabetes to a parent of a child who has been recently diagnosed?
In the absence of insulin the child is unable to metabolize fats, proteins, and carbohydrates to use them for energy