Bronchiolitis
What is the classic triad of respiratory distress symptoms seen in pediatrics?
FGR- Flaring, grunting, and retracting
What does a pediatric respiratory assessment for a child admitted with pneumonia include?
Lung sounds, respiratory rate, oxygen saturation, work of breathing.
A parent states to the nurse that they know they can discontinue their child's antibiotic for acute otitis media when their child's ear pain subsides. Does the nurse understand the parent's comment as a reflection of adequate understanding of antibiotic teaching or as a need for further education?
Further education
What type of food and fluids should be avoided in the client who is status-post tonsillectomy?
Rough, spicy, acidic, or very hot foods and fluids as well as any red foods or fluids.
After teaching a parent about streptococcal pharyngitis, the nurse assesses the parent's understanding of the teaching. The nurse knows the parent understood the teaching when they state to the nurse that the child can return to daycare after being on antibiotics for what length of time?
24 hours
What is the priority nursing intervention when caring for a 2 month old admitted with bronchiolitis?
Frequent respiratory assessments.
What diagnostic tests would the nurse expect to be ordered in a patient with suspected bacterial pneumonia to confirm the diagnosis?
CXR, CBCD, Sputum culture
What is different anatomically in regards to the infant and toddler's eustachian tubes, compared to the adult's?
Eustachian tubes are shorter and more horizontal which can cause less efficient drainage
Post-operative care of the child who underwent a tonsillectomy includes what?
Airway assessment, bleeding assessment, comfort measures, close monitoring of fluid status
What does therapeutic management of the child with nasopharyngitis include?
Symptom management
0-3 months of age
The nurse is assessing a 10 year old admitted with pneumonia of the right lower lobe. The child is on 2L of oxygen via nasal cannula and their O2 saturation is 88% via continuous pulse oximeter to the right index finger. Their vital signs are normal, they have no increased work of breathing, lung sounds are present but slightly diminished throughout with fine crackles to the right base. Capillary refill and skin color are normal. What does the nurse assess next?
Equipment
What do common symptoms of otitis media in the pediatric patient include?
Ear pain, bottle/fluid refusal, pulling at the ears, fever, irritability, sleep distrubances, vomiting, purulent ear drainage
A child is status-post a tonsillectomy. The child is slightly tachycardic, pale, and the mother states has been clearing their throat frequently. What priority nursing assessment should be conducted given these symptoms?
Why is acute otitis media a common finding in pediatric clients with nasopharyngitis?
Fluid from the nose and throat often enter the ear through the eustachian tube. These fluids can build up in the ear, exposing the middle ear to bacteria.