Croup
Epiglottitis/Kawasaki Disease
Otitis Media
Rheumatic Fever/Reye Syndrome
Failure to Thrive/Rota
100

_________ is a  sign that is found on x-ray for patients with croup 

What is Steeple Sign 

100

Identify an organism that causes Epiglottitis 

What is Haemophilus influenza type B or Group A beta-hemolytic streptococci bacteria

100

Identify an organism that causes Otitis Media 

What is Neisseria Catarrhalis, Haemophilius influenza and Streptococcus Pneumoniae.  

100

Rheumatic fever is a disease that can result from?

What is untreated infections such strep, scarlet fever, or impetigo or stop taking antibiotics for those infections 

100

How is the Rota Virus transmitted?

What is Transmitted via stool and saliva.  Poor handwashing practices 

200

Symptom that starts as being mild then progresses to this sound 

What is harsh barking cough 

200

What is the position that children get in to help with their symptoms of Epiglottitis?

What is Tripod position (sitting and keeping mouth open) leaning forward 

200

Why are young children more susceptible to Otitis Media?

What is the eustachian tube more horizontal, prone to inflammation 

200

Teach parents to avoid the intake of this medication especially during a viral infection

What is aspirin

200

Identify 3 symptoms of Rotavirus 

What is Fever, Vomiting, Abdominal pain, Severe watery diarrhea 

300

Identify a virus that causes this condition 

What is Parainfluenza Virus, Respiratory Syncytial Virus (RSV), Influenza Virus

300

What are the recommended treatments for Kawasaki Disease?

IV gamma globulin

Aspirin therapy

Pain management 

300

Identify 2 medical conditions or 2 populations that are at higher risk for Otitis Media

What is Infants, Children with Down Syndrome.   Infants who fall asleep with bottles in their mouth

300

Why does swelling occur in the brain, liver and other organs with Reye Syndrome?

What is damage to the mitochondria.    Mitochondria main energy source for liver processes. Dysfunction of the mitochondria causes inflammation in the liver and signs of liver dysfunction like elevated ammonia levels 

300

What should you teach the parents if their child receives a live vaccine for Rota Virus?

What is teach parents live virus can be expelled in diapers up to 15 days after the first dose.  Unclear how contagious post vaccine stool are.   Careful handwashing and hygiene precautions are imperative to prevent transmission of the disease to other children and family members.

400

What patient teaching is recommended for patients when they are at home without humification?

What is take child outside in cold with night air to decrease swelling and help with cough and stridor.  Have child go into a bathroom with hot running water to use steam to relax the vocal cords 

400

Identify 4 signs or symptoms of Kawasaki Disease 

What are

A high persistent fever of 102 to 104. last 5 days may not respond to antipyretics.

Extremely red eyes and swollen eyes without drainage.

Bright red strawberry tongue with a white coating. 

Red peeling skin on the genitalia, hands and soles of feet on both sides of the body.

Swollen lymph nodes and Painful joints

400

What is the purpose of the eustachian tube?

What is provide drainage and ventilation of the middle ear 

400

Why should patients take prophylactic antibiotics prior to dental work? 

What is prevent infection and likelihood of developing endocarditis

400

What are your top priorities caring for a child with failure to thrive?

What is teach about healthy nutrition, prevent dehydration, monitor labs for electrolyte imbalances and vitamin deficiencies.   Provide environment free of stress. 

500

What are your top priorities when caring for a patient with Croup?  (Identify 3)

What is assess for signs of respiratory distress and minimize respiratory effort, and monitoring breathing.  Prevent re-infection

500

What are your top priorities when caring for a patient with Epiglottitis?

What is keep airway open, prevent furthering swelling, keep emergency equipment nearby.   Prevent re-infection 

500

What should the nurse teach the patient about post tympanostomy tube placement?

What is teach preop  about operative process,  anesthesia and reduction of symptoms after the fluid and pressure are released by the tubes and post prevent infection, know s/s of infection, reporting fevers and understanding tubes will fall out on their own. Follow up appointment after surgery.

500

This heart valve is most affected by Rheumatic Fever 

What is the mitral valve

500

What are 2 non organic causes of failure to thrive?

What is poverty and maternal depression 

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