Cardiac
What are a few EARLY signs of Hypoxemia in Children?
Tachypnea, Tachycardia, Restlessness, Pallor, Use of Accessory Muscles, Nasal Flaring, Tracheal Tugging, Adventitious Lung Sounds
What are 2 signs of increased intracranial pressure?
infants: high pitch cry, lethargy, vomiting, bulging fontanels, widening cranial suture lines
children: headache, lethargy, nausea, vomiting, double vision, decreased school performance, decreased LOC, seizures
What activity or toy would you provide a preschool patient with Type 1 Diabetes?
p 51- Imaginative or imitative play
Drawing, painting, riding a tricycle, swimming, jumping, running,
Educational and child appropriate shows and videos
What type of fracture would indicate the patient may be a victim of abuse?
Spiral Fracture
Name a subjective or objective finding for a patient with DKA (Diabetic Ketoacidosis)
p 217
What kind of diet is recommended for a patient with Cystic Fibrosis?
What is a High Fat, High Calorie Diet
Name a few postoperative diet and feeding techniques for a patient with cleft lip/cleft palate.
ATI Book pg 141/142
What client education would you provide to prevent a 7 month old patient from getting another UTI (Urinary Tract Infection)?
p 152/153
How would you assess pain for a 6 year old with sickle cell crisis?
p. 44 Pain Management
Name a few skin infections caused by a bacterial agent.
Impetigo, Pyoderma, Folliculitis, Furuncle (boil), Cellulitis, Staph Scalded Skin Syndrome
Fluid intake (removal of dye from body)
Monitor Site for infection
Use mild analgesics for pain
Keep dressing clean and dry
No strenuous exercise
What medication would be prescribed for a pediatric patient with Cerebral Palsy?
Baclofen, Diazepam, Botulinum toxin A, antiepileptics, Domaminergics, Alternative Therapy (Chinese herbs, Acupunture, Hyperbaric oxygen)
What are signs that a patient may be in DKA (Diabetic Ketoacidosis)?
ketones in blood and urine, fruity scent to breath, dehydration, weight loss; untreated would lead to coma
What client education would you provide a 14 year old patient with Hemophilia?
p 129
p34-35 (Growth and Development for Adolescent)
What client education can you provide the parents of a 8 month old patient with Atopic Dermatitis?
p 203
Besides Albuterol, what types of medications would a pediatric patient with Asthma receive in the hospital? (Anti-inflammatory agents)
Corticosteroids
Leukotriene modifiers
Mast Cell Stabilizers
Theophylline
Magnesium Sulfate
What is an expected finding or manifestation of a patient with Hirschsprung's disease?
Failure to pass meconium, refusal to eat, abdominal distension, foul smelling ribbon like stool
What are one or two nursing considerations for an 11 year old patient with Nephrotic Syndrome?
Rest, Strict I/O, Monitor urine for protein, monitor edema etc.
Name a complication or emergency that can occur with a 7 year old patient with sickle cell.
Vaso-occlusive crisis
Aplastic Crisis
Sequestration
p 126/127
A caregiver is bringing his 4 month old for a well check up. Name at least 1 vaccine that would be administered at this visit.
Rotavirus, DTap, Hib, IPV
Name one of the four defects of Tetralogy of Fallot.
Pulmonary Stenosis, Ventricular Septal Defect, Overriding Aorta, Right Ventricular Hypertrophy
NSAIDS, Methotrexate, Corticosteroids, Etanercept
p187/188
What caregiver education would you provide for a patient with Hemolytic Uremic Syndrome?
p 162 ATI
Avoid undercooked meat, avoid unpasteurized apple juice or raw vegetables, avoid public pools etc.
Name a nursing action would you consider for a patient in traction (ex: Halo or Skeletal Traction)?
Maintain body alignment, assess neuro status, routinely monitor skin integrity, assess pin sites for pain, redness, swelling, drainage or odor
What degree of burn would be associated with a deep partial thickness burn?
Second degree burn
1st (Superficial); 2nd ( Superficial partial thickness & Deep Partial Thickness); 3rd (Full Thickness); 4th (Deep Full Thickness)