Asthma/ Influenza
Cystic Fibrosis/ Pharyngitis
Congenital Heart Defects
Acquired Cardiac Conditions
Random
100
Can children less than 1 year of age take Oseltamivir?
no, it is recommended for use in children > 1 year of age
100
What is the first sign of cystic fibrosis?
meconium ileus
100
What position does the nurse place a child experiencing a TET spell in?
knee-to-chest
100
What is required for a child to be diagnosed with rheumatic fever?
a previous strep infection
100
cardinal sign/symptom of cardiac dysfunction in a pediatric client?
poor feeding
200
How quickly after an exposure to an allergen can you expect an asthma attack to occur?
10-20 minutes
200
What should the nurse refrain from giving a patient following a tonsillectomy?
citrus juice, milk, red liquids, carbonation, extremely hot or cool liquids
200
what medication is the first line of medication therapy to manage patent ductus arteriosis (PDA)?
indomethacin
200
What are the clinical manifestations for a child diagnosed with rheumatic fever?
fever, erythema marginatum, subcutaneous nodules, joint pain (arthritis), carditis, murmur, chorea
200
What are different types of respiratory support for our pediatric clients?
vent/hood of oxygen
high-flow nasal cannula
CPAP/BiPAP of oxygen
mechanical ventilation
300
How soon after onset of symptoms can a nasopharyngeal swab be used to confirm a diagnosis of influenza?
within 72 hours
300
What type of diet is required for a patient diagnosed with cystic fibrosis?
high protein, high calorie, + pancreatic enzymes
300
what defect is this?
Patent ductus arteriosus (PDA)
300
In what diagnoses do we utilize aspirin as a form of treatment?
rheumatic fever, kawasaki's disease
300
What is the name of the vaccine to prevent the spread of whooping cough (pertussis)?
Dtap or Tdap
400
List the symptoms that would qualify a patient to be in the "green zone" of an asthma action plan
breathing is good, no cough or wheeze, can work and play, sleeps well at night
400
What are the diagnostic studies for pharyngitis?
throat culture, rapid strep test, ASO titer
400
What is a thrill and under which congenital heart defect do we see a thrill?
a thrill is an abnormal vibration, usually felt over a murmur. We see a thrill with a VSD
400
What are the clinical manifestations of Kawasaki's Disease?
high fever for 5 days +
skin rash, cervical lymphadenopathy, edema and erythema of hands and feet, "strawberry tongue", conjunctivitis without exudate
400
Name some differences of pediatric respiratory assessment compared to adult respiratory assessment?
children are belly-breathers; nasal flaring is usually the first sign of respiratory distress in our infants; infants are obligatory nasal breathers
500
List some nursing considerations for the administration of Oseltamivir
1. administer with food or milk to minimize GI symptoms
2. Tamiflu should not be shared with others
3. Remind parents that Tamiflu is not a substitute for the flu vaccine
500
List some education points for parents of a child with Cystic Fibrosis regarding chest physiotherapy (CPT)
- CPT should be completed 3-4x/day
- CPT should be performed before meal times due to the high risk of vomiting thick mucus
- suctioning can occur after CPT if child requires assistance in expelling the mucus
500
These events are characterized by cyanotic events exacerbated by excitement or crying. This event also causes a sudden drop in oxygenation in the periphery
TET spells
500
How long do patients with device placements utilize aspirin therapy?
6 months post-procedure
500
what is the most important nursing intervention when caring for a child with a respiratory condition?
infection prevention!!!!