Integumentary
T/F: Head lice can be spread through contact of personal items.
True
A patient with dehydration has a sodium level of 115. What kind of dehydration is this patient experiencing?
Hypotonic Dehydration
A patient presents to the ER with metabolic alkalosis and reported projectile vomiting, what does the nurse suspect?
Pyloric Stenosis
What are the S/S of Diabetes Mellitus?
3 P's (polydipsia, polyuria, polyphagia)
True or False: If a child has SEVERE diarrhea, you may implement interventions such as giving Imodium.
FALSE
You are teaching new parents about the importance of sun screen use for their child. What spf is best for children?
What is the highest assessment priority after a pediatric patient experiences a burn?
Airway!!
What is the biggest complication with appendicitis?
Peritonitis/Sepsis due to the rupture of the appendix.
What is the biggest nursing priority for a patient born with Congenital Adrenogenital Hyperplasia?
make sure mom is bonding with baby.
What are some ways to prevent UTIs? (give at least 3)
- Regular voiding schedule
-Encourage fluids
-Wipe front to back
-Avoid tight clothing
After a child has contact with urushiol, what is the first step that should be taken?
Wash with cool running water and soap within 10 minutes.
For a child who is wheelchair bound, where might you see edema collect the most?
bottom and ankles
What is the biggest risk for a child with Tracheoesophageal fistula?
Increased risk for aspiration.
For a child with Diabetes Mellitus, when should blood sugar be checked?
Before meals
At bedtime
During times of illness
Before, During, & After exercise!
The doctor has ordered a urine culture for one of your patients. How will you collect this sample?
Clean catch mid stream OR straight catheter
A child presents with sores that have formed honey-colored crusts. what does the nurse suspect?
Impetigo
More effective, safer, less painful, cheaper, and can be done at home
Name ways to manage feedings for a child with cleft lip or cleft palate (at lest 3).
Feed upright, adaptive nipples, frequent burping, obturator.
Parent teaching for SIADH includes...
Learn how to do daily weights. (this causes fluid retention)
What medication is given for precocious puberty?
Lupron IM every 4 weeks until the child reaches an appropriate age for puberty to occur
A child with confirmed scabies underwent treatment 3 days ago with permethrin. Their parents call the doctors office complaining that the itching has not gone away, what should you tell the parents?
This is normal. Itching can persist 2-3 days after treatment.
· Wt. loss
· Rapid pulse
· Decrease BP
· Decreased peripheral circulation
· Decreased urinary output
· Increased specific gravity
· Decreased skin turgor
· Dry mucous membranes
· Absence of tears
· Sunken fontanel in infants
This disease process is characterized by an aganglionic megacolon and treatment includes the creation of an colostomy.
Hirschsprung's disease.
For a child with Growth Hormone deficiency, how will you monitor for the closure of growth plates?
X-rays yearly, NOT monthly
What is the medication used for Diabetes Insipidus and what is its action?
DDAVP, concentrates urine and helps kidneys hold onto water.