Cancer
Chemotherapy kills all _______________ growing cells.
rapidly
What is the biggest nursing priority for a child in sickle cell crisis?
Management of pain!! (morphine)
The nurse understands that the biggest difference between the prenatal and postnatal heart is that in the prenatal heart, oxygenated blood comes from the...
placenta
What is the normal respiratory rate for infants?
30-60
What is the number one sign of digoxin toxicity for pediatric patients?
vomiting
A patient with Leukemia is admitted to your unit. As a nurse, what type of precautions are you going to place this patient on?
Neutropenic precautions. no fresh flower, no fresh fruit!
What are some nursing implications for oral iron supplements
Do not give with dairy, give between meals, give with citrus juice, take with a straw.
What is the most common S/S of any heart defect?
Poor weight gain
In order to prevent complications from strep, the nurse instructs the patient to take their antibiotics for how manny days
5-10 days, take the FULL course
When should treatment for anaphylaxis be initiated?
When 2 body systems are involved.
A patient with newly diagnosed Lymphoma has recently underwent testing. The results showed the presence of Reed-Sternberg cells, which type of leukemia does this finding indicate?
Hodgkin's Lymphoma
A patient presents to the ER with the following symptoms: bronzed skin, splenomegaly and maxillary overgrowth. Further assessment reveals the patient is visit family and from the Greek islands. What does the nurse suspect?
Beta thalassemia
Defects with increased pulmonary blood flow includes... (give me ALL of them)
ASD, VSD, AV-canal, PDA
A patient presents with a respiratory rate of 70, a temperature of 101.3, and her mother states that she is increasing fussy when put down for nap time. What does the nurse suspect?
Nasopharyngitis
A child in a sickle cell crisis has severe pain. The nurse should anticipate that morphine will given... (how often and at what dose)
Around the clock & 0.1-0.3 mg/kg
A patient with rhabdomyosarcoma comes into the clinic. The highest priority on the nurse's end is to....
Assess all musculoskeletal movements. (tumors can present in striated muscle in any part of the body)
A child with hemophilia falls and scrapes his knees on the side walk, which actions should the parents take next?
Administer clotting factor, hold pressure on the site, apply cold pack (constrict!)
A mother notices that her patient often squats when playing outside. When she shares this information with the nurse, the nurse suspects the child has what cardiovascular alteration?
Tetralogy of Fallot (tet spells!)
A new couple comes in and is worried about their child being born with cystic fibrosis. What are the chances the patient with
a. not have the disorder
b. be a carrier for the disorder
c. have the disorder
Autosomal recessive
a. 25%
b. 50%
c. 25%
Helps prevent RSV in high-risk babies. Reduces the severity of the infection
Graft vs. Host disease (donor cells attack the person receiving cells)
What are the clinical manifestations of Idiopathic Thrombocytopenia that indicate a medical emergency?
(autoimmune destruction of platelets)
headache and altered LOC!
A child presents with cyanosis, poor weight gain, and polycythemia. What type of cardiovascualr defect does the nurse suspect
Defect with decreased pulmonary blood flow
A patient presents to the ER with tachypnea, drooling, and is sitting in a tripod position. The nurse needs to notify the healthcare team in case which intervention needs to take place immediately.
(Epiglottitis) prepare for emergency intubation
What is the nurse's highest priority action for a patient with Severe Combined Immune Deficiency (SCID)?
Infection prevention. SCID is the absence of both humoral and cell-mediated immunity.