Neurological
This is the most important intervention for a child diagnosed with febrile seizures.
What is controlling the fever/temperature of the child?
When diagnosing Muscular Dystrophy, this is a positive sign.
This immunological disorder can only be cured with hematopoietic cell transfusion.
What is Wiskott-Aldrich Syndrome?
Assessment of the child with this type of cancer shows fever, weight loss, and enlarged nodular lymph nodes.
What is Hodgkin's Lymphoma?
Absolute Neutrophil Count (ANC)
A child comes to the oncology clinic for an infusion of pegaspargase.
Child weighs: 14kg
Childs height: 52cm
Laboratory studies
WBC 8,000 RBC 5.1
Hgb 11.1 Hct 27.6
Platelet 100 ESR 1.3
Segmented neutrophils 2% Banded neutrophils 17%
What is 1,520?
(2% + 17%) x 8,000
----------------------- = 1,520
100
This sort of posturing is a late sign of increased intracranial pressure (ICP).
What is decorticate OR decerebrate posturing?
This is the most common movement disorder in children. It is lifelong and one of the most common causes of physical disability in children.
What is cerebral palsy?
These educational pieces should be included in a patient's plan of care with food allergies.
What are how to avoid specific food triggers, food substitutes, and epi-pen usage?
This is the most common bleeding disorder in children that follows a viral illness
What is ITP? (Idiopathic thrombocytopenic purpura)
The nurse is caring for a term newborn born to a mother with HIV infection. The infant weighs 6 lb 5 oz. The medication order reads: zidovudine 25 mg PO twice daily.
Zidovudine is supplied as 50 mg/5 mL.
How many milliliters will the nurse administer? Round to the nearest tenth.
What is 2.5ml/dose?
ml 5ml 25mg 2.5ml
----- ------- x --------- = ----------
dose 50mg 1 dose dose
Based on the following, what is the likely diagnosis?
Labs: CSF shows increased WBCs, increased protein, decreased glucose. CBC shows increased WBCs.
Clinical Presentation: Weak cry, lethargy, and poor feeding.
What is bacterial meningitis?
Based on the following, what is the most appropriate intervention?
Patient presents to the primary care physicians office with increased pain to the right arm and slight decrease in finger movement of the right hand.
Patient had a recent fall with right forearm fracture. The forearm was correctly set with a cast applied from mid-hand to the elbow 48 hours ago.
What is remove the cast?
A pediatric patient diagnosed with Systemic Lupus Erythematosus is a great risk for developing this complication.
What is avascular necrosis?
The nurse is assessing an adolescent client with sickle cell disease who is experiencing a vasoocclusive crisis. Which finding should be most concerning to the nurse?
- Capillary refill of bilateral toes is 4 seconds
- Client rates pain in lower extremities as a 8 on a scale of 0-10
- Client reports an “intense headache” beginning a few hours ago
- Hemoglobin level is 8 g/dl (Normal range: 10g/dl-15g/dl)
What is, client reports an “intense headache” beginning a few hours ago?
The nurse is caring for a 4-year-old with acute lymphoblastic leukemia. The child weighs 38 lb. The medication order reads: ondansetron 2.6 mg IV every 8 hours for chemotherapy-related nausea/vomiting.
Ondansetron is supplied as 4 mg/2 mL.
How many milliliters will the nurse administer? Round to the nearest tenth.
What is 1.3ml/dose?
ml 2ml 2.6mg 1.3ml
----- ------- x --------- = -------
Dose 4mg 1 dose dose
This is a key assessment finding to confirm the diagnosis of shaken baby syndrome.
What is are retinal hemorrhages?
When the Pavlik harness is ineffective for treatment of Developmental dysplasia of the hip (DDH), this is the next form of treatment.
What is Bryant Traction?
This disorder's nursing management focuses on inflammation control, pain relief, promotion of remission, and maintenance of mobility through the use of NSAIDs, corticosteroids, and antirheumatic drugs.
What is juvenile idiopathic arthritis?
With sickle cell anemia/sickle cell disease, these are the top 3 priorities.
What are: pain control, hydration, oxygenation?
The doctor has ordered: Amoxicillin 100 mg PO TID The child is 3 years of age and weighs 32lbs.
The pharmacy says that the dose for children 5 and younger is 20-40mg/kg/day in 3- 4 divided doses.
Available is: Amoxicillin 125mg/5 milliliters
Find the safe dose range expressed in mg/dose (round to the nearest hundredth).
What is 96.97mg/dose - 193.94mg/dose?
What actions should you take with the scenario below?
You see a 3-year-old running around the pool, they then slipped and fell into the pool. You witnessed the child hit their head on the pool deck before entering the water. The child was removed from the water within 30 seconds and is lying on the ground, intermittently coughing, occasionally whimpering, and with no apparent extremity movement.
What is stabilize the spine, assess heart rate & breathing no longer than 10 seconds?
This disorder's main goal of treatment includes preventing infection, promoting urinary elimination, promoting bowel elimination, promoting adequate nutrition, preventing latex allergic reactions, and maintaining skin integrity.
What is spina bifida?
A child having an anaphylactic reaction, this is the only way to prevent late-onset reactions.
What is through the use of corticosteroids?
When caring for a child with leukemia, these patients are to receive this type of blood product to address chemotherapy induced anemia.
What is irradiated, CMV-negative, leukodepleted red blood cells?
Absolute Neutrophil Count (ANC)
A child comes to the Emergency Department with a cough. Hx: ALL with Chemotherapy treatment.
Child weighs: 5kg
Laboratory studies
WBC 1,000 RBC 6
Hgb 9 Hct 25
Platelet 90 ESR 1.0
Segmented neutrophils 10%
Banded neutrophils 28%
What's major intervention does this patient need?
What is 380, neutropenic precautions?
(10% + 28%) x 1,000
----------------------- = 380
100
Patient absolute neutrophil count is extremely below normal limit (2,500-6,000), pt is at extreme risk of developing infection. Implement neutropenic precautions.