Respiratory
What is the common cause of Infectious Mononucleosis?
Epstein Barr Virus (EBV)
Name all subcutaneous immunizations.
MMR, Meningococcal, Varicella
Name the diseases of MR PIMP and the disease that is missing from this mnemonic.
Measles, Rubella, Pertussis, Influenza, Mumps, Pneumonia
RSV
Your 3-month-old patient exhibits limited leg abduction, positive Barlow and Ortolani test, and expresses "clicking" noises with movement. What do you suspect and what would you have them wear?
Hip dysplagia; PAVLIK harness
What is your PRIORITY if a hemophiliac child is admitted with a 1 inch laceration wound?
Administering FACTOR VIII
What precautions is Acute Epiglottitis and what are the 4 D's associated with it?
DROPLET
- Dysphagia
- Dyspnea
- Drooling
- Dysphonia
True or False: If a 6-month-old comes in to get their vaccines, but had missed their Hib vaccine at 4 months, they would restart the series to get back on track.
False, you would give them their missed dose and continue on the series.
Which disease displays with a "slapped face" disease, mild fever, and fiery rash? What are your NI for it?
Fifths disease.
- Droplet/Contact precautions
- Comfort measures (analgesics-pain; antipyretics-fever) (i.e. Tylenol)
3 Questions:
- What precautions would Meningitis be on?
-What would you perform in order to detect whether it is bacterial or viral?
- If the fluid comes back cloudy, this signifies what type?
DROPLET,
Lumbar puncture,
Cloudy = BACTERIAL
Your patient is admitted to the ER after he has just been exposed to extremely cold weather and comes in with pain and tissue engorgement signifying a vasoocclusive episode. What is this condition called and what is your PRIORITY?
What are 3 nursing interventions you can do for Croup?
- COOL mist humidifier/vaporizer
- Administer nebulized racemic epinephrine
- Administer corticosteroids
- Administer oral/IV fluids
- Monitor O2 sats
What are 3 reasons you would NOT give a vaccine?
- Child expresses anaphylaxis reaction with last vaccine
- Fever of unknown origin
- Blood transfusion
- Immunocompromised
You have a patient of which you see white adherent patches on the tongue, palate, and inner cheeks. What do you suspect and what medicine would you treat with?
Oral thrush/Oral candidiasis - treat with Nystatin
What are 2 complications of a VP shunt placement in hydrocephalus?
Infection and obstruction.
Leukemia; Protective isolation
Name the order of interventions for an asthma attack.
Albuterol, O2, LABAs (solumedrol/salmeterol)
Which vaccines are considered "live"?
Varicella, MMR, Rotavirus
What are your pharmacological treatments for Acne and what are your instructions regarding these specific treatments?
Retin-A: use sunscreen (extreme sunburn)
Accutane: use sunscreen, do not get pregnant (use birth control), can lead to mood swings/depression/suicidal thoughts.
If you see a positive Macewen sign, setting sun signs, restlessness, and hear a high-pitched cry, what is your priority? What would be desired pharmacological treatment?
RAISE HOB!
- Administer Mannitol
What is your priority consideration when it comes to post-care after performing radiation therapy?
What is the best diagnostic test for Cystic Fibrosis and what do you manually do to break up secretions?
Sweat chloride test.
Chest physiotherapy.
What are ALL vaccines that should be given for a 6-month-old infant's visit?
Dtap, Rotavirus, HepB, Hib, IPV, Pneumococcal conjugate, INFLUENZA
What is Permethrin prescribed for and what specific percentages are prescribed for which conditions?
Permethrin is prescribed for scabies and head lice.
1% is used for head lice / pediculosis capitis
5% is used for scabies
Down Syndrome (Trisomy 21); yes, in an amniocentesis
What conditions would you expect to see with Tumor Lysis Syndrome from their labs? What medications are used to treat the signs?
HYPERuricemia (allopurinol)
HYPOcalcemia (calcium gluconate)
HYPERphosphatemia (treating calcium treats phosphate)
HYPERkalemia