Neuro
You are preparing a patient for a lumbar puncture. What position would you lie them in?
Side-lying
True or false, it's ok for a patient with a fiberglass cast on their leg to stick a straw or pencil in their cast to relieve itching?
false, they should apply a ice pack over the cast to reduce itching
Your patient is experiencing a tet spell. What position will you place them in?
When should the nurse hold giving digoxin to an infant?
If the infant's heart rate is less than 90 bpm
What type of isolation precautions should be ordered for a patient diagnosed with RSV?
contact/droplet
What are the risk factors that increase the risk of ear infections?
Secondhand smoke
A patient with juvenile idiopathic arthritis asks you when the best time is to wear their splints to relieve pain. What is your response?
At night when you are sleeping
True or false: It's ok to give a patient who just underwent tonsillectomy surgery a red ice pop?
false. it might be mistaken for blood
True or false: Rheumatic fever can be caused by an untreated strep infection, or if a patient fails to complete their course of antibiotics?
True
What educational topics should nurses expect to teach parents before their child undergoes cleft palate repair surgery?
Your baby will be in elbow restraints for some time to prevent them from pulling the stitches out.
Try to keep the baby in a side-lying position so they can breathe better
What are the signs of increased intracranial pressure in an infant?
Bulging fontanelles
extreme fussiness
shrill crying
lethargic and hard to arouse
What are the 5 P's of compartment syndrome?
Pain: Severe pain that is out of proportion to the injury and worsens with passive stretching.
Paresthesia: Numbness, tingling, or burning sensations in the affected area.
Paralysis: Weakness or inability to move the affected limb.
Pallor: Pale skin in the affected area due to reduced blood flow.
Pulselessness: Absence of a pulse in the affected limb, which is a late sign of compartment syndrome.
What is the priority intervention for a patient suspected of having epiglottitis?
prepare for a neck xray
What heart sound would you expect to hear in a patient with a patent ductus arteriosus?
True or false, It's ok for patients with cystic fibrosis to take their pancreatic enzymes between meals? or skip doses?
FALSE pancreatic enzymes should always be taken WITH meals
True or false: It's ok if the ear tubes fall out about a year after a child has undergone myringotomy surgery?
True. They typically fall out after a year. But parents should notify the doctor in case they want them replaced
You are caring for a patient in Bucks traction. What things should you be monitoring for?
weights hang freely
pin sites are intact
neurovascular checks
What are the signs of Kawasaki's disease?
Strawberry tongue
peeling, red hands and feet
blood shot eyes(congunctivitis)
Tetralogy of Fallot is made up of what 4 congenital heart defects?
right ventricular hypertrophy
ventricular septal defect
pulmonary stenosis
overriding aorta
Frequent swallowing in a tonsilectomy patient is a sign of what?
Hemorrhage or bleeding from the surgical site. This is a medical emergency
Start antibiotics
You preferred a neurovascular assessment on your patient's leg. What findings would you report to the provider?
Delayed capillary refill.
pain relieved by medication or therapeutic positioning.
new swelling,
pale toes,
weak/no pulse
What type of precautions should be ordered for a patient suspected of having meningitis?
droplet
Tetraology of falot causes...
Inadequate tissue oxygenation, which leads to "tet spells"
What are the signs and symptoms of epiglottitis
Fever
drooling
horse cough/voice
stridor
sitting up and forward(tripod) to breath