GI
What happens if the patient has a fever and is shivering?
The patient loses more water, we do not want them to shiver.
If the baby's bottom is excoriated, what should you do?
The first thing you do is to take the wipes away (they have alcohol in them which can irritate it more).
The mother expresses concern of the toddlers stool being green or black and tarry looking. Is this expected while taking Iron?
Yes this is an expected outcome
What is our role as nurses when it comes to parental fears and misinformation regarding vaccines?
Ask questions and educate on any concerns. Provide the proper teaching material. BEFORE pulling or giving the vaccine. Benefits of these vaccines, debunk any kind of misinformation that they've received.
What should we have readily available in the case of an adverse reaction to the vaccine?
EPIPEN
Example of "Sensible Loss of Fluid"
Vomiting and diarrhea
If a patient is severely dehydrated what is the first thing we should do for them?
Obtain IV access.
The parent asks the RN "which vitamin helps with the absorption of iron?"
Vitamin C
Do vaccinations cause autism?
NO, it has never been proven.
What are the circumstances in which a patient should NOT get a vaccine?
Severe febrile illness, immunocompromised,
Where would be the two main areas you would notice excess fluid on an infant?
Face/Eyes/Cheeks, and Peri-area
What is the leading cause of illness in children younger than 5 years of age.
Diarrhea; (Due to being unsanitary, touching everything, putting everything in their mouth).
The RN is doing her morning medication pass and the child asks "can I take my iron pill with my milk from breakfast?" How would the RN respond/educate the patient on this?
Take it an hour before milk or two hours after we have milk. Milk will prevent the absorption of the iron supplement.
What should we educate the new parents on regarding how to clean the infant during diaper changes?
Educate them on front to back wiping for the female girls.
If your child's uncircumcised, we need to use standard precautions when we're wiping children. They are more at risk for infection and uncleanliness.
Are we allowed to give vaccines to those with an egg allergy? What about an anaphylactic response to a vaccination?
(Egg Allergy- is ok with precaution). (Anaphylaxis- is not ok).
If you've had an allergic response to a vaccine before, that makes them very cautious to get a vaccine.
True or False: Infants have a large % of fluid in their body. A small loss can be a huge issue.
What would the fontanel look like on a "severely" dehydrated child?
Sunken
What is the outcome in children who have a poor iron source?
It can lead to developmental delays
What are parents given to give them a better understanding of that the vaccine is?
Vaccine Adverse Event Reporting System (VAERS)
Vaccine information system sheets
What are some issues with vaccines regarding religion?
pork products or gelatin in some vessels, which could be problematic.
Two inflammatory disorders of children that can cause them to lose fluids?
Crohns disease and Liver failure as well as (Fever).
If the child is "moderately" dehydrated what would change about their respirations and pulse?
Slightly increased pulse
Slightly tachypnea (rapid)
What would you educate the patient to do after taking an oral dose of iron?
Brush teeth to prevent staining of their teeth.
Sometimes parents are very uneasy about the amount of injections or the amounts of antigens that the child sees in that first year of life. What is something we can suggest about the vaccine schedule?
There is a recommended schedule, but there is also a delayed schedule. Better to delay or suggest delay to the parent than not vaccinate at all.
What are some major allergic reactions to be aware of?
If they've had an allergic reaction or have had a coma, decreased level consciousness, seizures because of the pertussis vaccine, or other nervous system problems, Guillain-Barré syndrome, which can be very bad, and it's associated with vaccines. It's an extremely high fever of 100- 104F, redness extending down the arm for a large distance down the arm.