1
What is the most important nutritional need for wound healing?
Protein
What would the name of the skin condition be for an adolescent who reports new onset smelly feet and that they sweat a lot
Tinea Pedis (athlete's foot)
A toddler accidently pulled a hot pan with oil off the stove. The child has burns to the R side of their neck and face. What is the priority assessment?
Respiratory Status
An infant has red excoriated skin in their skin folds of their perianal area. What is the name of what is occurring and how would you educate parents to correct?
Diaper rash
Start with more frequent diaper changes
What would educate parents on to do after a child burns their finger?
Run under cold water
What time would you educate parents on as the best time to apply topical mediations for their child?
After a bath
Absorbs better into the skin
What are the 3 P's that go with Diabetes Mellitus?
Polyuria
Polydipsia
Polyphagia
What are signs & symptoms of a child who is experiencing diabetic ketoacidosis?
Dry skin, flush face, Dehydration, Diaphoresis, Restless, Fruity breath, Tachypnea
What is Somogyi phenomenon?
Somogyi phenomenon is when the blood glucose level lowers during sleep which causes the body to release hormones to produce more glucose causing hyperglycemia
True or False:
Diabetes Insipidus can be caused by a head injury
True
A school-age child diagnosed with sickle cell anemia asks you to describe what their blood cells look like and why that causes their pain. How would you describe this?
The S-shaped cells come to together and do not allow movement causing occlusion or a blockage to the area causing lower blood supply.
Should children with hemophilia take NSAIDs?
No salicylates can increase bleeding
What are some of the causes of herpes simplex virus type 1 to activate a breakout?
Stress, Sun exposure, Menses, Fever
A mother of an infant is concerned as the infant is choking on their feeding and has increased saliva that looks like frothy. What Gastrointestinal disorder would the nurse suspect is occurring?
Tracheoesophageal fistula
Keep the child hydrated. Hydration is key
A mother brings in their 6 week old infant for concerns of projectile vomiting right after feeding. What Gastrointestinal disorder would the nurse suspect is occurring?
Pyloric Stenosis or GERD
What is the name for the rebound tenderness test for ruling out appendicitis?
McBurney's Point
If a patient who has nephrotic syndrome and periorbital edema is complaining of eye pain and laying down flat in bed what should the nurse do first to reduce the edema?
Elevate the head of the bed
Why for an infant diagnosed with hypospadias do we delay circumcision?
They may use the foreskin in the revision surgery
How would the LPN place the diaper on an infant with exstrophy of the bladder?
Underneath the patient with nothing on top
What is the name of the skin disorder that has a circular, scaly and pruritic patches that is on the child's arms?
Tinea corporis (ringworm)
Solumedrol 2.5 mg/kg is ordered for a child weighing 22 pounds. Solumedrol is available as 125 mg / 1 mL is available. How many mL must the nurse administer?
Answer: 0.2 mL
22lbs/1 x 1/2.2kg = 10kg
2.5mg/kg x 10kg/1 = 25 mg
25mg/1 x 1mL/125mg = 0.2mL
Order: gentamycin 200mg po TID for a child who weighs 18 pounds. The safe dosage range for gentamycin is 10 – 20 mg/kg/day? Is this a safe and therapeutic order for your patient?
Answer: NO, not a safe dose. The child weighs 8.2 kg. (18/2.2 = 8.1818) The recommended dose for the day is 82 mg – 164 mg. The order would give the child 600 mg total per day.
Order: Vancomycin 500 mg four times a day. The maximum safe dose is 50 mg/kg in 24 hours. The child weighs 80 lbs. Is the dose ordered within a safe range?
NO the dose exceeds the maximum safe dose
What Gastrointestinal disorder has the child with symptoms of sudden abdominal pain, pain that has the child draw up their knees and bloody stool that looks like jelly?
Intussusception