assessment
intervention
priority
signs and symptoms
nursing diagnosis
100

crying baby of drawing knees up to chest and bulging abdomen 

intussesseption

100

post op interventions of scoliosis

log roll, risk for bleeding, risk for infection, monitor iv sites

100

priority for child in leg cast

neurovascular checks

100

signs of better nephrotic syndrome

less protein in urine, less edema

100

toddler with diarrhea for 2 days

risk of dehydration

200

child w rash, fever, koplik spots in mouth

rubeola(measles)// airborne precautions

200

highest priority intervention for vaso occlusive crisis

monitor for pain


- oxygen

-fluids

200

highest priority for suspected bacterial meningitis

droplet precautions

200

baby choking, coughing, cyanosis

esophogeal atresia

200

ALL nursing diagnosis

risk for infection, disturbed body image

300

HYDROCEPHALUS, WHAT TO DO POST OP VP SHUNT

CHECK ICP, SITE OF SHUNT, CHECK ABDOMEN AND POSITIONING, HEAD CIRCUMFERENCE, INTAKE AND OUTPUT 

300

type 1 diabetic unresponsive child

glucagon

300

child with ALL comes in with fever, what next?

neutropenic precautions

300
HTN and tea-colored urine

acute gastroenteritis

300

epiglottitis vaccine

HIB

400

patient comes in with fruity breath, hyperglycemia, abdominal pain

DKA

400

what to do to prevent reyes syndrome after getting influenza

don't give aspirin

400

highest priority assessment for dehydration

weigh child
400

CHF S&S

weight gain, tachypnea, tachycardia


digoxin is treatment 

400

ventral sept defect 

left to right shunting, opening btwn left and right ventricle , assess for pulmonary congestion

500

child w fever, runny nose, rash in 3 different stages

varicella (chicken pox) /// airborne and contact precautions 

500

goal of child w sickle cell

prevent vaso occlusive crisis to prevent pain

500
skeletal traction priority

risk for infection insertion site 

500

elevated bp, weak lungs, weak pulses , cold limbs


priority intervention:

coarctation of aorta


4 extremity blood pressures

500

cyanotic heart disease >

right to left shunting, hypercyanotic spells, babies knees to chest, children squat

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