Fluid/Electrolyte
Renal
GI
Cancer
Endocrine
Neuro
Musc/Skeletal
100

Clinical s/s of mild, moderate and severe dehydration

Mild:increased thirst

Mod:sunken eyes, tented skin turgor

Severe:Rapid pulse, rapid/shallow breathing

100

What should first be checked prior to giving a child fluids with potassium?

urine output

100

s/s of gastroesophageal reflux in an infant

vomiting, arching back, failure to thrive

100

What will a nurse monitor for a patient on methotrexate?

Signs of bone marrow suppression and infection

100

Symptoms of DKA

Hyperglycemia, fruity breath, ketones in urine, kussmal breathing, lethargy

100

Nursing interventions for an infant diagnosed with spina bifida cystica

apply sterile,moist dressing

educate family on surgical repair

Frequent neuro assessments

100

Home education on cast care

Elevate to prevent swelling

avoid getting wet, unless a waterproof cast

Do not put anything down the cast

200

When should a child be switched over to po fluid rehydration?

moderate dehydration, no vomiting, decrease or no diarrhea, desire to take po

200

Steps to obtaining a urine sample via a UA bag

Wash the area, dry the area, apply the urine bag attempting a good seal, once there is urine remove the bag, label and send urine to lab

200

Education for parents of a reflux baby to help reduce vomiting

Small/more frequent feeds in upright position

Frequent burping

Thicken feeds

200

What chromosomal disorder is at highest risk for cancer?

Down Syndrome

200

Treatment of a child admitted with DKA

Obtain urine sample, start PIV (anticipate insulin drip), check blood glucose every 15 min while on insulin drip, NPO, VS Q1, Neuro checks Q4, blood gas

200

Home education for a baby with VP shunt

Infection precautions, signs of malfunction

200

Home care for clavicle fracture

NSAIDs, neurovascular assessment, sling

300

What fluid is best to give a child with diarrhea? 

Oral rehydration fluid such as pedialyte

300

Diet for a child with acute glomerulonephritis

low sodium, fluid restricted

300

When would you notify provider prior to surgery for intussusception?

if patient passes a BM

300

Priority action for a cancer child that is suffering from nausea and vomiting

Give medication as ordered and document response

300

What topics should be included in endocrine education?

Metabolism, energy use, growth and dev, fluid and electrolytes, stress, sexual reproduction

300

In a submersion injury what are the priority assessments?

ABC, Temperature regulation

300

What members of the healthcare team are expected to participate for a child with CP?

Pt, caregivers, speech, OT

400

What is the most common cause of water intoxication?

Inappropriately prepared formula

400

What do you expect to see in the urine of a child with acute glomerulonephritis?

Protein

400

Interventions for Hirschprung disease prior to surgery

enema, IVF, consent, abdominal circumference

400

Symptoms of ALL

wounds not healing, bruising, complaints of bone and joint pain

400

How frequently should a type 1 diabetic check blood sugars?

before meals

400

Risk for Reye syndrome

Use of aspirin during a viral illness

400

Best way to improve mobility in a child with CP

passive ROM

500

What is the correct order of emergency burn managemnent?

stop the burn, assess condition, cover the burn, reassurance

500

What are objective signs indicating a UTI in a pediatric patient?

fever, hematuria, foul smelling urine, leukocytosis, positive urine culture

500

What foreign bodies that are ingested are considered surgical emergencies?

magnets, button battery

500

What tests can you anticipate in a child with symptoms of ALL?

CBC, CT, Urine

500

How long will a type 1 diabetic require insulin?

for life

500

Priority nursing action for a child brought in for concussion

ABCs, neuro assessment

500

Education for parents with an infant in pavlik harness

No lotion/powder, massage under straps, check skin frequently for irritation

600

Name 3 things that require an increase in fluid requirements?

fever, tachypnea, vomiting, diarrhea, shock

600

What is the preferred method to collect urine in a pediatric patient?

clean catch

600

What is the pathophysiology of hirschsprung disease?

Absence of ganglion cells

600

What lab would you expect to evaluate for a child with cancer who has sustained unexplained bruising?

Platelets

600

When should growth hormone be administered?

At bedtime

600

Priority outcomes for an infant with meningitis

ABCs WNL, Neuro WNL, Resolution of fever within 24 hours

600

What is initial treatment for Developmental dysplasia of the hip?

Pavlik harness

700

Name one thing that requires a decrease in fluid requirements

heart failure, increased ICP, renal failure

700

Most common pathogen to cause UTI in a pediatric patient?

E. coli

700

Gold standard diagnostic test for Hirschsprung disease

Rectal biopsy

700

Symptoms of tumor lysis syndrome

 flank pain, lethargy, n/v, oliguria, pruritis, tetany, altered LOC

700

What is considered the master gland?

anterior pituitary gland

700

Fever, petechial rash, and positive Kernig and Brudzinski sign is evidence of what disease process?

Meningitis

700

Serial casting followed by a brace is the primary treatment for what orthopedic disorder?

Clubfoot

800

Water intoxication can lead to what disorder?

Seizures due to decrease in sodium

800

Nursing management in a child that has acute poststreptococcal glomerulonephritis

Daily weights, I&O, daily abdominal girth, low sodium diet

800

Symptoms of Meckel Diverticulum

bloody, painless bowel movements

800

Vaccine concerns with a child receiving chemo

 vaccines given 2 weeks before or during chemo are considered inactive. Child should be revaccinated 3 months after chemo has stopped

800

Treatment for pituitary hyperfunction

surgical removal of tumor, radiation

800

Nursing interventions for viral meningitis

Droplet isolation, Tylenol prn, Neuro assessment

800

What teaching should be involved with a teen that has newly been diagnosed with JRA?

NSAIDs, Antirheumatic drugs, Biologic agents, Steroids

900

What is the most frequent cause of hypovolemic shock in children?

blood loss

900

Characteristics of nephrotic syndrome

proteinuria, hypoalbuminemia, hyperlipidemia, facial edema, urinary protein loss

900

3 Signs and symptoms of pyloric stenosis

nonbilious projectile emesis, visible peristalsis, failure to thrive, dehydration, metabolic alkalosis

900

3 phases of chemo

induction, intensification, maintenance

900

Define precocious puberty

Sexual development before age 9 in boys or before age 8 in girls

900

Gold standard test to diagnose epilepsy

EEG

900

Appropriate education to give a parent of a child with CP that has difficulty eating

frequent, small meals

1000

Priority management of shock

Oxygenation and ventilatory support

1000

Symptoms of DI in the newborn

vomiting, fever, failure to thrive, hypernatremia

1000

Symptom triad for intussusception

sudden onset abdominal pain, sausage like abdominal mass, bloody stools

1000

expected lab values post chemo

decrease in platelets, leukocytes, erythrocytes

1000

What labs are diagnostic of Graves Disease?

increase in T4 and T3, low TSH

1000

What position should a child be placed in that has suffered a head trauma?

HOB at 30 degrees

1000

What are the five Ps of assessing a fracture?

pain and point of tenderness, pulses, pallor, paresthesia, paralysis

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