Ear, nose, throat
This finding is a manifestation of hemorrhage in a child who is postoperative following a tonsillectomy.
What is frequent swallowing?
A child with cystic fibrosis takes these medications with meals and snacks because pancreatic insufficiency prevents adequate digestion and absorption of nutrients, specifically to help digest the fats in food.
What are pancreatic enzymes?
Negative behaviors characterized by the toddler’s increasing need for autonomy and independence are associated with this stage of psychosocial development.
What is autonomy versus shame and doubt?
Methicillin-resistant staphylococcus aureus (MRSA) and Vancomycin-resistant enterococcus (VRE) are communicable diseases that the nurse should implement this type of precaution
What are contact precautions?
These are the items needed by a nurse who is preparing to administer the prescribed aerosol rescue medication for a 6-year-old child who is experiencing an asthma exacerbation.
What are a mask and spacer?
(rationale: The mask is needed to facilitate the inhalation of the medication through the spacer.
The nurse will need to administer the aerosol medication through a spacer to facilitate accurate administration of the dose.)
This is the fluid item that a nurse should offer a child who is 2 hr postoperative following a tonsillectomy.
What is crushed ice?
When a child is suspected of cystic fibrosis, this diagnostic test will confirm the diagnosis.
What is the sweat chloride test?
This is the immunization a nurse would anticipate administering for a pre-college adolescent.
What is the meningococcal polysaccharide vaccine?
Pertussis, influenza and Group A streptococcus ß-hemolytic are communicable diseases that require the nurse to implement these precautions
What are droplet Precautions?
This diagnosis is common with infants who are 2-12 months of age and is associated with sneezing, coughing, nasal congestion, intermittent fever, and apneic spells.
What is bronchiolitis?
This is an expected finding in the assessment of a child who has otitis media
What is tugging on the affected ear lobe?
In children with cystic fibrosis, a genetic mutation damages the CFTR protein. This laboratory finding can be explained by abnormal CFTR function affecting the movement of sodium and water across epithelial cells.
What is hyponatremia?
This patient age should receive the meningococcal conjugate (MCV4) vaccine as part of the routine immunization schedule.
What is an 11 year old school age child?
In order to prevent the spread of infection or re-infection, this is the home teaching that needs to be implemented to a parent of a child who has acute group A ß-hemolytic streptococci.
What is replace the child’s toothbrush after 24 hr on antibiotics?
This nursing action is priority when caring for 3-year-old child who has a high fever, severe dyspnea, and is drooling.
What is nasotracheal intubation?
Rationale:
The client's manifestations suggest epiglottitis, which is a respiratory emergency. Airway obstruction is imminent, and that is the greatest risk to the client's safety at this time, so the priority action is to prepare for intubation to maintain airway patency.
When admitting a child with suspected epiglottitis, this infection-control measure is what needs to be implemented first by the nurse to prevent transmission.
What are droplet precautions?
This bronchodilator should be administered prior to chest physiotherapy (CPT) for a cystic fibrosis patient.
What is Albuterol?
This vaccination requires children to have received the first dose between 12 to 15 months of age, and then receive a second dose between 4 and 6 years of age.
What is varicella (VAR)
This statement indicates an understanding of why a newborn's respiratory rate should be counted for a complete minute.
What is "The rate and rhythm of breath are irregular in newborns."?
This medication is the first line treatment for a patient who is experiencing asthma exacerbation. It is considered the rescue medication due to its rapid onset.
What is Albuterol?
Following a tonsillectomy, this can be suppressed by local anesthetics or edema. To prevent aspiration, this must be present before the client is allowed to have fluids.
What is a gag reflex?
When attempting postural drainage, this position is contraindicated in infants who have cystic fibrosis.
What is trendelenburg?
Rationale:
Infants who have cystic fibrosis are placed in various positions to allow gravity to facilitate the removal of tenacious secretions. The nurse should identify the Trendelenburg position (head lower than body) as being contraindicated for the infant because infants do not have autonomic regulation of blood flow to the head. This position is also contraindicated for children who have head injuries.
This reflex is present in 6 month-old infants and is elicited by stroking up the side of the foot and across the ball of the foot. A positive sign is present when this action causes the toes to fan outwards. This is an expected finding through the first year of life, after which it begins to fade.
What is the Babinski reflex?
A room with air exhaust directly to the outdoor environment is the room assignment the nurse must make for a client with this diagnosis.
What is active tuberculosis?
These are the following clinical manifestations to expect when caring for a child who was diagnosed with foreign body aspiration.
What are choking, excessive coughing and wheezing?