G&D slides 1
I&O
diapers are weighed in...?
GRAMS.
1g=1ml
a nurse who is ______ can minimize separation anxiety
"Theirs"
what would be a game you might play to urge a school aged child to ingest a high fluid intake?
A) hangman
B) simon says
C) battleship
D)hide and go seek
b; simon says
what are the names of the 2 aquired heart diseases in this powerpoint?
Kawasaki Disease
a baby is put on furosemide. what are we watching carefully?
voids.
what do we do to check for proper placement of a tube?
(multiple answers taken :D)
- x-ray
- measure. bridge of nose, earlobe, xiphoid process
- aspirate stomach contents
bonus stupid question (inside joke now)
home care: nursing implications. safety features.
what if ______?
power outage
a hospitalized 4 year old cries and tries to bite during each physical assessment. which statement by the parent would help the nurse?
A) "can you just come back later?"
B) "he is just scared and cant help it."
C) "i cant get him to stop biting at home, so i know i wont be able to do so here."
D) "you are going to the 'timeout' chair if you try to bite again"
D. timeout chair
limit setting is necessary with unacceptable behavior even though the child is hospitalized.
where should the pulse ox be placed?
ONLY ON THE RIGHT SIDED EXTREMETIES.
this assessess the child's pre-ductal oxygenation status and determines whether there is significant shunting of blood or a difference in oxygenation between the upper and lower body, which may be critical for managing certain heart defects.
Post-cardiac cath, what position do we put the patient in and for how long?
supine 2-6 hrs
name TWO of the FOUR pain rating scales
- cries
- flacc
- faces
- adolescent and pediatric pain tool
when should toddlers be taking their first steps?
12 months.
in developing a plan for perioperative teaching for an adolescent, which is important for the nurse to recognize?
1) adolescents may act as if they know more than they actually do
2) an adolescent will not be interested in reassurance that things will go well
3) postoperative teaching should wait until after the surgery
4) the adolescent will need a few explanations of the procedure because he or she has seen medical shows on tv
A. DUH.
Congenital Heart Disease is the MOST COMMON in peds. although there are 35 different types, when does CHD form?
CHD forms in organogenesis
what do we use for PDA (Patent Ductus Arteriosus)?
prostiglandin inhibitor.
in nursing management of pain, what is usual choice for acute pain?
IV or PCA
what is the annual weight gain for a school aged child?
3-5 pounds
a 4 year old client will have a 24 hour urine specimen collected. the nurs will time this from...
A) a set time, such as 0800
B) the time of the discard specimen
C) the first urine voided in the morning
D) the first voiding after the discard urine
B. the time of the discard specimen
for a cardiac catheterization, where do they usually use the catheter on pediatric patients?
Femoral vein
1) VSD (ventricular septal defect)
2) pulmonary stenosis
3) hypertrophy of right ventricle
4) overriding aorta
what is the name of the condition that these 4 defects belong to?
Tetralogy of Fallot
for a 2-4 year old pain is what?
punishment
what is the name of the screening that detects delays and assesses 4 areas of development
this should be an easy 500 points you better lock in
DENVER DEVELOPMENTAL!
DDST II
a 4 year old is afraid of the dark. what can the nurse suggest to the parents to help the child overcome this fear?
A) explain to the child that there is nothing scary in their room
B) stay with the child until the child falls asleep
C) put a nightlight in the childs room
D) help the child check for monsters in the closet and under the bed
put a nightlight in the childs room.
there are EIGHT different things we will see in a child with congenital heart disease named in these slides.
(EX: decreased food intake, etc.)
Please name 3 different clinical pictures in CHD.
(bonus 200 points if you can name all 8)
accepted answers:
-FTT (small for age)
-Exercise intolerance (as they age)
-Squatting position
-Clubbing of fingers
-increased UPPER RESP. INFECTIONS
-Polycythemia
-Decreased food intake
a heart block is fixed by...
extra points if you give signs and symptoms!
surgery
pacemaker
s/s
dizziness, fatigue, syncope, poor appetite