Nutrition/FTT/ CLCP
If the parent of a child states "I am so happy my child only needs one surgery to repair her cleft palate", what would you say to them?
Your child needs more than 1 surgery to repair their cleft lip/clip palate
What 2 valves are often the most affected by infection?
Mitral and Aortic
What bacteria causes acute rheumatic fever if it is left untreated?
Group A Strep
What is the anticoagulant that is commonly used with valve replacement?
Coumadin
What is the proper position for a baby to be in when they are being fed?
semi-upright
What percentile to children with FTT ten to fall under?
5th percentile
What are 2 ways endocarditis is classified?
Location or cause
What is the priority intervention for a patient with rheumatic fever?
- Start on broad spectrum abx and obtain blood cultures to specify bacteria (and then once identified you can start on a narrower spectrum)
What valve lasts the longest without replacement?
Mechanical
What should you instruct your patient to avoid using and/or eating after oral surgery?
- Do not use straws
- Do not eat anything red
- No sharp objects such as forks
What is the only way to verify whether or not a feeding tube is properly placed?
Chest x-ray
What might you hear upon auscultation of the lungs in someone who has pericarditis?
Pleural friction rub
When can you come in contact with people again after having strep?
If you have been on abx for 24 hours and have no fever for 24 hours
Who is the best candidate for mechanical valves?
Younger patients (below 20 years)
What should you teach your patient to do with their leg if they have cellulitis?
Elevate leg
If a patient is on TPN, what is the protocol for fingersticks?
Take fingerstick every 6 hours
How would you obtain blood cultures in a patient suspected of having endocarditis?
3 blood cultures, 20 minutes apart, taken from 3 different sites
What do you have to do for long-term treatment for RHD?
Abx for dental prophylaxis and abx for atleast 5 years for treatment
Who can't receive pig valves?
Muslims
When teaching your patient about feeding a child with cleft lip/palate, how long do you tell them feedings have to be?
20 minutes or under
What are the 2 main contributions to a failure to thrive and children?
GERD and diarrhea
What are some symptoms of pericarditis?
- chest pain
- neck pain
- pain with inspiration
- chest pain gets better when leaning forward
- mild fever
- non-productive cough
- pleural friction rub
A mother calls the doctor and asks for a script for antibiotics because her child has strep throat. What is the nurses best response?
Bring your child into the office so we can obtain a throat culture
What type of valve requires life-long anticoagulants?
Mechanical
When educating a parent about croup, when do you tell them it is acceptable to bring their child to the hospital?
If their child has a barking cough and symptoms cannot be managed with a steamy shower