Grief and Loss
For a terminally ill child, the nurse would do the following regarding their pain.
What is using a developmentally appropriate pain scale, administering ATC pain medication, and use nonpharmacologic methods?
This is the rationale for introducing solid foods one at a time.
What is to identify any potential allergies?
These medications are used to manage fever in children.
What is Acetaminophen and Ibuprofen?
These are triggers for a sickle cell crisis.
What is stress, illness (infection), fever, dehydration, high elevation/altitude, physical exertion, hypoxia, and excessive cold exposure?
This is the term to describe care that minimizes or eliminates the psychological and physical distress experienced by children and their families in health care.
What is atraumatic care?
The care for a dying child must be these two types of approaches.
What are family-centered and multi-disciplinary?
Referring the parents of a child with FTT to community resources for psychosocial needs (such as lack of maternal-child bonding or neglect) would be best for which cause: organic or non-organic.
What is non-organic cause?
Rotarix and Rotateq are the two oral vaccines for rotavirus given as these times for infants.
What is Rotarix at 2 mo. & 4 mos. And Rotateq at 2 mo., 4 mo. & 6 mo. of age?
Increased pulmonary blood flow to the lungs, seen in large unrepaired ASD and VSD, may lead to these problems.
What are pulmonary hypertension, heart failure, and pulmonary infections?
The measurement of arterial blood gas shows pH 7.0, PaCO2 23, and HCO3 12, which is this acid-balance imbalance.
What is metabolic acidosis?
These are the stages of grief and loss in children.
What is denial/isolation, anger/blaming, bargaining, depression, acceptance, and healing?
When a child’s BMI falls between the 85th and 95th percentile, they are known to be this term.
What is overweight?
These are the heart rate parameters for deciding when to withhold Digoxin from pediatric patients.
What is heart rate (apical) less than 90 bpm in infants and less than 60 bpm in children?
Prevention and treatment of vaso-occlusive episodes focus on these.
What is oxygenation, pain control, hydration, infection control, and PRBCs?
The daily maintenance requirement for a child weighing 63 pounds is:
What is 1673 ml/day?
These are some ways that parents can comfort and interact with their dying child.
What providing massages, singing/music, tactile stimulation, and movement?
Teenagers require well over 2000 calories to support growth spurts and these 3 important minerals.
What is calcium, iron, and zinc?
These are the signs and symptoms of digoxin toxicity.
What is nausea, vomiting, diarrhea, lethargy, and bradycardia?
Excessive blood flow to the lungs can produce a compensatory response such as these.
What is tachypnea or tachycardia?
In a child with RSV bronchiolitis, the blood gases (ABGs) may show this.
What is carbon dioxide retention and hypoxemia (low O2 concentration in the blood)?
This may prevent the option of organ or tissue donation.
What is chronic illness?
The nurse should assess for readiness when preparing to introduce solids to a 6-month-old. Signs of readiness includes these.
What is interest in the solid foods, disappearance of extrusion reflex, voluntary control of head and trunk, and functional swallowing capability?
This is the drug class of medications such as Captopril, that can be used in conjunction with diuretics in the management of heart failure.
What is Angiotensin Converting Enzyme Inhibitors?
These are the teaching guidelines for providing care after a cardiac catheterization.
What is monitoring the insertion site, resuming normal diet, avoid tub bath, monitor changes, and report abnormal findings?
The potential complications of recurrent ear infections include these.
What is hearing loss, tympanic membrane perforation, speech delay, or intracranial infections?