Risky Business
(Risks)
First things First
(Prioritize)
WWND?
(What Would Nurse Do?/Interventions)
What's Your Sign?
(Manifestations)
It's Complicated
(Everything else!)
100
Cannot distinguish between red and green on a street light
What is a safety concern of a child diagnosed with color deficiency (color blind)?
100
The priority nursing diagnosis when caring for a hospitalized child with HIV
What is risk of infection?
100
First choice of medication during anaphylaxis
What is injectable epinephrine?
100
BMI > or + to 95th percentile
What is obesity?
100
A standardized scale used to assess level of consciousness in children through eye opening, verbal response and motor response
What is the Glascow Coma Scale (GCS)?
200
A child with a diagnosis of hydrocephalus with fused sutures may have signs of this due to excessive CSF
What is Increased intracranial pressure (ICP)?
200
The priority nursing intervention for caring for a child with suicidal ideations
What is ensuring safety and a safe environment?
200
Give with vitamin-C rich fluids, use a straw or medicine dropper, brush teeth after administrations, and avoid giving with cow's milk.
What are recommendations when giving iron supplements?
200
Butterfly rash over cheeks and nose, discoid rash, photosensitivity, and positive ANA
What are common manifestations of Systemic lupus erythematosus (SLE)?
200
Both parents must have sickle cell trait
How is sickle cell transmitted?
300
Excessive tearing, headaches, blurred vision, closing one eye to see, and squinting
What are signs of potential vision problems?
300
The priority nursing intervention when Increased intracranial pressure (ICP) is suspected
What is elevate the HOB 30 degrees?
300
Type of sports/activity that should be avoided by a patient diagnosed with hemophilia
What are contact sports?
300
Petechia and a platelet count below 150,000/mm3
What is immune thromobocytopenic purpura (ITP)?
300
Side-lying and hugging knees
What is the position of a child during a lumbar puncture?
400
Requesting to sit close to the blackboard and sitting close to the television
What are signs of Myopia (Nearsightedness)?
400
Nursing priorities of a patient in vaso-occlusive crisis
What are hydration, oxygenation and pain management?
400
Two common emotional disorders difficult to differentiate in pediatric patients due to similar symptoms. The generalized treatments are also the same but based on specific cause
What are depression and anxiety?
400
Headache, diplopia, mood swings, slurred speech, altered LOC, N/V
What are manifestations of increased intracranial pressure (ICP) in children?
400
The child bends head toward chest and an involuntary flexion of the hip and knee are present
What is a positive Brudzinski sign? (sx of meningitis)
500
Previous suicide attempts, recent loss, preoccupation with death, alcohol or drug use and social isolation
What are risk factors of suicide?
500
Immobilize the pt and then assess airway
What is the priority nursing intervention of a pt with a spinal chord injury?
500
Work closely with the family, allow extra time, understand routine and be alert to differences in communication style
What are nursing interventions necessary for caring for a child diagnosed with autism?
500
Prominent and protruding forehead, maxillary prominence, wide-set eyes with a flattened nose, hepatosplenomegaly, and greenish-yellow skin tone
What is Beta-thalassemia (thalassemia major or Cooley anemia)?
500
BMI greater than 95th percentile, elevated lipid levels, increased BP, and elevated fasting blood sugar
What is metabolic syndrome (insulin-resistance)?