CF
This genetic disorder causes thick, stick mucus affecting the lungs and pancreas.
Cystic Fibrosis.
Normal oxygen saturation in pediatric patients?
Over 95%.
Barking cough and stridor are seen in this condition.
Croup.
This condition causes cyanosis and fatigue during feeding
Tetralogy of Fallot.
Priority intervention for SPO2 88%.
Apply oxygen.
This is the "gold standard" diagnostic test for cystic fibrosis.
Sweat chloride test.
This lung sounds indicates fluid in the lungs.
Crackles.
Drooling and tripod positioning can indicate this emergency
Epiglottitis.
Intervention for a "tet" spell.
Squatting or bringing knee to chest to increase vascular resistance and blood flow to the lungs.
A child with RSV has wheezing but no improvement after albuterol breathing treatment. What should the nurse do next?
Suction. That. Airway!
A child with cystic fibrosis is prescribed pancreatic enzymes. When should these be taken?
A. Before meals
B. With meals and snacks
C. After meals
D. At bedtime
With meals and snacks.
This murmur is described as "machine-like".
Bonus if you know what causes it.
Patient ductus arteriosus.
Increased pulmonary blood flow.
A patient is asking for follow up regarding strep throat and after care for tonsillectomy. What should the nurse tell the patient?
What does frequent swallowing post-op mean?
Throw away toothbrush 24 hours after antibiotic for strep.
No hot liquids!
Cool liquids only.
Bleeding.
What are expected BP findings in coarctation of the aorta?
High in arms, low in legs.
A parent asks a question, but looks confused. What should the nurse do to ensure understanding?
Use teach-back method.
Which finding indicates pancreatic enzyme therapy is effective in a child with cystic fibrosis?
A. Decreased respiratory rate
B. Weight gain and normal stools
C. Increased respiratory secretions
D. Decreased appetite and frequent oily stools
B — Weight gain and normal stools
A nurse is giving ear drops to a toddler. The ears should be pulled in which way?
Down and back
Medication used first in an ACUTE asthma attack.
Albuterol
What is the priority complication of Kawasaki disease?
MI, coronary artery aneurysm.
A hospitalized preschooler thinks he is being punished. What should the nurse do?
Provide reassurance and simple explanations.
A nurse is reinforcing teaching with the parent of a child with cystic fibrosis about pancreatic enzyme replacement. Which explanation best describes why this therapy is necessary?
A. “It decreases mucus production in the lungs.”
B. “It replaces enzymes that are unable to reach the intestines due to blocked pancreatic ducts.”
C. “It replaces pancreatic enzymes because it is non-functional in CF and soothes stomach acid to increase nutrition absorption.”
D. “It prevents infection in the gastrointestinal tract.”
B. “It replaces enzymes that are unable to reach the intestines due to blocked pancreatic ducts.”
What is the best pulse site in infants?
How do you do an infant respiratory assessment?
Apical.
Count belly breaths.
A nurse is caring for a toddler with bronchiolitis. Which finding indicates the child’s condition is worsening?
A. Increased coughing
B. Irritability and restlessness
C. Lethargy and decreased responsiveness
D. Nasal congestion
C - Lethargy and decreased responsiveness.
What is the treatment for Kawasaki disease?
IVIG and aspirin.
Which patient should be seen FIRST?
A. Mild wheezing
B. Barking cough
C. Drooling and leaning forward
D. Fever
C. Drooling and leaning forward.