I've got the HEART
What manifestation would an infant most likely exhibit early on with Congestive Heart Failure(CHF)
Feeding Problems
Fatigue
Failure to Thrive
Name the injection site to administer influenza vaccination to a toddler
Vastus lateralis
You are a school nurse, a 7 year old child comes with a small superficial burn. What is most appropriate action to do first?
Apply a cool compress to the area
When a cast is applied to an extremity and the patient is complaining of sudden severe pain
Compartment syndrome
What is a nurse priority for a child with severe diarrhea
Fluid balance
Rehydration with electrolyte
Depending on oral capabilities may have to IV therapy
Growth starts from the center and progresses toward the periphery or outside
Proximodistal development
What would you plan on administering during a well-child visit of a 4 month old (List 5)
diphtheria tetanus and pertussis DTaP,
Rotavirus RV,
Polio IPV,
Haemophilus infuenzae type B Hib,
Pneumococcal vaccine PCV
What do you expect to see in an infant with Congenital Hip Dislocation?
Asymmetrical Gluteal Folds
You are a clinic nurse for a 6 year old post tonsillectomy 4 days ago. You assessment findings is listed. What do you report to the MD immediately?
Child is easily aroused but sleepy
Child is coughing
Child temp 99.9
Child is swallowing frequently
Child is swallowing frequently which could indicate post op bleeding from the site
You are measuring output for a infant with severe dehydration. You understand that 1g of the wet diaper weight is equal to how much urine?
3ML
5ML
10ML
1ML
Projectile vomiting, vomit is sour undigested food and never contains bile, ravenously hungry infant, scant urine, constipation
Pyloric stenosis
Name 2 Injections you'd expect to administer during a well-child for 11-12 year old.
Influenza
Meningococcal
Tetanus & Diphtheria toxoids and pertussis (Tdap)
Generalized edema, ascites, anorexia, diarrhea, lethargy, decreased urine, proteinuria, hyperlipidemia, chubby appearance but child is actually malnourished
Nephrotic syndrome
You are assessing a 10 year old boy in the clinic, you notice he continues to scratch his groin area. His cg reports there have been "Black pin dots that seem to have dark tails" in that area. What do you suspect?
Scabies
What is the priority teaching to a parent whos child is dx with A beta-hemolytic Streptococci?
A. Replace the child's toothbrush in 24 hrs after antibiotics
B. IM injection is required to prevent a more severe disease process
C. Keep the child home from school for 7 days
D. Avoid warm compresses around the neck
Replace the child's toothbrush in 24 hours after antibiotics due to the bacteria ability to re-infect
Prior to a teenage patient taking this medication make sure she takes a pregnancy test.
istretinion 13-cis-retinoic acid (accutane)
By 1 year of age you would expect an infant to have gained how much weight since birth?
tripled their birth weight
Name 2 important teachings to include for children with asthma about triggers
Triggered by foods: chocolate, milk, eggs nuts, grains, or additives
Triggered by exercise, exposure to smoke, dust, pets, fragrances, odors
Triggered by infections: bronchitis and URIs
Usually seen after an injury draws attention to the pain, sporadic pain that continues over an extended time period and becomes severe enough to keep the child up at night.
Ewing sarcoma
Name a antibiotic treatment for Gonorrhea
Injection of Ceftriaxone
Oral Doxycycline, Azithromycin
List 3 nursing interventions for an infant with GERD
*Thicken formula with rice cereal,
*Small frequent feeding
*Burp child frequently
*Position upright after feeding
*Side lying or prone for sleep
High pitched cry, bulging fontanel , fever, irritability, nuchal rigidity, ptoophobia, delirium, projectile vomiting, purpuic rash/ redish-purple, non-raised bruise like area that appear under the skin, can be pinpoint at first and spread rapidly
Meningitis
Purposeless involuntary movements, Hyperactive stretch reflex, Muscle contractures, Awkward wide based gait, lack of coordination, Scissoring of the legs
Cerebral palsy
Failure to have stool withing the first 24 hours, bile stained emesis, abdominal distension, partial or complete intestinal obstruction
Hirschspring disease/Congenital aganglionic megacolan
What nursing intervention in a hospital setting is highest priority for rheumatic fever?
A. Promote bed rest
B. Provide diversional activities
C. Monitor ESR levels
D. Position changes for relief of joint pain
Promote rest periods and bed rest