Endocrine
Type 1, which is caused by a deficiency of insulin secretion due to pancreatic β-cell damage.
Type 2, which is a consequence of insulin resistance that occurs at the level of skeletal muscle, liver, and adipose tissue with different degrees of β-cell impairment
What are the two types of childhood diabetes
A nurse is providing teaching on ways to promote skin hydration for the parents of an infant with atopic dermatitis. What comment would demonstrate understanding
I should use a mild soap for sensitive skin and use tepid water
Connective tissue problem that causes multiple fractures, early hearing loss, pain and potential resp problems
what is Osteogenesis Imperfecta
If I where a nursing student studying for my peds final what should i look at to review
What is the Immunization Schedule
A nurse who is caring for a 7-year-old is providing client education to the child and parent. Which response demonstrates to the nurse that the parent understands the diagnosis of type 1 diabetes mellitus?
The body fights against insulin
Pt has acne, pubic hair and adult like body order at a young age
What is precocious Puberty
Clinical manifestations
joint involvement, fever and rash may be present
Enlarged spleen, liver, and lymph nodes; myalgia; severe anemia
What is Systemic Juvenile Idiopathic Arthritis
Results from tightness of the sternocleidomastoid muscle, resulting in the infant’s head being tilted to one side.
What is torticollis
If you as the nurse is worried about a child and the provider is questioning whether they have failure to thrive what is important to monitor
What is growth, feeding, developmental growth charts. Feeding diary
Trim nails
Wash linen
Contagious
Usually need antibiotics
What is the treatment for Impetigo
Hyponatremia
Hyperkalemia dehydration, muscular weakness, fatigue, weight loss, anorexia, syncope, nausea, vomiting, and diarrhea
Hypoglycemia
Hypotension
Hyperpigmentation of skin
What are the nursing assessment of Addison diseases
Clinical Manifestation
• Lip, tongue, or palate pruritus
• Lip or tongue edema
• Urticaria (hives), flushing, pruritus, angioedema
• Nasal pruritus, congestion, sneezing, rhinorrhea
• Stridor, tightness in the throat, dysphagia, dysphonia, hoarseness
• Shortness of breath, dyspnea, tight chest, wheeze
• Tachycardia, chest pain, arrhythmia, hypotension
• Syncope, feeling faint, aura of doom, lethargy, disorientation
• Bloating, abdominal pain, diarrhea, vomiting
What is anaphylaxis
Which condition is where mainly boys are affected and they receive the gene from their mothers. leads to generalized weakness of voluntary muscles, and the weakness progresses over time. The hips, thighs, pelvis, and shoulders are affected initially; as the disease progresses, all voluntary muscles as well as cardiac and respiratory muscles are affected.
What is Duchenne (pseudohypertrophic)
Precautions, O2, Monitor Oxygen as needed, assess breath sounds for adventitious sounds
What are the current treatment for Bronchiolitis
An adolescent is to receive topical retinoid therapy for their moderately severe acne. What are the expected adverse effects
burning
Photosensitivity
dryness
Note history of rapid weight gain, muscle weakness, fatigue, irritability, sleep disturbance, and hypertension
What is Cushing Syndrome
What is the most common type of juvenile idiopathic arthritis involving 4 or fewer joints?
What is pauciarticular arthritis?
Which condition results in Generalized weakness, wasting of face, feet, hands, and neck first Delayed relaxation of muscles after contraction
What is Myotonic Dystrophy
Patient is admitted for HSP what VS is essential to continue to monitor
What is blood pressure
A nurse is assessing the skin of a child with cellulitis. What does the nurse expect to find?
Redness, skin disruption
Obtain glucose levels before meals and bedtime snacks.
• Perform monitoring more often during prolonged exercise, if you are ill, if you have eaten more food than usual, or if you suspect nighttime hypoglycemia.
• Look for patterns. For example, 3 to 4 days of a consistent pattern of glucose values above 200 mg/dL before dinner indicates a need to adjust the insulin dose.
• Blood glucose measurements are the best way to determine daily insulin dosages.
• Normal levels are as follows: nondiabetics: 70 to 110 mg/dL; (target levels should be individualized), children and adolescents with type 1 DM: before meals 90 to 130 mg/dL, at bedtime 90 to 150 mg/dL (American Diabetes Association, 2019).
What are the blood glucose monitoring teaching guidelines
Do not mix with IV medications or with other IV fluids
Do not give IM or SQ
Monitor vital signs and watch for adverse reactions frequently during infusion
May require antipyretic or antihistamine to prevent chills and fever during infusion
Have epinephrine available during infusion
What are the steps in giving IVIG
Describe scoliosis
what is lateral curvature of the spine that exceeds 10 degrees. It may be congenital, associated with other disorders, or idiopathic.
What is the treatment and screening
What else should you review
Developmental milestones
What should you review
What is Cast Care