Grief & Loss/ Oncology
What is a school-age child's perception of death?
still believe their thoughts cause death; may personify death; very interested in funeral services; by 9yo, they have an adult understanding of death
The nurse should always be suspicious of bruising located on the ____ surfaces of a child's body
soft surfaces
TEN4 Rule- torso, ears, neck, of a child younger than 4.
What foods are appropriate for a patient diagnosed with phenylalanine hydroxylase (PAH) deficiency/ phenylketonuria (PKU) to consume?
vegetables, fruits, cereals
Who is responsible for checking the weight on traction?
MD
List 2 teaching points towards the prevention of animal bites
do not approach a sleeping dog; do not make eye contact with an aggressive dog; never approach a pet by surprise; avoid strange and nervous appearing animals
What disorder is enucleation used for?
treatment of advanced stages of Retinoblastoma
What is the diagnosing clinical manifestation of a child suspected of having attention-deficit/hyperactivity disorder (ADHD)?
distractibility in 2 settings
List 2 clinical manifestations of precocious puberty
voice/behavior changes, public/axillary hair development, breast growth in females, penile enlargement in males
What are the diagnosing factors for a child presenting symptoms of juvenile idiopathic arthritis (JIA)?
onset must be before 16 years of age; arthritis in 1 or more joints for 6 weeks or longer
In what 3 areas of the body should the nurse specifically check for an infestation of pediculosis capititis (lice)?
occipital area of the head
behind the ears
nape of the neck
List neutropenic precautions
private room, strict hand hygiene, no sick visitors, no fresh fruit/flowers, abide by sterile technique whenever possible
List 3 nursing interventions to help lower ICP
pain control, isotonic fluid administration, rest promotion, low stimulation environment, HOB 15-30*
Which type of insulin reaches the blood within 30 minutes?
short acting insulin
List 2 teaching points to parents of a child with a spica cast.
stroller and car-seat alternatives are required; utilize supra-absorbent diapers; feed child in an upright position
within 3 minutes
List 3 clinical manifestations of a client who is approaching death
bradycardia, decreased thirst and hunger, decreased sensations, loss of bowel and bladder control, slurred speech, confusion
What should the nurse be assessing for after the placement of a ventriculoperitoneal (VP) shunt?
signs of increased ICP
signs of infection
What will you teach a diabetic pediatric client to do when they get sick?
Check glucose levels more frequently. Their insulin requirements may increase due to their illness
Pain, pulselessness and pallor. What are the other three, "6-P's" of compartment syndrome?
paresthesia
paralysis
pressure
What should the nurse include in the education about acne treatment to an adolescent client?
adequate rest, moderate exercise, well-balanced diet, reduction of emotional stress, use of a gentle cleanser, adequate hair hygiene
List the 4 priority nursing interventions for a client with sickle cell anemia
hydration, oxygenation/lowering oxygen demands, pain control, infection prevention
What is a priority nursing intervention for a child suspected of having bacterial meningitis?
What is a priority teaching point to teach to parents of a child diagnosed with precocious puberty?
The child needs to be dressing and engaging in activities according to their chronological age.
List 2 nursing interventions for a pediatric client who underwent spinal fusion surgery for scoliosis repair.
log rolling; PCA pump required; ambulate as soon as possible (usually by day 5); no twisting/bending/lifting heavy objects/ or contact sports for 2 years
List discharge instructions for a client newly diagnosed with impetigo
hand hygiene, remove crusts and apply topical antibiotic, keep fingernails short, wash clothes in hot water, do not share towels or personal hygeine products