Integumentary
What personal items would we instruct parents to sanitize when they find out their child has head lice?
Clothes, hats, jackets, blankets, etc.
A pt with dehydration has a sodium level of 115. What type of dehydration is this pt experiencing?
Hypotonic
A pt arrives at the ER with reported projectile vomiting, what does the nurse suspect?
Pyloric Stenosis
Three s/s of diabetes mellitus
Polydipsia, polyuria, polyphagia
Our pt has severe diarrhea and is complaining of stomach cramping. Should the nurse recommend giving the pt Imodium?
NO! NEVER!
What SPF is best for children when educating parents about sun burns?
50 or more
What is the highest priority after a pt experiences a burn?
AIRWAY!!
A pt comes to the ER complaining of pain in their side. The pt is diagnosed with an appendicitis. What does the nurse know as the biggest complication of appendicitis?
Peritonitis / Sepsis due to rupture
Biggest priority for Congenital Adrenogenital Hyperplasia?
Infant and mother bonding!
Ways to prevent UTIs?
Fluids, wipe front to back, avoid tight clothing
What is the first step a parent should take when their child comes in contact with urushiol?
Wash with cool running water and soap within the first 10 mins
Where would you see edema in a pt who is wheelchair bound?
Bottom and ankles
What does the nurse need to monitor in a child with tracheoesophageal fistula?
Increased risk for aspiration
When should blood sugar be checked in a pt with DM?
Before meals, at bedtime, during times of illness, and before, during, after exercise
What are the ways we can collect urine cultures?
clean catch, straight catheter
NO COTTON BALLS!
What does the nurse suspect when a child presents to the ER with honey colored crust sores on their arms and face?
Impetigo
What are some advantages of oral rehydration therapy?
Safer, cheap, more effective, less stress, and can be done at home
How do we manage feedings in a pt with cleft lip / cleft palate?
Feed upright, adaptive nipples, obturator, frequent burping
Important teaching for SIADH?
What medication is used for precocious puberty?
Lupron - IM q4weeks until child reaches appropriate age for puberty
A child with confirmed scabies underwent treatment 3 days ago with permethrin. Their parents call the doctors office complaining that the itching has not gone away, what should you tell the parents?
This is normal. Itching can persist 2-3 days after treatment.
Common s/s of dehydration
wt loss, rapid pulse, absence of tears, dry membranes, decreased urinary output, and sunken fontanels
What is the disease process characterized as aganglionic megacolon.
How will we monitor growth plate closure in a child with GHD?
yearly x-rays
What medication is used in Diabetes Insipidus?
DDAVP, concentrates the urine and helps kidneys hold onto water