It's a numbers game
When calculating I&O's on an infant a diaper that weighs 5 grams is equal to how much urine
5 mL
Name 3 expected findings of a fracture
Pain, Crepitus, Deformity, Edema, Ecchymosis, Warmth, Redness, Decreased use of affected area
For toddler immunization, this is the preferred injection site.
Vastus lateralis
Diagnosis test used for cystic fibrosis
Sweat Chloride Test
Intolerance of light, sources such as sunlight, fluorescent light and incandescent light all cause discomfort.
Photophobia
To preform the Heimlich maneuver in an infant, up to how many back blows will you preform prior to preforming chest thrust?
5 back blows
Hypoglycemia
Name 2 immunizations that would be administered to an 11 year old
TIV (influenza), Tdap, HPV, MCV4
Fever, vomiting, foul smelling urine, irritability, weight loss, increased urination, bed wetting
Urinary Tract Infection
Growth starts from the center and progresses toward the periphery or outside.
Proximodistal development
By 1 year of age you would expect an infant to have gained how much weight since birth?
tripled their birth weight
Projectile vomiting, vomit is sour undigested food and never contains bile, ravenously hungry infant, scant urine, constipation
Pyloric stenosis
When administering iron IM what's the appropriate nursing intervention to prevent leaking at the site
Z-track method
Thirst, polyuria, Nausea, vomiting, warm dry skin, poor turgor, Dry mucous membranes, Mental confusion, Weakness, lethargy, weak pulse, diminished relexes, rapid deep breathing with a fruity odor
Hyperglycemia
When a cast is applied to an extremity and the patient is complaining of sudden severe pain
Compartment syndrome
A pediatric patient who has been seriously burned will require 240 mL total fluid over 24 hours. Following the Parkland formula, If the fluid is started at 0800 how much fluid should be infused by 1200
60mL
Wheezing, rhonchi, nonproductive cough, dyspnea, cyanosis, pneumothorax, Barrel-shaped chest, clubbing of fingers and toes, steatorrhea, failure to thrive.
Cystic Fibrosis
List 3 nursing interventions for an infant with GER
Thicken formula with rice cereal,
Small frequent feeding
Burp child frequently
Position upright after feeding
Side lying or prone for sleep
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
Sprinkled on food or given with food to the patient with cystic fibrosis.
Pancreatic enzymes
50mL IV solution to be administered over 20 min. What flow rate do you set.
150ml/hr
Failure to have stool withing the first 24 hours, bile stained emesis, abdominal distension, partial or complete intestinal obstruction
Hirschspring disease/Congenital aganglionic megacolan
Name all 5 Immunization that would be given at a 4 month visit
diphtheria tetanus and pertussis DTaP,
Rotavirus RV,
Polio IPV,
Haemophilus infuenzae type B Hib,
Pneumococcal vaccine PCV
Purposeless involuntary movements, Hyperactive stretch reflex, Muscle contractures, Awkward wide based gait, lack of coordination, Scissoring of the legs
Cerebral palsy
Prior to a teenage patient taking this medication make sure she takes a pregnancy test.
istretinion 13-cis-retinoic acid (accutane)
Drug X 10mcg/kg/day. The child weighs 82 lb. (Round to whole number)
373 mcg
Generalized edema, ascites, anorexia, diarrhea, lethargy, decreased urine, proteinuria, hyperlipidemia, chubby appearance but child is actually malnourished
Nephrotic syndrome
My toddler patient is suffering from pica and was found chewing on a collectible old wooden train model. To avoid lead poisoning I would expect this line of treatment.
Chelating agents
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
I am the antidote for acetaminophen
Acetylcysteine