Mental Illness
A child is suffering from depression and is having trouble concentrating in school. What age group is the child in?
Preschool, school aged, adolescence
School aged
The child has sun downing eyes, what is this a sign of?
increasing intracranial pressure
Name two risk factors for Retinopathy of Prematurity
long term oxygen use
less than 1200 g
The most severe treatment for retinoblastoma when other treatments have failed is?
enucleation
A nurse calls the physician and communicates with the SBAR format. He/She states the patient was admitted for pneumonia on 10/19. What part of SBAR does this represent?
B - Background
A adolescent child is displaying poor hygiene. What might be the problem?
Depression
A nurse notices a changing level of consciousness with a toddler newly admitted to the unit for observation after a head injury. Is it appropriate to call the rapid response team?
yes
The best way to determine noise induced hearing loss.
annual screenings
An infant of 3 months old suddenly jerks, this happens repeatedly. What might this be and what is the treatment?
Infantile spasms
anticonvulsants and steroid therapy
The physician gives an order to start betamethasone inhaler. what part of the SBAR does this represent?
R - recommendation
What classification of drugs is used to treat schizophrenia?
neuroleptic
A clinic nurse is assisting a school aged child to change into a gown. The child is complaining of signs of UTI. The nurse notices bruising on the inner thighs. What might this indicate?
Sexual abuse
What is a hallmark sign of retinoblastoma?
leukokoria
A child is being assessed for mental illness. What is an important assessment for a child that is not for an adult?
Developmental Assessment
A clinic nurse is assisting a school aged child to change into a gown. The child is complaining of signs of UTI. The nurse notices bruising on the inner thighs. What might this indicate?
sexual abuse
What drug is often used to treat Bipolar disorder and what nursing intervention is required?
Lithium
Monitor drug levels
Components of rapid neurological assessment
(3)
LOC, skin color for cyanois, breathing
What is most important for mothers to do to prevent ear infection?
What syndrome that effects cognition predisposes the child or adolescent to otitis media?
exclusive breastfeeding for at least 6 mos.
Down's syndrome
Cystic fibrosis is a chronic respiratory disease requiring support from many health disciplines. Children with CF are at risk for infection. What is a primary symptom the nurse assist the patient and family to manage?
What interventions? Name at least 3
Secretions
Mucolytics
Chest physiotherapy - percussion
Nebulizer
cough and deep breath
A newly licensed LPN working in a clinic is weighing a baby and sees ecchymosis on the buttocks. She is not sure if this is a sign of abuse. What should he/she do?
Ask for assistance from more experienced nurse to determine next steps.
never stop abruptly
Close monitoring first 4 weeks of therapy
Photo sensitivity is induced - protect from sun
Seizures can be life threatening if they last too long or occur in rapid succession. What is the term used and what drug is first line treatment?
Status epilepticus
Diazepam
A adolescent wears contact lenses and has an eye infection. What is important to teach this patient?
Broselow's tape aka resuscitation tape
A simple way to prevent traumatic brain injury with activities