GI interventions
For a child with intussusception, this finding indicates it may have resolved and the provider should be notified
A child with hemophilia should use this method to reduce bleeding risk - personal hygiene related
electric razor
During a tonic-clonic seizure, the first nursing action is this
place child in side-lying position
A child with type 1 diabetes with a BG of 45mg/dl and is alert should be given what amount of carbs
what is 15g of carbs
After appendectomy the nurse should monitor bowel sounds and assess for this dangerous complication
what is peritonitis
This is the priority pre-op intervention for pyloric stenosis for infants experiencing projectile vomiting
what is correcting dehydration and electrolytes with IV fluids
During a joint bleed in hemophilia, the nurse should apply these two interventions
what is rest and apply ice
infants with myelomeningocele must be positioned this way to protect the sac
what is prone with hips slightly flexed
during illness, the nurse teaches parents to check urine for this every 3 hours
what are ketones
Children after Nissen Fundoplication require this positioning after feeds
what is keeping head of bed elevated
For appendecitis, the nurse should avoid these two things because they increase the risk of perforation
what are heat and laxatives and enemas
A child with leukemia will be placed on this precaution
what is neutropenic precautions
Children with casts need this assessment every 1-2 hours to detect early compartment syndrome
what is neurovascular check
The priority treatment for DKA includes insulin and this major intervention
IV fluid resuscitation
A sickle cell child reporting chest pain, fever, and cough should be evaluated for this medical emergency
what is acute chest syndrome
A child with diarrhea should not have their temperature taken this route
what is rectally due to stimulation that can cause bowel movement
Sickle-cell vaso-occlusive crisis requires this priority intervention to reduce sickling
what is IV hydration
For Duchenne muscular dystrophy, the nursing goal is this to prolong mobility and function
what is maintaining function in unaffected muscles (ROM, bracing and activity)
Children with congenital hypothyroidism must take this medication daily
what is levothyroxine
A child receiving chemotherapy is at immediate risk if the develop a fever and these lab values
what is neutropenia (ANC <1000)
Children with Hirschsprung disease should avoid measurements in this area due to risk of bowel perforation and stool spray
what is rectal temp and/or rectal exam
Children receiving multiple blood transfusions for thalassemia major need monitoring and medication for this complication
what is iron overload (treat with chelation therapy)
Pin sites in skeletal traction require this type of care to prevent osteomyelitis
daily cleaning and monitoring for redness and drainage
A child with adrenal crisis requires rapid administration of this emergency medication
what is IM hydrocortisone (solu-cortef)
A newborn with poor feeding and persistent gagging may have this condition
cerebral palsy