Cerebral
What procedure is included for the diagnosis of bacterial meningitis?
Lumbar Puncture
The LP is the definitive diagnostic test for meningitis.
The growth hormone is administer in what form for injection?
A. Z-track
B. IV
C. IM
D. SubQ
D. SubQ
Growth hormone is given subcutaneous
The parents bring their child to the emergency room due to not being able to drink without having emesis. What should the nurse anticipate as their intervention?
Administer an oral rehydration solution OR Obtain an order for IV fluids?
Obtain an order for IV fluids
The patient cannot drink anything at this time so the most appropriate is to get an IV fluid order to rehydrate the patient.
Later we would try to administer oral rehydration solutions
The nurse is caring for a child with acute glomerulonephritis what should the expect the patient to have been diagnosed with recently?
Strep throat infection!
Post-streptococcal glomerulonephritis is the most common of a majority cases
What is NOT appropriate for traction patients?
A. Letting the weights hang freely
OR
B. Letting the weights touch the floor
B. Letting the weights touch the floor
The weights on the floor are not performing the action for traction. Traction needs the pulling force of the weights, so weights need to hang freely, NOT touching the floor/bed
What medication should the nurse expect to give to reduce ICP?
A. Diazepam
B. Furosemide
C. Midazolam
D. Manntiol
D. Manntiol
It is an osmotic diuretics and they provide rapid relief for emergencies with increasing ICP
A patient with syndrome of inappropriate antidiuretic hormone (SIADH), is experiencing oliguria, hyponatermia and water intoxication. What should the nurse expect in the care plan for this patient?
Fluid restriction!
Treatment plans for SIADH include fluid restrictions until the serum electrolytes and osmolality return to normal levels.
What is the most common concern for a ruptured appendix?
Peritonitis
What is the priority plan of care for a patient with a recent kidney transplant?
Risk for infection due to immunocompromised state and post-transplant medications
The biggest concern with transplant patients because they are at a HIGH risk for infections!
The nurse in the emergency department is receiving an adolescent patient who has their ulnar bone protruding their skin. What intervention does the nurse expect to do?
Start an IV and start antibiotic care
The patient is at risk for infection due to the open fracture so IV antibiotics are the priority to decrease the risk
What kind of seizure would a nurse classify a child who has a fever over 100.4F and does NOT have any CNS infection
Febrile seizure
What physical assessments would the nurse expect to see for a child with Cushing's Disease?
Excessive hair growth, ruddy cheeks, moon face, puffy look due to fatty deposits around face and trunk, stretch marks, poor wound healing and ecchymosis
The nurse is taking care of a child on the floor who was admitted for moderate dehydration. The mother reports the child has not voided in 10 hours. What fluid order should the nurse question?
A. D5 w/15 mEq KCl/L
B. 1/2 NS
C. LR
A. D5 w/ 15 mEq KCl/L
WE DO NOT GIVE POTASSIUM UNTIL THE CHILD HAS VOIDED
What medication would the nurse expect the Chronic Renal Failure patient to receive to decrease their needs for blood transfusions?
Erythropoietin injections
CKD reduces the production of erythropoietin, the injections reduce or replace the need for blood transfusions
What signs and symptoms would the nurse notice with a child diagnosed with osteomyelitis?
Chills, nausea, fevers, increased WBC, joint pain
The nurse is going to do her morning when she walks in to see a child violently jerking, loss of consciousness and foaming at their mouth. What type of seizure is this?
Tonic-Clonic
The symptoms of loss of consciousness, the tonic/clonic movements are the jerking and the foaming at the mouth indicate the Tonic-clonic seizure.
What are cardinal signs of diabetes insipidus?
Polydipisa and polyuria
NOT POLYPHAGIA because it's not related to the pancreas, deals with antidiuretic hormone
What symptoms would the patient diagnosed with GERD have?
Chronic cough, heartburn, dysphagia, worsens at night and after meals
What are common characteristics for children with nephrotic syndrome?
Generalized Edema, proteninuria, hypoalbuminemia, hyperlipidemia
How would you describe Cerebral Palsy to a parent?
"A chronic disability characterized by impaired muscle movement and posture."
The nurse is taking care of a child with a closed head injury and knows what is a neurological emergency?
A. Headache
B. Fixed dilated pupil
C. Inability to follow commands
D. Diminished physical activity
B. Fixed dilated pupil
The dilated pupil, especially if it lasts for more than 5 minutes, is a neurological emergency and may indicate brainstem involvement
What would the nurse expect to see when assessing a child with hypothyroidism?
Mental decline, constipation, dry skin, sparse hair, puffiness around eyes, lethargy
The nurse is getting a patient with tracheoesophageal fistula ready for surgery in the pre-operative area. What should the expect to do?
Maintain a patent airway (clearing the airway from frothy sputum), NPO status, IVF to prevent dehydration, prevention of pneumonia (can aspirate on sputum which leads to pneumonia), and place on IV antibiotics to assist with prevention of pneumonia
An 2-year-old patient is recovering from a lower abdominal surgery, what activity would the nurse perform to engage the child to prevent any surgery-related respiratory complications? (similar to IS)
Blowing bubbles
It is important to engage the child after an abdominal to expand their lungs, this is a priority action for the nurse to avoid any surgery-related respiratory complications
A parent of a patient with scoliosis states "I will apply lotion under the brace to prevent skin breakdown."
Is this correct or should the nurse provide further teaching?
Further teaching!
DO NOT PLACE LOTION UNDER A BRACE- causes skin breakdown due to adding more moisture into the space