Endocrine
How would you describe the disorder process to a child and their parents about type 1 diabetes mellitus?
The pancreas (or the body) has no insulin secretion which leads to higher glucose levels
For a patient who is having a rule out for a Wilm's Tumor what should the nurse ensure is done?
A sign that states "Do not palpate the abdomen"
How would the nurse assess for scoliosis in a school age child?
Have the patient bend over and follow the curvature
A child who has chicken pox asks when they can go back to school, what would you say to the child?
"You can go back to school when your lesions have all crusted over."
Barlow and Ortolani tests
Asymmetrical skin
Uneven leg length
What are signs/symptoms of hyperthyroidism?
Heat intolerance, tremors, diarrhea, weight loss, facial flushing, bulging eyes, edema
For a patient who has hemophilia what sport would we recommend for the patient to participate in?
Swimming
NO CONTACT SPORTS
Assess the traction weights to ensure not on the floor.
What should a nurse do if they suspect a child of having tinea corporis (ring worm)?
Have further evaluation from dermatologist, Assess the skin for lesions, & hand hygiene
What is the treatment for a toddler who has scabies?
What education should be provided to parents?
Permethrin lotion
Treat everyone in the household, the itchiness is worse at night use antihistamine to assist, wash sheets, clothes, & stuffed animals with hot water & dry hot heat.
Type 2 diabetes in children can be primarily managed with?
Diet changes, exercise, and oral diabetic medications
Retinoblastoma is normally found accidently by parents with what sign?
"Cat eye reflex" where the child has a white center in the eye in pictures
A nurse is working in the pediatric ER when a child comes in after falling out a tree. On assessment the child has an open fracture. What is the nurse going to start prophylactically treat?
Osteomyelitis
At what age do we start to instruct parents to apply sunscreen?
6 months old
For a client who is diagnosed with Legg Calve-Perthes what should be a part of their care plan?
Taking NSAIDs for inflammation and pain control
For a child who has growth hormone deficiency, what would be beneficial for a child who upset about being shorter than the other children?
Encourage to discuss feelings & encourage going to support groups with children who have same diagnosis
A patient who is in a sickle cell crisis starts to complain of a headache. The nurse should be concerned about this complaint due to what risk?
Patient may be experiencing a stroke.
What is the medical name for Brittle Bone Disease?
Osteogenesis Imperfecta
For a child who has allergic dermatitis what would the nurse do for comfort measures?
Provide cool compresses and oral antihistamines for itchiness relief
What is a sign that a patient with cancer is experiencing myelosuppression?
Frequent nosebleeds
As a nurse can you instruct the infant patient's mother to administer their medication with a small amount of formula?
Yes you can. It should be detailed that it should not be a full bottle of formula as we would not know what the amount of medication the child got
For a child who is diagnosed with Acute Lymphoblastic Leukemia (ALL), the nurse would explain the process to the parents and patient as?
The body has produced more immature WBCs which is causing the depletion of all other blood components (RBCs, platelets, mature WBCs)
What does PRICE stand for?
Protection
Rest
Ice
Compression
Elevation
When a child is diagnosed with pediculosis capitis, what would the nurse instruct the family to do with stuffed animals the child owns?
Place in a trash bag and place outside for two weeks or throw away.
What are educational points for Pavlik Harness for parents?
Do not adjust harness
Show parents how to take on & off if ordered
SKIN CARE
Infant needs to sleep in harness