Vision/Hearing Impairment
What langue will a hearing impaired child use?
ALS
When a individual looks like they are starring off into space, what type of seizure could this be?
Absent Seizure
Sign of increased intracranial pressure in an infant:
Bulging Fontanelles
Peak Flow Meter does what for asthma attacks?
Enables early detection of asthma attacks
Mycobacterium tuberculosis requires which precautions?
Droplet Precautions
What is affected by CF?
Lungs
Pancreas
Liver
Intestines
Blood and fluids accumulate in organs and body tissues
Heart not able to pump and circulate enough blood to supply oxygen and nutrient needs to body cells
Puts increased workload on ventricles of heart
Congestive Heart Failure
Black stools signs of what medication intake
Iron
What disorder do we educate about consistent and daily intake of fluids and prevent dehydration
Education for sickle cell and fluid intake
Treatment for otitis media:
Acute:
Antibiotics, analgesics, antipyretics
Chronic:
Prophylactic course of antibiotic, myringotomy with tubes
What is the most import teaching we should provide for patients taking seizure medications?
Do not stop abruptly
What syndrome could happen if a child receives Aspirin and/or a medication containing Aspirin?
Reye Sydrome
S/S to teach parents about albuterol?
Can cause increased HR and restlessness
Epiglottis signs and symptoms:
Dysphagia
Sudden onset of severe sore throat
Anxious
Drooling
Tripod position to breath
Hoarse voice
Restless
CF home care teaching
Techniques to clear the airway
Thalassemia skin color:
Skin color appears bronze-colored and jaundiced
CHF medication and what does it do to the HR?
Digoxin
Slows and strengthens the heartbeat
What disease has a sign of decreased range of motion:
Hemarthrosis
At what age should a child with amblyopia be treated?
The sooner the best but before 6 years of age
With all seizure disorders what precaution should always be used?
Safety
How is Haemophilus influenzae meningitis spread?
Droplet
What is a Pulmonary function test done for?
Test for Ashtma
Normal side effect of Rifampin
Orange tears and urine
Why do children with CF develop barrel chest and clubbing of their fingers?
Chronic lack of oxygen
What disorder can be caused by an autoimmune reaction to group A Streptococcus pharyngeal infection (strep throat, tonsillitis, scarlet fever, pharyngitis).
Acute Rheumatic Fever (ARF)
Treatment and nursing care for Iron-Deficiency Anemia:
Improved nutrition/Educate about diet and nutrition needs
Ferrous sulfate Supplements, IV Iron sucrose or iron-dextran if intolerance to oral iron therapy
What should a nurse implement for a patient with Leukemia?
Bleeding Precautions
Signs and Symptoms of otitis media
Clnical manifestations:
Infant:
Restless, repeatedly shakes head, rubs or pulls at ear
Older Children:
C/O pain, fever, irritability, decreased activity, lack of appetite, hearing impairment, possible vomiting and/or diarrhea
Otoscopic exam shows bright red, bulging eardrum; spontaneous rupture may occur followed by purulent drainage and relieved pain.
Complications due to a head trauma:
hemorrhage, hypoxia, cerebral edema, IICP
3 Types of Cerebral Palsy:
Spastic
Dyskinetic
Ataxic
What are the most often causes of asthma attacks?
Triggered by:
hypersensitive responses to allergens
Exercise
Exposure to cold weather
Irritants
Infections
Emotional Stress
Anxiety
Ineffective airway clearance (nursing diagnosis)
What is the priority action?
Suctioning secretions from the airway
Dietary treatment for CF:
pancreatic enzymes
high in carbohydrates and protein
no restriction on fats
increased calories
vitamin supplements
Lethargic, elevated temp for at least 5 days, inflammation of both eyes, rash, and strawberry-colored tongue are s/s of:
Kawasaki disease
Why would an infant with cyanotic heart defect turn blue?
This is due to a decreased amount of O2 to the peripheral tissue
What disorder is primarily an autoimmune disease in that the immune system attacks and destroys the body's own platelets, for an unknown reason:
Idiopathic Thrombocytopenic Purpura (ITP)
What does Goniotomy treat?
Infantile Glaucoma
Signs and Symptoms and what to observe for after a head injury:
vomiting, pupillary changes, double or blurred vision, change in LOC, acts strange or confused, has trouble walking, headache that is more severe or wakes them up from sleep
Observe child for at least 6 hours after injury for vomiting and change in LOC; if fall asleep wake up every 1 to 2 hours check LOC, do not give analgesics or sedatives, check pupils every 4 hours for 48 hours
Signs and Symptoms of Reye Syndrome:
Severe vomiting
Irritability
Lethargy
Confusion
Disorientation Appearance
Seizures
Coma
Respiratory Arrest
Name the Treatment goals for Asthma:
Preventing symptoms
Maintaining nearly normal lung function and activity levels
Preventing recurring exacerbations and hospitalizations
Providing best medication treatment with few adverse effects
S/S of Acute Laryngotrachebronchitis:
Labored Resps
Barking cough
Hoarseness
Fever
Inspiratory stridor
Dyspnea
Rapid pulse
Cyanosis
What is the principal diagnostic test for CF:
Sweat chloride test using pilocarpine iontophoresis method
Carditis, Involuntary limb movement, Mascular rash on trunk, tender and swollen joints are s/s of what disorder?
Rheumatic Fever
Acute Leukemia s/s:
Abrupt onset: fatigue, pallor, low-grade or recurrent fever, bone and joint pain, petechiae, purpura, enlarged lymph nodes
Anorexia, weight loss, abdominal pain, distension, headache, vomiting, lethargy, nuchal rigidity, easy bruising, anemia
What disease and s/s would you prepare to administer factor replacement medication:
Hemophilia
Warm, swollen, and painful joints