CV
Rheumatic Heart Disease is associated with what specific bacteria/illness?
Group A Streptococcus/Strep Throat
Nursing management of Gastroesophageal Reflux Disease (GERD) includes _____
hold upright or prone after a feeding, feed thickened formula or breast milk
Name one nursing consideration when caring for an infant with tracheoesophageal fistula.
Keep NPO, place an OG/NG tube, establish IV access for TPN, monitor for aspiration
Name two signs of intracranial infection in an infant.
bulging fontanels, irritability, fever, high-pitched cry, poor feeding, vomiting
How does an absence seizure present in an individual?
Formerly called petit mal seizures or lapses
Brief loss of consciousness (for 5 to 10 seconds)
Minimal or no change in muscle tone
Lip smacking, staring spell, twitching
Almost always appear in childhood (at age 4 to 12 years)
Sudden onset; up to 20 events or more per day
No warning; no aura
Often misdiagnosed as attention-deficit/hyperactivity disorder (ADHD), inattention, or school difficulty
What is the pathophysiology of Kawasaki Disease?
Kawasaki disease causes swelling (inflammation) in children in the walls of small to medium-sized blood vessels that carry blood throughout the body. Kawasaki disease commonly leads to inflammation of the coronary arteries, which supply oxygen-rich blood to the heart.
A nurse should be concerned about the 10kg patient that's had 125ml of urine output for the 8 hour shift. True or false?
False
avoiding triggers, administering long-acting medications as ordered on a daily basis, using short-acting inhalers with proper technique, developing and maintaining an asthma action plan
How does Cerebral Palsy manifest in an infant?
impaired movement, exaggerated reflexes, poor muscle tone, spasticity of limbs
What is the appropriate post-operative positioning for an individual with a neurological procedure
How does a ventricular septal defect affect circulation?
left to right shunting of blood in the heart, oxygen-rich blood gets pumped back to lungs instead of out to the body
What is the main effect of Hirschsprung's Disease on the colon?
Absence of ganglion and decreased motility.
What is the main concern in a patient with Epiglottitis?
Airway compromise
Safety
Name a nursing consideration for an infant with a neural tube defect
Prone positioning, avoid rectal temperatures, prevent infection, maintain tissue integrity through protection of the site and relief of pressure points
Name a nursing consideration for the pediatric patient with Congestive Heart Failure
uninterrupted periods of rest, accurate intake and output, administer medications as order, maintain adequate nutrition
What is the primary symptom of Pyloric Stenosis?
projectile vomiting
How is Cystic Fibrosis most commonly diagnosed?
routine newborn screening
(Neuro) Identify 2 care considerations for the child with spina bifida.
hydration, catheterization, suppository use, tissue integrity, exercise
What is the most important nursing intervention for a patient with bacterial meningitis?
Initiate antibiotic therapy
What do you need to assess prior to Digoxin administration in a pediatric patient?
apical pulse
Can an individual with Celiac Disease eat macaroni and cheese?
No
Name a symptom you may see in a child with hyperglycemia.
lethargy, rapid respirations, thirst, headaches
(resp) Name 2 nursing interventions for the child with cystic fibrosis
chest percussion, enzymes with food, protection from infection, ensure adequate nutrition and hydration, respiratory assessment
Name 2 clinical manifestations of a malfunctioning VP shunt?
irritability, nausea/vomiting, headaches, sleepiness, confusion, swelling