GI Disorders
This condition presents with non-bilious, projectile vomiting immediately after feeding in a 4 to 6-week-old infant.
What is pyloric stenosis?
In an infant, the LPN recognizes that the first clinical sign of acute respiratory distress is typically this change in breathing rate.
What is tachypnea (increased respiratory rate)?
Tetralogy of Fallot is a congenital heart defect characterized by decreased pulmonary blood flow and this common physical manifestation.
What is cyanosis?
A cardinal sign of Type 1 Diabetes Mellitus, noted during assessment, is excessive thirst.
What is polydipsia?
In the plan of care for a child with Idiopathic Thrombocytopenic Purpura (ITP), the primary nursing diagnosis would be risk for this.
What is bleeding?
In a child with celiac disease, the LPN should educate parents to avoid foods containing this protein
What is gluten?
For a child with acute asthma, the LPN would expect to administer this type of medication as a rescue inhaler to provide quick relief
What is a short-acting beta-agonist (e.g., Albuterol)?
A 16-month-old with Kawasaki Disease presents with extreme irritability and peeling skin on the hands and feet. The primary concern is potential damage to these arteries.
What are the coronary arteries?
Discharge teaching for a child with Diabetes Insipidus includes instructions to monitor for polyuria (excessive urination) and this related change in fluid intake.
What is polydipsia (or increased thirst)?
An 8-year-old with severe iron-deficiency anemia is encouraged to participate in quiet activities to decrease oxygen demands on the body. This is a suitable activity.
What is reading a book (or playing video games)?
A key nursing intervention for an infant experiencing acute gastroenteritis with vomiting and diarrhea focuses on preventing this priority complication.
What is dehydration (or fluid and electrolyte imbalance)?
Following a tonsillectomy in a toddler, the LPN must prioritize monitoring for this early sign of post-operative bleeding.
What is frequent swallowing?
This medication is commonly used to improve heart contractility in a child with heart failure.
What is Digoxin?
In acute glomerulonephritis, the LPN should anticipate restricting fluid intake and this common dietary component.
What is sodium (salt)?
This life-threatening condition is the most important preoperative concern for a newborn born with a meningomyelocele (spina bifida).
What is infection?
This congenital condition is characterized by a lack of nerve (ganglion) cells in a segment of the colon, leading to severe constipation and foul-smelling, ribbon-like stools.
What is Hirschsprung's disease?
An LPN is caring for an infant with Bronchiolitis caused by RSV. This type of transmission-based precaution is necessary for staff and visitors
What are contact precautions (and sometimes droplet precautions)?
For an infant with heart failure, the LPN should encourage the use of a nipple with an enlarged opening for feeding, in order to achieve this goal.
What is to decrease the amount of energy (effort) required during feeding?
In a child admitted with Diabetic Ketoacidosis (DKA), the LPN anticipates this type of insulin will be administered intravenously (IV) as a continuous infusion.
What is Regular insulin?
This common medication is contraindicated for use in children with viral symptoms (like influenza or chickenpox) due to the risk of developing Reye's Syndrome.
What is aspirin (acetylsalicylic acid)?
An infant presents with sudden, severe, colicky abdominal pain, drawing their knees to their chest, and a stool that looks like "currant jelly" (blood and mucus). The LPN suspects this telescoping of the bowel
What is intussusception?
This harsh, seal-like barking sound is the hallmark symptom heard in a child with viral croup (laryngotracheobronchitis).
What is a "barking" or seal-like cough (or stridor)?
In a child with a congenital heart defect experiencing chronic hypoxemia, the body attempts to compensate by increasing the production of red blood cells, a condition known as this.
What is polycythemia?
The primary treatment goal for a child with Nephrotic Syndrome is to reduce the amount of this substance found in the urine.
What is protein (or albumin)?
The LPN is reinforcing discharge teaching for a child with Sickle Cell Anemia. Avoiding this specific environmental trigger is crucial to prevent a painful vaso-occlusive crisis.
What is dehydration (or extreme cold/heat, high altitude, stress)?