Assessment- EXAM 2

Question 1

Observing

Answer 1

Noticing and Selecting, Organizing and interpreting data
The use of senses: vision, smell, hearing and touch

Question 2

Pediatric Assessment Triangle

Answer 2

can all be seen from the doorway, doesn’t have to be physical
Appearance, Circulation and Work of breathing

Question 3

From the Triangle, what is Appearance
TICLS

Answer 3

Includes:
Tone-is he flopped over, parents have to move him
Interactiveness-does he with parent
Consolability- comforted by parent?
Look/Gaze-does he look sick, zones out, alertness
Speech- speech up to par for age, does he speak

Question 4

From the triangle, what is Circulation

Answer 4

Includes:
Pallor
Mottling- bluish color scattered on body
Cyanosis-lips are blue and nail beds white

Question 5

From the triangle, what is Work of breathing

Answer 5

Includes:
Breath sounds-can you hear breathing from the door, wheezing
Positioning-is he leaning over, open mouth breathing, tripodding
Retractions- muscles moving on chest
Flaring-nose widening
Apnea/Gasping

Question 6

What information do you get from parents

Answer 6

Long term history of patient

Question 7

Difference between adult and children patients

Answer 7

Children have differences in physiology, development and cognition
Head to toe may not work on kids as they can’t sit still or cooperate
Always do painful procedures last

Question 8

Physiological differences

Answer 8

Children are faster!
Increased:
RR= 20-40
Oxygen consumption
fluid intake= 1500 ml
Fluid output =120 ml
Cardiac rate= 120
THE YOUNGER THE CHILD THE BIGGER THE DIFFERENCE

Question 9

Physical differences

Answer 9

Larger head, thinner cranium, smaller airways, lower blood volume, thinner skin, less fat and muscle, more flexible bones, lower immunity, higher metabolic rate, flatter ribs, higher respiration rate

Question 10

Cardio pulmonary failure

Answer 10

All 3 sides of triangle are wrong

Question 11

PAT

Answer 11

Wide eyes, frightened look
Nasal flaring
Cyanosis in nail beds
Skin retraction
Rapid abdominal breathing

Question 12

Chicken pox symptoms

Answer 12

Start with fever, headache, sore throat, red itchy rash and small red bumps

Question 13

Fifths disease

Answer 13

Hand foot and mouth disease
K=Low grade fever, headache, cold like symptoms, rash all overweigh lace net like look

Question 14

RSV

Answer 14

Headache, stuffy nose with thick discharge, sore throat, difficulty breathing, and cough

Question 15

Pink eye

Answer 15

Symptoms may vary, eye discomfort, redness, discharge, sensitivity to light, heavy feeling eye

Question 16

Impretgo

Answer 16

Fluid filled blisters that pop leaving red patches and then brownish crust anywhere in body