Deck 2 Flashcards
With appendicitis, a sudden relief of pain indicates an improvement in the child’s condition. T/F?
False
Which observed action warrants additional teaching for a parent whose infant has GER/GERD?
Putting the baby to sleep right after meals
A patient with celiacs disease should avoid?
Barley (cereal grain)
Biliary atresia is treated with what surgical procedure?
Kasai
What should the patient avoid placing in childs mouth following lip/cleft palate repair?
Pacifier, straws, spoon, and suction
Which chronic GI disorder is characterized by the lack of ganglion cells in the intestine?
Hirschsprungs
Normal urine output?
Approximately 1mL/kg/hr
Cystic Fibrosis prescription for pancreatic enzymes
Planning care for a 6-year-old with bacterial meningitis. Nursing interventions
Seizure precautions
positioning child
Isolating child with droplet precautions
Drawing blood cultures
Hemolytic uremia syndrome (HUS) in 2-year-old who has GI symptoms
HUS is initially caused by an infection of E-coli
Pediatric patient with MRSA on the left arm
Medication: Bactroban
Methods of control and prevention of infection depend on?
Methods of transportation
Plan of care for 4-year-old who requires airborne precautions
Large puzzle pieces
Infant has severe dehydration from acute GI, you should expect?
13% weight loss
Reviewing lab results of adolescent with chronic GI, you expect?
BUN 50mg/dl
School nurse has child with pediculosis (an infestation of the hairy parts of the body or clothing with the eggs, larvae or adults of lice) that requires educating and teaching to the parent. What would you educate them on?
All used clothing, bedding, and towels must be washed in hot water
2 month old infant post-op surgical repair of cleft lip, which action do you take when speaking to the parent?
Encourage the parent to rock the infant
Child with otitis media (middle ear infection), assessment findings?
Tugging on effected ear lobe
Adolescent with spinal bifida is paralyzed from the waist down. Nurse needs to do further teaching when the client states?
“I only need to cath myself twice a day” Catheterization should be completed every 4 hours
Child with Hirschspurg disease is scheduled for surgery;
“I’m glad my child’s ostomy is temporary.”
Discharge teaching about nutrition to a parent who has a child with cystic fibrosis noted understanding?
“We will give our child pancreatic enzymes with snacks and meals” Enzymes must be taken with all meals
Tinea pedis
Red, scaling rash on soles and between the toes(athlete’s foot)
Treatment: Topical antifungal, foot hygiene
Diaper Dermatitis
-Inflammatory reaction of the skin in the area covered by a diaper
-Hydration disturbance (often from prolonged exposure to urine)
-Consider on set and progression of rash, as well as treatments and responses to those
-Untreated, it will worsen
-Prevention is key!
-Treatment: Consider barrier creams to protect skin
-Avoid baby powder… risk of aspiration.
Atopic Dermatitis (Eczema)
-Often associated with food allergies, allergic rhinitis, and asthma
-Onset of symptoms is before 2 years of age
-Management includes skin hydration, application of corticosteroids or immune modulators, oral antihistamines, and antibiotics if a secondary infection occurs
-Pathophysiology: skin reactions to an allergen or environmental triggers leading to an inflammatory response
-Itching comes before the rash, sweating may worsen it, as well as excessive humid or dry environments
-Signs: scratching, dry skin, scaly marks, irritability
-Nursing care: skin hydration, maintain skin integrity, and prevent infections
