Exam 4 Flashcards

(70 cards)

1
Q

erikson stage during infancy

A

trust vs. mistrust

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2
Q

erikson stage during early childhood

A

autonomy vs. shame and doubt

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3
Q

erikson stage during preschool

A

initiative vs. guilt

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4
Q

erikson stage during school age

A

industry vs. inferiority

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5
Q

erikson stage during adolescence

A

identity vs. role confusion

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6
Q

erikson stage during young adulthood

A

intimacy vs. isolation

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7
Q

erikson stage during middle adulthood

A

generativity vs. stagnation

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8
Q

erikson stage during maturity

A

ego integrity vs. despair

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9
Q

what do you do for PE?

A

sit them up, 100% NRB, call rapid

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10
Q

what do we always to first with oxygenation issues?

A

always sit them up

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11
Q

hallmark sign of compartment syndrome

A

pain that is out of control

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12
Q

if GCS <8 what do we do?

A

intubate, BVM

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13
Q

if a teen has scoliosis, what are they going to struggle with mentally?

A

body image

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14
Q

how long do you need to wear a brace for scoliosis?

A

until bone maturity

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15
Q

if you are vomiting, what are we worried about?

A

metabolic alkalosis

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16
Q

if you are having diarrhea, what are we worried about?

A

metabolic acidosis

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17
Q

what are you going to see with pyloric stenosis?

A

projectile spitup

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18
Q

what are we worried about with pyloric stenosis and projectile spitup?

A

worried about aspiration, hypovolemic shock

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19
Q

what is a bolus?

A

20 mL/kg NS

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20
Q

what will you see on assessment with hirschprungs?

A

constipated or ribbon-like stool

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21
Q

what will you see with intussception?

A

baby would be fuzzy and in pain, currant jelly stool

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22
Q

how to correct intussception

A

air enema, regular enema, surgery

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23
Q

how do we know that intussception is fixed?

A

passage of a normal stool

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24
Q

what does acetaminophen affect?

A

liver

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25
what do NSAIDs affect?
kidneys
26
what med do we not give children under 18?
aspirin; risk of reye's syndrome
27
when is the only time we can give aspirin to children under 18?
with kawasaki
28
do we induce vomiting ever?
no
29
hallmark of CF
thick mucus
30
when working with someone with a different degree, what is important to know?
their scope
31
if there is a nurse having trouble keeping up, what should they work on?
time management
32
if you get a difficult assignment as a new nurse, what should you do?
express your concerns
33
crisis numer
988
34
what do we look for in a fracture?
color, movement, sensation
35
what kind of vaccines are MMR and varicella?
live
36
who do we not give live vaccines to?
immunosuppressed or pregnant
37
all mandatory reports made by phone MUST be followed up in writing to the __________
place where you reported the call to
38
in Colorado, what is the required age to be left alone?
there is no law
39
can mandatory reporters in pueblo call back to the department of human services 48 hours after making a report to find out what actions have been taken?
you can no longer call back to ask about the status, only if you demonstrate that you have some type of working relationship with the family/situation
40
adult compressions to breaths and rescue breathing
30:2 and 1 every 3-5 seconds
41
if a child is choking, what do you do?
heimlick or backblows; no blind sweep
41
peds compressions to breaths and rescue breathing
30:2 with 1 person or 15:2 with 2 people and 1 every 2-3 seconds
42
DOPE acronym
Displacement ~ right mainstem, pull out Obstruction ~ suction Pneumothorax Equipment
43
VAP pneumonia interventions
sit HOB 30 degrees, oral care, suction as needed
44
what will you see with a pulmonary embolism?
trouble breathing, impending doom, anxious, increased RR, increased HR, low O2, color change
45
what will you see with pulmonary edema?
trouble breathing, crackles, rhonchi, pink sputum, drowning
46
barlow sign
examiner adducts the hip while applying a posterior force on the knee to promote dislocation
47
ortolani sign
examiner abducts the hip while applying an anterior force on the femur to reduce the hip joint
48
allis sign
affected knee is lower with knees bent in supine position
49
6 P's of compartment syndrome
- pain - pallor - paralysis - paresthesia - pulselessness - poikilothermia * CPK - CK will be high
50
hip fracture precautions
* no BLT! - do not bend forward more than 90 degrees - do not roll surgical leg outward - do not cross legs - do not move surgical leg out to the side - do not bend forward more than 80 degrees
51
signs of dehydration in an infant
- sunken fontanelle - sunken eyes - lack of tears when crying - wants to drink a lot of water - decreased urine output - rapid breathing - increased HR - restlessness and irritability - lethargy/weakness - poor skin turgor
52
what do you do with an omphalocele or gastroschisis?
sterile moist gauze
53
normal pediatric BP
90 + 2x age in years
54
hypotension in pediatric
70 + 2x age in years
55
concerning temperatures in pediatrics
above 100.4 or below 97.0
56
RR above what is concerning in peds
60 RR/min
57
play with babies and older children
solitary
58
play with toddlers
parallel
59
play with preschool
associative and dramatic
60
play with school age
cooperative/team
61
FLACC scale
for nonverbal patients 2 months - 7 years Face Legs Activity Cry Consolability
62
abuse recognition
Trunk Ears Neck Frenulum Auricular area Cheek Eyes Sclera Patterned bruising
63
upper airway emergency med
epi
64
lower airway emergency med
albuterol
65
what do we do with disordered control of breathing emergency?
BVM
66
how do we treat lung tissue disease emergency?
antibiotics
67
with an upper airway emergency, what do we check first?
foreign body
68
what does croup sound like?
stridor and barking cough
69
what does anaphylaxis look like?
wheezing, distress, and rash