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6TH SEMESTER > PEDI FINAL > Flashcards

Flashcards in PEDI FINAL Deck (37):
1

Which of these findings need to be reported for a child with nephrotic syndrome? (Serum protein 5.0g/dL, Hgb 14.5g/dL, Hct 40%, or Platelet 200,000 mm3)

Serum protein 5.0

2

Clinical manifestations of a 10-year-old with poststreptococcal glomerulonephritis?

“cloudy, tea-colored urine,

periorbial edema,

ill appearance,

increased creatinine, and

hypertension

3

sx of epispadias

widened pubic symphysis,
broad, spadelike penis,

urethra opened on dorsal surface,

possible exstrophy of bladder

4

what to teach parent with child with UTI

encourage fluids

frequent voiding with complete emptying

cotton underpants

avoid bubble baths

wiping front to back

5

sx of infant with UTI

increased thirst

irritability

increased urination

vomiting

fever

6

Teaching a parent about dexamethasone (Decadron) to treat head injury?

it decreases cerebral edema (corticosteroid)

7

Priority nursing action for a child who was in a MVA, who is unresponsive and has a laceration to the forehead that is bleeding?

keep the neck stabilized

8

Teaching to the parent of a child who is to have an EEG?

avoid caffeine and analgesics prior to the test,

child’s hair should be washed prior to and after the test

9

2 vaccines that decrease the incidence of bacterial meningitis in children?

PCV and Hib

10

Clinical manifestation of a 4-month-old with meningitis?

high-pitched cry

11

Nursing interventions for child with cystic fibrosis?

high calorie, high protein diet,

administer pancreatic enzymes with meals and snacks,

increased fluids,

daily activity to lung expansion and

mucus excretion,

chest physiotherapy,

O2,

meds

12

Clinical manifestations of Cystic fibrosis?

abnormal amount of sodium chloride in sweat,

wheezing,

clubbing of fingers and toes,

barrel-shaped chest,

thick, viscous mucus, and

delayed growth

13

Medication to take as needed prior to exercise?

Albuterol

14

Clinical manifestations of epiglottitis?

hoarseness,
difficulty speaking,
drooling,
high fever, and
stridor

15

Which is a clinical sign of postop bleeding with a tonsillectomy?

frequent swallowing and clearing of the throat

16

Nursing care for moderate burn

active and passive ROM, dressings to prevent infection, high-protein diet, reverse isolation

17

Client burned and experiencing suspected septic shock. What are the S&S?

increased temp,
altered sensorium,
increased cap refill,
decreased urine output, and
decreased bowel sounds

18

Nursing care for a client with a superficial partial thickness burn

apply cool, wet compresses, and gentle cleansing with tepid water,

antimicrobial ointment and nonadherent dressing,

analgesia,

Td if needed,

monitor for infection

19

Teaching a parent about atopic dermatitis

hydrate skin with tepid baths, followed by emollient,

avoid irritants,

topical steroids

20

Teaching a parent about pediculosis capitis

Treated with OTC 1% Permethrin shampoo,

vacuum carpet and furniture,

stuffed animals in sealed laundry bag for 2 weeks,

wash clothing and bedding in hot water,

remove nits

21

Teaching an adolescent about care for Mononucleosis

drink plenty of fluids,

avoid strenuous activities,

allow for periods of rest,

gargle with warm saltwater,

antiviral med, and Tylenol

22

Teaching a parent about Hand, foot, and mouth Disease

spread by direct contact,

most contagious during first week of illness,

can be contagious when free from symptoms

23

Clinical manifestations of Pertussis

runny nose,

mild fever, and

whooping sound cough

24

Immunizations for a 2-month-old

Rotavirus,

DTaP,

Hib,

PCV,

IPV,

HBV

25

Contraindication to Varicella Vacccine

corticosteroid medications

26

Which of the following findings should the nurse report for a 12-month-old infant?
Closed anterior fontanel, eruption of six teeth, birth wt doubled, birth length increased by 50%.

weight should have tripled by 12 months

27

Which of the following motor skills should a 10-month-old infant be able to perform?
Grasp a rattle by the handle, try building a 2 block tower, use a crude pincer grasp, place objects in a container, and move objects from hand to hand?

Grasp rattle, use a crude pincer grasp, and move objects from hand to hand

28

Which skills should an18 month old (toddler) be able to perform?
Build a tower with 6 blocks, throw a ball overhand, walk up and down stairs, draw circles, and use a spoon without rotation?

throw a ball overhand and use a spoon without rotation

29

A pre-school age child says she needs to leave the hospital because her doll is scared at home alone. What is the characteristic of preoperational thought that the child is exhibiting?

animism

30

An adolescent’s mother is concerned about her son sleeping long hours. Nurse informs mother that additional sleep is needed during adolescence due to?

adolescence is a time of rapid growth which results in a need for additional sleep

31

What pain scale should be used for pain assessment on an infant?

FLACC

32

In planning care for a child following a surgical procedure, how should the child receive their pain medication?

IV analgesics on a schedule

33

How can a nurse provide atraumatic care for a toddler about to receive an IV insertion?

explain procedure using a toy, perform procedure in tx room, allow the child to make one choice regarding the procedure, and apply EMLA cream to 3 potential insertion sites

34

What is the expected behavior of a preschooler in expressing fears about hospitalization?

preschool-age children are egocentric and relate fears to magical thinking

35

Teaching parents about parallel play in children—what is it?

toddler plays independently but is among other children in a group

36

Teaching parents about care for a child who has had watery diarrhea for 3 days?

initiate oral rehydration therapy to replace lost electrolytes, avoid carbonated beverages, and avoid drinks or popsicles with red food dye

37

Nurse care for an infant who is post-op following cleft lip and palate repair?

avoid placing any objects in mouth that may interrupt healing of suture line,

minimize crying and stress on suture line by keeping the infant pain free,

I&O,

elbow restraints,

supine position to avoid stress on suture line