Flashcards in PEDI FINAL Deck (37):
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
Clinical manifestations of a 10-year-old with poststreptococcal glomerulonephritis?
“cloudy, tea-colored urine,
increased creatinine, and
sx of epispadias
widened pubic symphysis,
broad, spadelike penis,
urethra opened on dorsal surface,
possible exstrophy of bladder
what to teach parent with child with UTI
frequent voiding with complete emptying
avoid bubble baths
wiping front to back
sx of infant with UTI
Teaching a parent about dexamethasone (Decadron) to treat head injury?
it decreases cerebral edema (corticosteroid)
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
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
2 vaccines that decrease the incidence of bacterial meningitis in children?
PCV and Hib
Clinical manifestation of a 4-month-old with meningitis?
Nursing interventions for child with cystic fibrosis?
high calorie, high protein diet,
administer pancreatic enzymes with meals and snacks,
daily activity to lung expansion and
Clinical manifestations of Cystic fibrosis?
abnormal amount of sodium chloride in sweat,
clubbing of fingers and toes,
thick, viscous mucus, and
Medication to take as needed prior to exercise?
Clinical manifestations of epiglottitis?
high fever, and
Which is a clinical sign of postop bleeding with a tonsillectomy?
frequent swallowing and clearing of the throat
Nursing care for moderate burn
active and passive ROM, dressings to prevent infection, high-protein diet, reverse isolation
Client burned and experiencing suspected septic shock. What are the S&S?
increased cap refill,
decreased urine output, and
decreased bowel sounds
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,
Td if needed,
monitor for infection
Teaching a parent about atopic dermatitis
hydrate skin with tepid baths, followed by emollient,
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,
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
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
Clinical manifestations of Pertussis
mild fever, and
whooping sound cough
Immunizations for a 2-month-old
Contraindication to Varicella Vacccine
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
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
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
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?
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
What pain scale should be used for pain assessment on an infant?
In planning care for a child following a surgical procedure, how should the child receive their pain medication?
IV analgesics on a schedule
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
What is the expected behavior of a preschooler in expressing fears about hospitalization?
preschool-age children are egocentric and relate fears to magical thinking
Teaching parents about parallel play in children—what is it?
toddler plays independently but is among other children in a group
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