quiz 2 Flashcards

(55 cards)

1
Q

The most consistent indicator of pain in infants is

A. increased respirations.
B. increased heart rate.
C. clenching the teeth and lips.
D. a facial expression of discomfort.

A

D. a facial expression of discomfort.

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2
Q

Child from a car trauma on bed rest what is risk SATA

A

pneumonia
pressure ulcer
moist skin

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3
Q

Osteosarcoma

A

A: It is common

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4
Q

Septic arthritis

A

eradicate the infection

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5
Q

Absent pedal pulses

A

notify provider

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6
Q

Just know this:

Spica cast on a 2 week old educate to bring back to doctor in 2 weeks

A

Spica cast on a 2 week old educate to bring back to doctor in 2 weeks

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7
Q

Nonpharmalogical intervention

A

swaddling

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8
Q

SATA priority intervention for cystic fibrosis

A
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9
Q

Scoliosis put a bar

A

A: PCA pump

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10
Q

NGN Croup LTB, Epiglottitis, and acute nasopharyngitis

A
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11
Q

Traction: Reposition 2 hours

A
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12
Q

What do you do to assess a fracture?

A

temp, color pulse.

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13
Q

What do you need to watch out for when you have a fracture that compresses muscle? How do you assess for that?

A

Compartment syndrome

Assess for temp, color, pulse

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14
Q

Compartment syndrome in joint or extremity, what is the complication?

A

Volkmann’s contracture

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15
Q

Ewings sarcoma tumor on femur, someone is complaining about still feeling pain after amputation?

A

This is normal, teach ways to understand

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16
Q

Assessing a child 3 years old that stands with knees together but feet far apart, what do you do?

A

not normal, report this to the provider

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17
Q

what is scoliosis?

A

abnormal curvature of the spine

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18
Q

Who is usually affected by scoliosis?

A

adolescents

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19
Q

How do you repair scoliosis?

A

surgical intervention

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20
Q

What do you watch for after scoliosis surgery?

A

body image change

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21
Q

crushing injury of leg, pt says it’s numb and tingly, what is your next action as he nurse?

A

check the pulse

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22
Q

Toddler fracture right femur Bryant’s traction?

A

Buttocks must be elevated off surface of bed

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23
Q

Spice cast- hip fracture (dysplasia), What do you assess?

A

circulation, sensation, and motion

24
Q

what do you tell someone who had a fracture of the epiphyseal plate?

A

this can affect your growth

25
what is the goal of treating septic arthritis?
cleaning up the infection
26
Dysplasia of the hip, and you're sending them home with pavlok, what are you including in your discharge teaching?
Can be removed once a day for one hour
27
What is another name for tracheal bronchitis?
croup
28
What does "croup" sound like?
barking cough
29
What kind of diet does a child with croup have?
NPO
30
What respiratory tx does a child have with croup?
cool mist for oxygen epi nebulizer- to decrease muscousal edema
31
How do you know the respiratory tx for a child with croup is working?
cough or stridor subsides
32
What do you need to keep at the bedside for a croupy pt?
intubation kit, ambu bag, suction
33
How to you calm a croupy pt?
have parents hold them
34
How do you know respiratory tx for a child who is 2 years old is working when coming in with respiratory distress?
RR is regular HR below 140 O2 sat greater than 95 decreased cough decreased nasal flaring decreased retractions Upon auscultation: clear breathe sounds
35
For a pt with epiglottitis, what position do you see them in/put them in?
up right, tripod positioning
36
What do you see on a pneumonia assessment of a 5 year old? Mom says they have not been eating
Dehydration low grade temp high electrolytes high BUN and sodium bilateral crackles
37
What do you see in RSV child upon assessment?
retractions(non active) its a virus high RR
38
Cystic fibrosis diagnostic test?
sweat chloride
39
What do you use before chest physiotherapy?
nebulizer, use albuterol (moves fluids)
40
What do you teach about nutrition when giving these meds for someone with CF?
give food and snacks give pancreatic enzymes which helps digest fats and break down proteins
41
How do you describe secretions of a pt with CF?
thick secretions
42
for trached babies, how do you know the suctioning is working?
clear breathe sounds
43
What is another name for pertussis?
whooping cough
44
When you have a pt with a severe prolonged asthma attack, they are not responding to tx, what do you call this?
asthmaticus
45
how do you prevent spread of strep?
new toothbrush
46
why do we need to teach a CNA importance of monitoring RR for the full minute?
RR is irregular on a child
47
Acute pharyngeal lateral, acute laryngeal, and acute epiglottitis...what VS do we check for all 3?
TEMP
48
Who will have a higher temp? Acute pharyngeal lateral, acute laryngeal or acute epiglottitis
epiglottitis
49
which patient will look severely ill out of these three? Acute pharyngeal lateral, acute laryngeal or acute epiglottitis
epiglottitis
50
If a pt has copious oral secretions, won't lay down, and has severe pain in throat... what could they have?
epiglottitis
51
Retractions-pharengeal croup?
epiglottis
52
What category of pediatric patients is highly considered under tx for pain?
cognitively impaired
53
What do non pharmacological interventions do? what is the purpose?
decrease perception of pain
54
what pain scale would you use for a 1 year old in surgery?
FLACC
55
How would you observe an infant with increased pain?
increased body movements