Test 13 Flashcards
- ASD manifestations
No eye contact
Impaired verbal and nonverbal communication
Repetitive behaviors/Ritual
Self-injurious behaviors possible
Disrupted routine may cause distress.
Slow to develop speech, echolalia (parrot speech).
Atypical sensory perception, overresponsive, under-responsive
Sleeping problems
May be cognitively impaired or demonstrate unusual abilities.
- Iron-deficiency anemia craves
They might crave ice chips.
- Eating disorders: Bulimia Nervosa manifestations and goal
Manifestations:
Dental caries
Erosion from frequent exposure to stomach acids
Throat irritation
Endocrine and electrolyte imbalance
Calluses or abrasions on back of hand
Foul smelling breath
Goal:
Monitor for electrolyte imbalance and getting them medically stable.
- Suicide warnings
Sudden lift in mood
- Signs of abuse: children, elderly
Bruising that occur in areas of soft tissue, such as the buttocks, genitalia, thigs, back of the knees, upper back, and nose and eyes, may be suspect.
- Nursing actions for burns in children
Airway is priority.
Preventing infection-surgical asepsis
Maintaining adequate nutrition-high protein diet
Reducing pain-medications 30 minutes prior to PT
Increasing mobility
Relieving anxiety
Administer tetanus if indicated.
- Echolalia examples
Parrot speech: they echo words they have heard, such as those in a television commercial but offer no indication that they understand the words.
- Pediculosis capitis manifestations
Nits firmly attached to hair.
Severe itching
- Client education for nystatin (Slide 9)
Swab baby’s mouth
Older child can swish.
Limit feeding for 30 minutes after
- Impetigo manifestations (Slide 6)
Red macules with honey-colored crusts
Very contagious
Meticulous hand hygiene
Keep nails shirt and limit scratching.
- ADHD manifestations
Hyperactive “restless”
I attention “reduced ability to focus.”
Impulsiveness “excessive talking”
Low self-esteem & impaired social skills
- ADHD interventions/ client educations
Loss of appetite & weight
Loss of sleep: restlessness & give last dose no later than 6pm
Improvements in schoolwork
Priority nursing assessments: monitor BP & Monitor and report height, weight trends with HCP
Reversal Agent: Alprazolam
- Nursing actions for STIs and the adolescent
Adolescent need treatment and information about preventing spread of the STI to others, as well as how to prevent contracting another; using spermicide condoms, they are not fail-safe and adolescents must be educated about all aspects of the consequences of sexual activities.
- Thrush manifestations and causes, med
Candidiasis (yeast) in mouth known as thrush.
Causes: often after treatment with antibiotics
Manifestations: mouth has white coating that looks like milk curds
Nystatin: Swab baby’s mouth, older child can swish. Limit feeding for 30 minutes after
- Depression manifestations
Key symptoms: overwhelming feeling of being low, down, gloomy, or sad most of time.
Infants and toddlers: withdrawal, poor attachment, delay development, clingy behavior, low energy, lack of enjoyment in play activities
Younger children: anger, irritability, changes in appetite and sleep patterns, physical complaints, inattention, difficulty concentrating.
Adolescents: More similar to adults than younger children; behavior changes (missing curfew, extreme defiance, shoplifting, dropping grades, spending more time alone, self-hatred, talking about death or suicide, use of drugs and alcohol, and isolation)
