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220 final
220 final J
| Question | Answer |
|---|---|
| What is the only safe insulin that can be given IV? | R- Regular Insulin |
| What is the most common associated disease of cryptorchidism? | Inguinal hernia |
| What are common complications of cleft palate/lip? | dental problems, OM, and speech impairment |
| What are the signs and symptoms of intussusception? | red, currant-jelly like stools, board like abdomen, palpabale sausage shaped mass in upper right abd quad, sudden intermittent severe abd pain, vomitting, dehydration, fever. You would do a barium enema to promote hydrostatic reduction. |
| Why would you do a barium enema with intussusception? | to promote hydrostatic reduction. |
| What is the treatment for rheumatic fever? | PCN, E-Mycin, ASA |
| What are signs of Dig toxicity? | nausea, vomitting, diarrhea, visual disturbances, anorexia, bradycardia, arrythmias |
| Some manifestations of meningitis are: | nucal rigidity, fever, vomiting, high pitched cries, lethargy, headaches, photophobia, altered LOC, rashes |
| What are the signs and symptoms of hypoxia in children? | change in LOC***cyanosis, bradycardia, irritability |
| What are the s/s of epiglottitus? | dysphonia, dysphagia, drooling, and distressed resp effort, tripod position****,(caused by group A strep) (never inspect throat with toungue blade.) |
| If suspect epiglottius, what must the nurse NEVER do? | Never inspect throat with tongue blade. |
| What is the post op care of a child with heart cath? | pressure directly over or distal to insertion site, keep legs straight, assess pulse distal to insertion site |
| What are the s/s of congenital hypothyroidism? | weight gain, lethargic, thick tongue, hypotonia, constipation, cold, large fontanel ***Hypoglycemic*** |
| What is the main manifestation of impetigo? | puritic rash |
| What is Erkickson's adolecent | identity vs. role confusion |
| The school age child is most concerned with what? | isolation and body image |
| What are the primary causes of UTI's? | #1 urinary stasis (stoppage of normal flow of body substance) incorrect wiping, bubble baths, short urethras |
| What are s/s of anemia? | fatigue, pallor, tachycardia, murmur if severe. |
| What is the number 1 complication of AGN? | hypertension |
| What does a child use to eat with post op cleft palate? | wide bowl spoon (NO SUCKING) |
| Toddlers are physicologic anorexic... meaning... | they are picky eaters |
| Abnormal labs associated with Nephrotic Syndrome | hypoalbuminemia(albumin levels below 3.5), proteinuria, hyperlipidemia |
| Primary cause of vasocclusive sickle cell crisis is | dehydration related to fever from infection |
| Preop care of neural tube defect babies includes | keeping them prone, sterile moist dressings assess for leaks |
| Late signs of hydrocephalus include: | setting sun eyes, high pitched cry, dilated scalp veins, tense fontanels |
| Three most commmon symptoms associated with DM | polydipsia, polyphagia, polyuria |
| What is the purpose of cromolyn sodium used for asthma? | decreases inflammation in lungs, it is a maintainace drug |
| What is the main complication associated with CF? | pneumonia |
| What are signs and symptoms of hyperglycemia? | hot and dry... sugar high, thirsty, blurred vision, ketones in urine |
| What is the Drug treatment for AGN? | antihypertensives, diueretics, corticosteroids, and PCN |
| What is the number one cause of rheumatic fever? | Group A strep |
| When is growth hormone given and how is it given? | subq at night |
| 150% increase of RDA in calories to children with | cystic fibrosis |
| At six months old a baby should have | doubled their birth weight |
| For a child with a leg cast, what is a primary nursing consideration? | circulation Five P's Pallor, parastesisa, pulse, pain, paralysis |
| With Celiac disease, child will be on what kind of diet for the rest of their lives? | Gluten free diet.. BROW (Barley, Rye, Oats, Wheat) |
| With myelomeningecele, the sac includes spinal fluid as well as compnents of spinal colomn, and the child is paralyized from | the site injury down |
| What is the only appropriate enema for a child because it isotonic? | Normal saline |
| Cystic Fibrosis is diagnosised by | sweat tests, fat in stool test and chest xray |
| What helps prevent neural tube defects? | folic acid |
| As for adolecents, everything is confidential unless it is | life threatening |
| Nutrition is a main concern for CHF babies why? | Because of the oxygen requirments for feeding. Small frequent meals or gavage. |
| Anterior fontanel closes at | 12-18 months |
| Posterior fontanel closes at | 8 weeks |
| What helps with itching for extremities in cast? | use a cool blow dryer |
| What is non surgical management for plyloric stenosis | bubble frequently, feed slowly, use nipple with small hole, lay on right side to facilitate gastric emptying, add cereal to formula. |
| What is the classic treatment for Nephrotic syndrome? | Predisone |
| What are the signs and symptoms of DKA? | fruity breath, kussmaul respirations, change in LOC, dehydration, ketones in urine |
| What are normal theopylline levels? | 10-20 |
| What are the most important things for teens? | peers and apperance |
| What is the treatment for exema | hydrocortisone cream, benadryl, wet compresses, and emollients(topical creams) |
| What are the maifestations of CP? | Jerkey movements, delayed gross motor development, seizures |
| What are the priorities for sickle cell management? | Oxygen, IV, fluids, pain, antibotics |
| School age children tend to do what? | collect and sort things. |
| Fifths disease = | red face |
| What are the dietary considerations for GER babies? | keep at 30-45% after feedings, add cereal to formula, small frequent meals. |
| What is the best age to preform surgery for hypospadius? | 6-18 months. |
| What are the signs and symptoms of hypoglyemia? | cold and clammy.. need some candy. shaky, cold, clammy diaphoretic |
| What is albuterol? | A bronchodialator, a rescue inhaler |
| What are s/s of VSD | CHF and murmur |
| What are the early signs of hydrocephalus? | increased head circumference, bulging fontanels, vomiting, crying, irritability. |
| What is the primary goal of medication treatment in childeren with HIV? | To control replication, prevent infection, and improve quality of life |
| What relaxes the smooth muscle tone and used for matinence? | Theophylline |
| What are home instructions for digoxin dosing? | If patient vomits up pill do not give another dose, call doctor. |
| Always check renal function.. always make sure pt. is voiding before doing what? | Giving potassium. |
| What are the signs and symptoms of pyloric stenosis? | projectile vomiting, olive shaped palpable mass in right upper quad |
| When treating children with DM, tell them to eat what before exercising? | Carbs |
| What is the treatment for croup? | cool mist tents |
| What is an important nursing consideration to reduce resp. distress? | Cluster care and parental involement, semi fowlers position. |
| What is the number one consideration for skeletal traction? | Prevent infections, site care |
| With neural tube defects what should you avoid using? | latex |
| What is the normal potassium level> | 3.5 to 5.0 |
| Which test detects birth defects? | Alphafetoprotein |
| What is proper administration of iron? | give with orange juice, give between meals, don't give with milk, don't give at bedtime, suck it through a straw. |
| What are Denis Brown splints used for? | Club foot |
| What are growth and development concerns for a child that is NPO? | satisfy sucking needs |
| What is the normal platelet count? | 150,000-350,000 |
| What are signs and symptoms of an infant in pain? | crying, irritability, refusing to eat |
| Why do we do barium enema for Intussusception? | Hydrostatic reduction |
| What is the primary treatment of dehydration? | IV fluids |
| What causes CHF in child with CHD? | Blood backs up from L to R into pulmonary system. |
| 15-20 grams carbs and glucose checks before and after a child with DM does what? | exercises |
| If an infant is NPO give a pacifier why? | to satify sucking needs |
| What is associated with hypospadias? | Chordae |
| What is a major complications of Cleft palate? | Otitis Media |
| How does a nurse assess for scoliosis? | bend over, feel spine, shoulder symmetry |
| Signs and symptoms of Iron deficency? | porcelain skin, pallor, fatigue, lethargy |
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4LSUFootball