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Peds
NCLEX-RN Peds
| Question | Answer |
|---|---|
| How do you treat thrush? | nystatin suspension |
| Whats intussusception? | currant jelly stools, sausage shaped mass |
| Congenital / Hirschprungs' disease | absence ganglion, ribbon like stools |
| What diet for diarrhea? | BRAT = bananas, rice, apple, tea |
| Celiac disease | fat/gluten intolerance, s/s: diarrhea, bulky stools, infections, avoid BROW, give ADEK. |
| PKU | no phenylalanine, give Lofenolac, no meats, fish, legumes, nutrasweet |
| When is cleft lip repaired? | 2 months |
| What restrained with cleft lip? | elbow |
| When is cleft palate repaired? | 18 mo |
| What does impetigo look like? | honey crusted lesions caused by strep A |
| Who gets trated if child has pinwomrs? | the whole family with Vermox, repeat in 2-3 weeks |
| Cerebral palsy s/s | abnormal muscle tone and lack of coordination, goal is to maximize child's capabilities |
| Hydrocephalus s/s | bulging fontanel, sunset eyes, tx w VP shunt |
| Spina bifida | prevent it by gicing folica acid in pregnancy, avoid pressure to sac, most sterile dressings, tx: surgery |
| Where is the paralysis with spina bifida? | below the defect with bowerl/bladder dysfunction |
| What do you teach with spina bifida? | straight cath for residual urine |
| What is the pt with spina bifida highly at risk for? | rubber allergy |
| Who is at risk for down syndrome? | old mothers |
| What does lead posining lead to ? | cognitive impairment and anemia, do routine screening at 12 mo, tx: iron, chelating agents, up fluids |
| duchenne's muscular dystrophy | x linked, lack of muscle in lower limbs, gower sign: used hands and arms to walk up the body |
| What meds are given with seizures? | Anticonvulsants suich as Phenytoin (Dilantin), Phenobarbital, Keppra, Depakote |
| Reye's syndrome | linked w ASA use, varicella/influenza, do not give ASA in kids under 18, tx: mannitol, diuretics, barbiturates |
| Hemophilia | x linked, prevent and monitor for bleeding |
| Leukemia | ALL, AML , prevent infection |
| How is chicken pox spread and what precautions? | spread by direct contact or air droplet , airborne precautions |
| How is rubeola/measles spread and what precautions? | spread by aerosolized droplets, airborne precautions (Spiderman) |
| What are the s/s of rubeola/measles? | koplik spots rasg appears day 4 |
| How is rubella/GERMAN measles spread and what precautions? | aerosolized droplets, airborne precautions (My chicken hez tb) |
| Rheumatic fever | s/s heart, joints, skin and subq tissues, tx: if untreated could lead to rheumatic heart disease |
| What precautions are used with Rheumatic fever? | droplet (Mrs Wee) |
| How is mono or kissing disease spread? | epstein bar virus |
| what is Hodgkin disease and how is it identified? | cancer of the lymph system, sternberg cells |
| At what spine curvature does scoliosis need tx? | 25-45 degree, over 45 Harrington rod placement needed |
| Juvenile Rheumatoid arthritis | swimming is best, asa drug of choice, nsaids and prednisone is used, goal is to limit deformity |
| How is scarlet fever transmitted and what precautions? s/s? | transmitted via direct or indirect contact and droplet, droplet precautions, fever, rash, strawberry tongue. |
| Erythema infectiosum (5th disease) | slapped face, parvo virus b19, droplet precautions, not to be cared for by pregnant women |
| What teaching is to be done on asthma? | triggers and MDI |
| What us vesicoureteral reflux? | backword flow of urine from bladder into the kidneys |
| What are the s/s of glomerulonephritis? | gross hematuria and proteinuria, care: maintain fluid restrictions, protective iso, tx: penicillin, lasix, antihypertensives |
| How are UTI tx? | gansitrin (sulfisoxazole), macrodantin (nitrofurantoin) |
| How is rota virus transmitted? | oral-fecal route |
| What are 2 things checked with tonsillectomy? | bleeding - freq swallowing, stridor |
Created by:
rbucur
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