Patient teaching for a child needing iron supplementation

Place the liquid behind teeth to prevent staining Proper dosage Increase fluids and fiber to help with constipation Vit C

Nursing interventions for a neonate with omphalocele or gastroschisis

Protect abdominal contents from trauma and infection Maintain perfusion to abdominal contents Prevent hypothermia Minimize fluid loss

Priority for a neonate born with thick green amniotic fluid

Continued assessment and ongoing evaluation of the newborn for respiratory distress

Patient teaching for a child with idiopathic thrombocytopenia purpura

Prevent injury and trauma Avoid contact sports Avoid aspirin, NSAIDS, and antihistamines

Tx for von Willebrand disease

Stimate (desmopressin) nasal spray- use prophylactically before procedures (including dental), can only use 3 days in a row

Classic assessment finding with transposition of the great vessels

Significant cyanosis without a murmur

holosystolic harsh murmur at the left sternal border

S/sx of kawasaki disease

strawberry tongue- "kawastrawki" dry, fissured lips bilateral conjunctivitis without exudate pharyngeal and oral mucosa erythema fever, chills, malaise, HA, v/d, abd pain, extreme irritability

Wilms tumor lab findings

mass on kidney BUN and creatinine WNL CBC WNL urinalysis may show leukocytes or hematuria 24 hour urine- WNL

S/sx of infective endocarditis

intermittent, unexplained low grade fever fatigue, anorexia, flu like sx petechiae extracardiac emboli: roth spots janeway lesions, osler nodes

most are asymptomatic and spontaneously close may have a hx of poor feeding, decreased ability to keep up with peers, difficulty growing

S/sx of acute rheumatic fever

carditis, polyarthritis, polyarthralgia, subcutaneous nodules, rash syndenham chorea- "scarf" elevated ESR, CRP

Tx/ pt education for Kawasaki

IVIG, high dose aspirin in 4 divided daily doses, acetaminophen if needed- avoid NSAIDS with aspirin fluids comfort measures for lips/ mouth, cluster care, no MMR after IVIG x11 mo.

bloody stools, bilious vomiting, feeding intolerance, distended abdomen, decreased/ absent bowel sounds, respiratory distress, metabolic acidosis, sepsis, shock

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Lesson 5

Question	Answer
Patient teaching for a child needing iron supplementation	Place the liquid behind teeth to prevent staining Proper dosage Increase fluids and fiber to help with constipation Vit C
Procedure that confirms persistent pulmonary hypertension of the newborn	echocardiogram
Nursing interventions for a neonate with omphalocele or gastroschisis	Protect abdominal contents from trauma and infection Maintain perfusion to abdominal contents Prevent hypothermia Minimize fluid loss
Priority for a neonate born with thick green amniotic fluid	Continued assessment and ongoing evaluation of the newborn for respiratory distress
Patient teaching for a child with idiopathic thrombocytopenia purpura	Prevent injury and trauma Avoid contact sports Avoid aspirin, NSAIDS, and antihistamines
Tx for von Willebrand disease	Stimate (desmopressin) nasal spray- use prophylactically before procedures (including dental), can only use 3 days in a row
Classic assessment finding with transposition of the great vessels	Significant cyanosis without a murmur
VSD murmur	holosystolic harsh murmur at the left sternal border
S/sx of kawasaki disease	strawberry tongue- "kawastrawki" dry, fissured lips bilateral conjunctivitis without exudate pharyngeal and oral mucosa erythema fever, chills, malaise, HA, v/d, abd pain, extreme irritability
Wilms tumor lab findings	mass on kidney BUN and creatinine WNL CBC WNL urinalysis may show leukocytes or hematuria 24 hour urine- WNL
S/sx of infective endocarditis	intermittent, unexplained low grade fever fatigue, anorexia, flu like sx petechiae extracardiac emboli: roth spots janeway lesions, osler nodes
ASD s/sx	most are asymptomatic and spontaneously close may have a hx of poor feeding, decreased ability to keep up with peers, difficulty growing
S/sx of acute rheumatic fever	carditis, polyarthritis, polyarthralgia, subcutaneous nodules, rash syndenham chorea- "scarf" elevated ESR, CRP
Tx/ pt education for Kawasaki	IVIG, high dose aspirin in 4 divided daily doses, acetaminophen if needed- avoid NSAIDS with aspirin fluids comfort measures for lips/ mouth, cluster care, no MMR after IVIG x11 mo.
S/ sx of NEC	bloody stools, bilious vomiting, feeding intolerance, distended abdomen, decreased/ absent bowel sounds, respiratory distress, metabolic acidosis, sepsis, shock

Created by: mbrakemsnrn

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