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peds nursingunit4and
peds nursing
| Question | Answer |
|---|---|
| Is there scarring with Impetigo? | No scarring |
| What often causes cellulitis? | Strept or staph |
| How is ringworm spread? | Direct and indirect contact |
| Parents ask how long does symptoms last in scabies. The school nurse should say? | Be prepared for symptoms to last 2 to 3weeks> |
| What is usually the only symptoms with head lice? | Itching |
| A child with diabetes has extra episodes of hypoglycemia during the summer. What additional teaching is needed | Additional snack may be needed to compensate for for changes in activity |
| What are some manifestations of hypoglycemia? | Weakness,dizziness, difficulty concentrating ,speaking ,focusing ,and coordianting ,seating and pallor |
| Hypertoncity.poor control of posture,balance,and coordination are symptoms of? | Spastic cerebral palsy |
| Cerebral palsy is mostcommonly caused by? | Neonatal encephalopathy? |
| Parents of a child with CP ask you if their child will have cognitive impairment. What will you say? | You state about 45% of affected children have normal intelligence |
| What are the major goals for child with cerebral palsy? | The are to recognize the disorder early and promote optimal development |
| Can a child with CP participate in recreational activities? | Recreational activities provide children with CP opporuntities for socialization and recreation |
| What is Gower's sign? | It isa characteritis way of rising from a squatting or sitting position on the floor |
| This disorder has Gower's sign ,waddling gait ,and lordosis. What is it? | Duchenne Muscular dystrophy |
| What is a priority for a child with Wilms' Disorder? | Ensure abdomen is protected from palpation |
| What is the first action anurs should do if achild has a hypercynotic dspell? | Place the child in a knew chest position |
| What is the blood flow pattern in Ventricular sepatl defect? | There is increase pulmonary blood flow because of the left to right shunt |
| What complication is prevented when surgery is donefor apatent ductus arteiosus? | Prevent pulmonary vascularngestion |
| Which of the following defects results in obstruction of blood flow---aortic stensois ,trcuspid atresia or atrial septal defect? | Aortic stensois |
| PulmonARY STeNOSIS,VENTRICULAR SEPATAL DEFECT ,OVERRIDING AORTA ,AND RIGHT VENTRICUALR HYPERTROPHY MAKE UP WHAT SYANOTIC HEART DEFECT? | Tetralogy of Fallot |
| Does the child with congenital heart disease ned the opporuntiy to play with others? | Yes the child needs opporunity for socialization |
| What refers to involuntary, rhythmic and repetitive muscular contractions, that occur usually in the ankles, wrist and the kneecap or patella. Ankles are the most commonly affected? | Clonus |
| What are the symptoms of bacterial endocardsitis? | Decreased appetite ,intermittent fevers, muscle and joints ache, does not seem like self |
| What is th eprimary nursing intervention to prevent bacterial endocarditis? | Counsel parents of high risk kids about th eneed for good dental health. |
| If a child has symptoms of bacterial endocariditis ,can they wait until a clinica appointment is arranged to see a medical provider? | No, the child needs to be seen immediately for an evaluation |
| How can the school nurs prevent rheumatic fever? | Refer the child with symptoms for a throat culture |
| What medications are used for the treamtnet of Kawasaki disease? | High dose Intravenous gamma globulin and salicylate thearpy |
| WHy is nursing care for a child with Kawasaki challenging | The child is very irritable |
| When is selective cholesterol screening recommnded for children over 2years of age? | When body mass index =95 percentile |
| The mother of a young infant is worried her child is going to get meningitis. What should yo say to this mother? | Vaccinations to prevent pneumococcal and H Influenzae type B are avaialble? |
| What are petechiae? | Pinpoint flat round red spots under the skin surface caused by intradermal hemorrhage (bleeding into the skin). |
| A child arrives on the floor with possible bacterial meningitis.When should the nurse start the antibiotic ? | As soon as possible |
| When planning care for a a school agge chidl with bacterial meningitis, What intervention shoudl be included? | Keep enviromnetla stimulit to a minimum |
| How can one reduce the incidence of Reye Syndome? | Avoid ASA for children with a viral illness |
| What is asn important intervention for child with Syndrome of inappropriate ADH secretion? | Restrict fluids |
| What are the hallmark symptoms of diabetes Mellitus? | Frequent urination (polyuria) , Glycosuria ,and polydipsa |
| What should a child with Diabetes cary when excerising? | Extra snacks |
| This disorder is caused by aspirochete spread by ticks? | What is Lyme disease |
| IS there still a" no nits policy" in most schools? | The child can remain in school with treatment done at home |
| What is the inappropriate voiding of urine at least twice a week? | Enuresis |
| When does enuresis cease? | Enuresis ends between 6 and 8 years of age |
| What is encoporesis? | a child may be unaware of a prior sensation or be unable to control the urge to defecate once it begins |
| What advice should parents rteceive from a nurse regarding encoporesis? | Aaure parents tha tmost problems with encoporesis resolve successfully with some relapse periods |
| What are important points regarding the daignosis of ADHD? | A multidisciplinary evalaution is important. Need to determine whether the child's behavior is age appropriatye or problematic? |
| What is the goal for children with cognitive impairment? | The goal for children with cogntivie impairment is the promotion of optimal social,physical ,cogntive ,and adaptive develeopment |
| Name a secondary prevention activity for childsren with cognitive impairment. | Newborn screening for treaable inborn errors of metabolism |
| The AAIDD classfieis mental retardation based on what? | Adaptative skills domain. |
| Name on intervention that parents can do to prevent lice from spreading. | Discourage your child from sharing items such as hats,scarves,and hair ornaments |
| What gudiance can the nurse give to parents of cogntive imapired childrten about discipline? | Clear limit setting .Behavior modification is excellent to use |
| What are appropriate interventions to foster social developemnt in children with cogntive imapriemtn? | peer experiences, infant stimulationa nd preschool programs |
| How should one deal with the issue of sexuality with adolescents who are cogntively impaired? | These adolescents need a well defined ,concrete code of sexual development |
| What are characteristics assoicated with Down's syndrome? | Oblique pALEBRAL FISSURES,DEPRESSED NASAL BRIDGE, PROTRUDING TONGUE ,TRANSVERS PALMER CREASES |
| The child with Down's syndrome is unable to cling or "cuddle up" like other children True or False | True |
| What is the second most common genetic cause of cognitive impairment? | Fragile X Syndromw |
| How does one define cardiac output? | It is the volume of blood ejected by the heart in 1 minutes |
| What should preoperative education for a six year old undergoing cardiac catheterization do? | adapted to the child'sa level of understanding |
| What should be prevented in children with hypoxia secondary to a cardiac defect? | Dehydration |
| Why do infants with congestive heart failure have a need for more calories? | Infants withCHF have agreater metabolic rate becaus eof poor cardiac function and increased heart and respiratory rate |
| What is a common sign of digoxin toxicity ? | Vomiting |
| When should you withold digoxin in a toddler? | If a 1 minute pulse is less thant 90 beats pewr minutes |
| The bandages and sheets of a child who just had a cardiac cath are soaked with blood, what should th enurse do? | apply direct pressure above catheterization site |
| CHD is an underlying problem in CHF in children (True or False) | true |
| What is a goal of therapy for children with CP? | Maximize the child's capabilities |
| What would you expect to observe in a child with severe spastic Cerebral palsy? | Scissoring of the legs |
| RIngworm(Dermatophytoses) are________________infections of the skin, hair ,or nails | Fungi |
| Children with Tourette's syndrome can be treated by what drug | Haldol |
| A child receives Ritalin for ADHD. What is a therapeutic effect of this drug. | Increase attention span |
| What lab finding should you expect to see with a child who has tetralogy of fallot | Polycythemia |
| What medication is used to close the Patent ductus arteriosus? | Indomethacin |
| The parents of a child with tetralogy of Fallot asked why the infant's fingers are "clubbed", HOw would you answer them | It is the result of extra capillaries forming in the tips of extremities as the body attempts to send blood to all body parts |
| This defect requires the nurse to take blood presure readings in the upper and lower extremities.It is__________ | Coaractation of the aorta |
| A child has developed rheumatic fever. The nurse considers the posibility that the child had what earlier_________________ | Strept throat, impetigo, or scalret fever |
| A parent of a toddler who has Kawasaki's is concerned because the child is very irritable. The nurse tells the parent_________ | Irritability is part of Kawasaki's disease |
| What is often the first symptom of a Acyanotic heart defect? | Heart murmur |
| What is a condition that places the child at risk for infective ednocarditis? | Congenital heart defect |
| How can the incidence of rheumatic fever be reduced? | By Culturing and treating strep infection |
| What should be the emphasize of dischrage teachingf or a child who has rheumatic fever? | Compliance with long term antibiotic therapy |
| How is hyperlipidemia Managed in most children ? | Diet and weight loss |
| Children with Kawasaki Disease receive aspirin for what reason? | Antithrombolytic therapy |
| Name three clinical manifestations of chronic hypoxemia in children | Squatting,clubbing,polycythemia |
| This term refers to the resistance against which the ventriccles must pump against | Afterload |
| An expected finding in an anlysis oof CSF in a child with bacterial meningitis is_________ | Cloudy |
| A child has pneumococcal meningitis. The nurse review thechild's hsitory. What migh have caused this or transmitted this infectious agent? | Middle ear infection |
Created by:
bdragich1
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