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RN PEDs 2019

Terms in this set (49)

Toddler who is experiencing hyperglycemia
*Lethargic mood
-Thirst
-Poly (early), oliguria (late)
-Nausea, vomiting, ABD pain
-Skin warm, dry & flushed w/ poor turgor
-Dry mucous membrane
-Confusion
-Weakness
-Lethargy
-Weak pulse
-Diminished reflexes
-Rapid, deep RR w/acetone/fruity odor d/t ketones (Kussmaul RR)
-Recurrent vag yeast (early type 2)

PEDs, pg 215
School-age child who has juvenile idiopathic arthritis
(JIA). Teaching
*I will wear splints during the night
JESUS
Discharge teaching to the parent of a 5 year old child who has leukemia and is receiving chemotherapy.
*I will make sure I inspect my son's mouth every day for sores
-Inspect the child's mouth for ulceration & hemorrhage
-Use soft-bristle toothbrush or soft disposable swab for oral care
-Lubricate lips w/ lip balm to prevent cracking
-Offer foods soft & bland
-Assist the child to use mouthwashes (1 tsp baking soda mixed w/ 1 pint of water or 1 tsp baking soda mixed w/ 1 qt of water) frequently
-Apply local anesthetics (hydrocortisone dental paste, antiseptic rinse, aluminum and magnesium hydroxide) to mucosa to minimize pain
-Use agents (mouthwashes, lozenges) that are effective against fungal and bacterial infections
-AVOID Viscous lidocaine (risk for aspiration from gag reflex); Hydrogen peroxide (delays healing); MOM (dries mucous membrane); & Lemon glycerin swabs (tooth decay/ erosion of tissue)
PEDs, pg 256
Child who is experiencing an acute asthma attack. WOTF findings is the priority for the nurse to report to the provider
*Profuse sweating (Keith Sweat)
Nutritional teaching to the parents of a 2-year-old child.
*Feed my child 2 cup of vegetables per day
School age child who has moderate partial thickness burns on both lower extremities. Which intervention
*Administer pain medication to the child 30 mins before physical therapy
A nurse in a pediatric clinic is providing teaching to the parent of an infant who has gastroesophageal reflux
(GER)
*I will add rice cereal to my baby's feedings
School nurse is providing dietary teaching for an 11-year old child who has type 1 diabetes mellitus
-Eat extra food on busy days when I am more active
-Increase my intake of sugar-free fluids when I am sick
-Eat a snack 30 minutes before my baseball game starts
10-month-old infant during a well-child visit
WOTF findings should the nurse report to the provider
*The infant cannot sit steadily without support
A child who has full-thickness burns of the legs. WOTF manifestation should the nurse expect?
*Burns are cream to black in color
Developing a plan of care for the parents of a toddler who has hemophilia A
*Place knee pads on the child
9-month old infant who has gastroenteritis
findings, manifestation of severe dehydration
*Absence of tears when crying
Obtain a rectal temperature from a toddler Which of the following actions should the nurse take
*Bacterial meningitis
Child's parents tell the nurse that they want to stop all treatments and take their child home
*Tell me more about your reasons for making this decision
Assessing a child who has heart failure, manifestation
nurse expect
*Distended neck veins
Pre-procedure teaching to the parents of a preschooler who has nephrotic syndrome, scheduled for a percutaneous renal biopsy.
*Pressure dressing on the biopsy site following the test
A child who has ingested kerosene
*Prepare for intubation w/ a cuffed endotracheal tube
Child who has cerebral palsy and is experiencing muscle spasms
*Baclofen
School-age child who has glomerulonephritis expected
*BUN 32 mg/dL
Use a peak expiratory flow meter (PEFM).
*Will record the highest reading of the three attempts
Food choices celiac disease, by the parent indicates an understanding of the teaching
* Offer popcorn as a snack
Anorexia nervosa following laboratory test
should the nurse identify as the priority
*Complete medical panel (CMP)
Infant who has respiratory syncytial virus (RSV) and a respiratory rate of 46/min
*Contact precautions
Tetralogy of Fallot (TOF) manifestation
-Cyanotic spells
-Heart murmur
2-year old child after surgery pain tools
*FLACC Scale
Educating the parent of an infant who carries the gene for hemophilia about manifestation
*Infant's knees are reddened and edematous
School-age child who has cystic fibrosis (CF)
about home care
*Stool softener
Child maltreatment
*Circular burns on sole of toddler's feet
Insertion of a ventriculoperitoneal
shunt priority
*Lethargy
School-age child who has HIV and
has a CD level of 750 cells/uL
*Pneumococcal vaccine
4-month old infant expect
*Absent grasp reflex
Preschool-aged who has hemophilia A and sustained an
abdominal trauma
*Administer factor VII
*Assess for change in LOC
Postoperative following a below-the-knee amputation
*Active & Isotonic ROM exercises
Child who has nephrotic syndrome teaching
*Quiet time
Manifestation indicates a possible brain tumor
-Vomiting
-Clumsiness
-Irritability
-Persistent headache
Frequent urinary tract infections.
*Use bathroom every 4 hr
6-month old infant indication of moderate dehydration
*Tachycardia
3-year old child who has viral meningitis expected
*Nuchal rigidity
5-year old child who had a submersion injury, awake and alert
*Observe cerebral swelling
Pre-teen who has sickle cell anemia
and is experiencing a vaso-occlusive crisis
*Promo rest
Infant accompanied back to unit
*Temporal artery temperature
Early indications of increased ICP
*Nausea
Bronchoscopy due to aspiration
*Dr will remove object during procedure
D/C teaching, client immobilized after surgery and recommended nutrition
*Small, frequent meals high in protein
ORIF of right forearm with casting
*Check sensation in fingers
Infant has pylori stenosis, Rx 0.9% NaCI, 10mEq KCI, infant lethargic & potassium levels 3.5 mEq/L check
*Serum creatinine
Education series, children who have attention-deficit
hyperactivity disorder
(ADHD)
*Verbal instructions with visual reference
Obtain blood sample from child who has hemophilia for an aPTT
*Use venipuncture
School-age child who has epilepsy, new Rx for
phenytoin extended-release capsule
*Brush teeth after every meal
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