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Childrens-Redman > exam 2 > Flashcards

exam 2 Flashcards

1
Q

what lab cue would be expected for a patient with tetralogy of fallot?

A

increased H and H (RBCs) due to the kidneys trying to compensate

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2
Q

what are the expected findings for a VSD (ventricular septal defect)?

A
  • L to R shunting
  • palpable thrill
  • holosystolic murmur
  • Pulmonary artery hypertension
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3
Q

what are the expected findings of a PDA (patent ductus arteriosus)?

A

-low Dbp
- machine murmur
- wide pulse pressure
- bounding pulses

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4
Q

what are the cues of coarctation?

A
  • rib notching
  • unequal pulses (upper extremities bounding, lower extremities weak)
  • frequent epistaxis
  • high BP in upper extremities
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5
Q

what are the cues for tetralogy of fallot?

A
  • boot shaped heart
  • TET spells
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6
Q

what should you do if your patient vomits 5 mins after receiving digoxin?

A
  • check dig level
  • notify provider
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7
Q

what should you do if your patient is prescribed lasix but has muscle weakness and cramps?

A

check potassium level

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8
Q

if a 6-yr-old has fever, tachycardia and subQ nodules, what history should the nurse suspect?

A

recent pharyngitis (strep throat that is causing the child to have acute rheumatic fever)

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9
Q

what labs are expected with nephrotic syndrome?

A
  • proteinuria
  • decreased serum albumin
  • increased lipids and cholesterol
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10
Q

what antidiuretic medication is used for children experiencing enuresis?

A

desmopressin

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11
Q

what are the physical cues related to nephrotic syndrome?

A
  • recent, sudden weight gain
  • frothy urine
  • ## periorbital edema/anasarca
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12
Q

what medications are utilized in the treatment of nephrotic syndrome?

A
  • corticosteroids (prednisone)
  • diuretics
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13
Q

what medication used in the treatment of nephrotic syndrome may cause the child to have cushings features/wt gain/increased appetite?

A

corticosteroids (prednisone)

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14
Q

how may the urine look for children with acute poststreptococcal glomerulonephritis?

A
  • gross hematuria
  • tea color
  • cola color
  • dirty green color
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15
Q

what recent social history may be the culprit for the development of HUS (hemolytic uremic syndrome)?

A
  • ingestion of ground beef
  • visit to waterpark
  • public pool
  • petting zoo
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16
Q

what should the nurse suspect if a patient vomits 5 minutes after giving digoxin?

A

dig toxicity

17
Q

what action should the nurse take for a patient who has been prescribed lasix and has muscle weakness and ST depression on EKG?

A

check potassium level

18
Q

what are the s/s of left sided heart failure?

A
  • increased WOB
  • tachypnea
  • wheezing, rails
  • feeding difficulties
  • dyspnea on exertion
19
Q

what are the s/s of r sided heart failure?

A
  • hepatomegaly
  • edema
  • JVD
  • periorbital edema
  • weight gain
20
Q

what medication is appropriate to manage the joint pain for a child with acute rheumatic fever?

A

aspirin

21
Q

which cardiac condition may result in a widened pulse pressure?

A

patent ductus arteriosus

22
Q

where is the murmur of a ventricular septal defect best heard?

A

left sternal border

23
Q

a nurse is caring for a child who has tetralogy of fallot and is experiencing a hypercyanotic spell, what is the best action for the nurse to take?

A

place child in the knee to chest position (pushes blood into the pulmonary artery)

24
Q

what is the purpose of an ASO titer test for a child with glomerulonephritis?

A

to determine if the child has had a recent strep infection, a likely culprit for glomerulonephritis

25
Q

why is skin care important for a child with nephrotic syndrome?

A

edema and the increased risk for infection

26
Q

what findings are seen with poststreptococcal glomerulonephritis?

A
  • hematuria
  • elevated BP
  • positive ASO titer
  • decreased UOP
27
Q

how much ORS should be provided to a 32 kg child with mild dehydration?

A

1600 mL

kg x 50 mL for mild dehydration ORS

28
Q

how much ORS should be provided to a 24 kg child with moderate dehydration?

A

2400 mL

kg x 100 mL for moderate dehydration ORS

29
Q

how much ORS should be provided to a 22 kg child w/moderate dehydration and has had 2 loose stools?

A

2640 mL

moderate = kg x 100 mL
+
stools = kg x 10 mL/stool

30
Q

after starting the ORS for a 42 kg child, the child has vomited, what rehydration action is suspected next?

A

IV rehydration bolus

kg x 20 mL = 840 mL

31
Q

what is total IVF amount for a 24 hr period for a 28 kg child with dehydration?

A

1660 mL/24 hrs

Childrens-Redman (4 decks)

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