EXAM 3 Flashcards
Why is a child at risk for Shaken Baby Syndrome?
Neck is not supported/ head trauma And head is disproportionate
What should the nurse do if a client who has a hip spica cast and complains of pain for 1 hour after receiving intravenous opioid analgesia?
Neuromuscular Assessment
What should the nurse do if another client who has been re-casted for clubfoot and has been crying for an hour?
Make sure there is neuro/blood circulating to foot
What is the initial nursing intervention on a newborn with a myelomeningocele when transferred to the NICU?
Cover the bulge with sterile saline dressing
How long should a child with meningitis remain in isolation?
Full antibiotics for 24 hours
What nursing actions are appropriate to prevent skin breakdown for a client with a spinal cord injury?
pillow under heels No latex Gloves, latex free environment
What lab value should the nurse report to the provider before initiating amphotericin B?
BUN of 55
What is beneficial in reducing the risk of Reye syndrome
Avoid Aspirin Intake
What assessment should the nurse include on a child who has acute rheumatic fever?
Listen to heart sounds
What should a nurse expect from a child who has heart failure?
Orthopnea
What comfort medication can be given to a child who just had cardiac catheterization?
Tylenol/acetaminophen
What is a normal apical heart rate for a 6-month-old infant?
90-160 BPM, hold if under 90 (digoxin)
What supplement can be added to a baby’s formula to increase calories in an infant with heart failure?
Polycos, gives supplement to the formula
What data or medical information would clue the nurse might have rheumatic fever?
Do they have strep throat? Do the siblings have strep? Auscultating rates and Heart sounds
What defect is associated with increased pulmonary blood flow?
Congenital heart defect
