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NSG 452 Synthesis > Exam 4 > Flashcards

Exam 4 Flashcards

1
Q

erikson stage during infancy

A

trust vs. mistrust

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2
Q

erikson stage during early childhood

A

autonomy vs. shame and doubt

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3
Q

erikson stage during preschool

A

initiative vs. guilt

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4
Q

erikson stage during school age

A

industry vs. inferiority

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5
Q

erikson stage during adolescence

A

identity vs. role confusion

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6
Q

erikson stage during young adulthood

A

intimacy vs. isolation

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7
Q

erikson stage during middle adulthood

A

generativity vs. stagnation

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8
Q

erikson stage during maturity

A

ego integrity vs. despair

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9
Q

what do you do for PE?

A

sit them up, 100% NRB, call rapid

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10
Q

what do we always to first with oxygenation issues?

A

always sit them up

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11
Q

hallmark sign of compartment syndrome

A

pain that is out of control

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12
Q

if GCS <8 what do we do?

A

intubate, BVM

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13
Q

if a teen has scoliosis, what are they going to struggle with mentally?

A

body image

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14
Q

how long do you need to wear a brace for scoliosis?

A

until bone maturity

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15
Q

if you are vomiting, what are we worried about?

A

metabolic alkalosis

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16
Q

if you are having diarrhea, what are we worried about?

A

metabolic acidosis

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17
Q

what are you going to see with pyloric stenosis?

A

projectile spitup

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18
Q

what are we worried about with pyloric stenosis and projectile spitup?

A

worried about aspiration, hypovolemic shock

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19
Q

what is a bolus?

A

20 mL/kg NS

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20
Q

what will you see on assessment with hirschprungs?

A

constipated or ribbon-like stool

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21
Q

what will you see with intussception?

A

baby would be fuzzy and in pain, currant jelly stool

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22
Q

how to correct intussception

A

air enema, regular enema, surgery

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23
Q

how do we know that intussception is fixed?

A

passage of a normal stool

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24
Q

what does acetaminophen affect?

A

liver

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25
Q

what do NSAIDs affect?

A

kidneys

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26
Q

what med do we not give children under 18?

A

aspirin; risk of reye’s syndrome

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27
Q

when is the only time we can give aspirin to children under 18?

A

with kawasaki

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28
Q

do we induce vomiting ever?

A

no

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29
Q

hallmark of CF

A

thick mucus

30
Q

when working with someone with a different degree, what is important to know?

A

their scope

31
Q

if there is a nurse having trouble keeping up, what should they work on?

A

time management

32
Q

if you get a difficult assignment as a new nurse, what should you do?

A

express your concerns

33
Q

crisis numer

A

988

34
Q

what do we look for in a fracture?

A

color, movement, sensation

35
Q

what kind of vaccines are MMR and varicella?

A

live

36
Q

who do we not give live vaccines to?

A

immunosuppressed or pregnant

37
Q

all mandatory reports made by phone MUST be followed up in writing to the __________

A

place where you reported the call to

38
Q

in Colorado, what is the required age to be left alone?

A

there is no law

39
Q

can mandatory reporters in pueblo call back to the department of human services 48 hours after making a report to find out what actions have been taken?

A

you can no longer call back to ask about the status, only if you demonstrate that you have some type of working relationship with the family/situation

40
Q

adult compressions to breaths and rescue breathing

A

30:2 and 1 every 3-5 seconds

41
Q

if a child is choking, what do you do?

A

heimlick or backblows; no blind sweep

41
Q

peds compressions to breaths and rescue breathing

A

30:2 with 1 person or 15:2 with 2 people and 1 every 2-3 seconds

42
Q

DOPE acronym

A

Displacement ~ right mainstem, pull out
Obstruction ~ suction
Pneumothorax
Equipment

43
Q

VAP pneumonia interventions

A

sit HOB 30 degrees, oral care, suction as needed

44
Q

what will you see with a pulmonary embolism?

A

trouble breathing, impending doom, anxious, increased RR, increased HR, low O2, color change

45
Q

what will you see with pulmonary edema?

A

trouble breathing, crackles, rhonchi, pink sputum, drowning

46
Q

barlow sign

A

examiner adducts the hip while applying a posterior force on the knee to promote dislocation

47
Q

ortolani sign

A

examiner abducts the hip while applying an anterior force on the femur to reduce the hip joint

48
Q

allis sign

A

affected knee is lower with knees bent in supine position

49
Q

6 P’s of compartment syndrome

A
  • pain
  • pallor
  • paralysis
  • paresthesia
  • pulselessness
  • poikilothermia
  • CPK - CK will be high
50
Q

hip fracture precautions

A
  • no BLT!
  • do not bend forward more than 90 degrees
  • do not roll surgical leg outward
  • do not cross legs
  • do not move surgical leg out to the side
  • do not bend forward more than 80 degrees
51
Q

signs of dehydration in an infant

A
  • sunken fontanelle
  • sunken eyes
  • lack of tears when crying
  • wants to drink a lot of water
  • decreased urine output
  • rapid breathing
  • increased HR
  • restlessness and irritability
  • lethargy/weakness
  • poor skin turgor
52
Q

what do you do with an omphalocele or gastroschisis?

A

sterile moist gauze

53
Q

normal pediatric BP

A

90 + 2x age in years

54
Q

hypotension in pediatric

A

70 + 2x age in years

55
Q

concerning temperatures in pediatrics

A

above 100.4 or below 97.0

56
Q

RR above what is concerning in peds

A

60 RR/min

57
Q

play with babies and older children

A

solitary

58
Q

play with toddlers

A

parallel

59
Q

play with preschool

A

associative and dramatic

60
Q

play with school age

A

cooperative/team

61
Q

FLACC scale

A

for nonverbal patients 2 months - 7 years
Face
Legs
Activity
Cry
Consolability

62
Q

abuse recognition

A

Trunk
Ears
Neck
Frenulum
Auricular area
Cheek
Eyes
Sclera
Patterned bruising

63
Q

upper airway emergency med

A

epi

64
Q

lower airway emergency med

A

albuterol

65
Q

what do we do with disordered control of breathing emergency?

A

BVM

66
Q

how do we treat lung tissue disease emergency?

A

antibiotics

67
Q

with an upper airway emergency, what do we check first?

A

foreign body

68
Q

what does croup sound like?

A

stridor and barking cough

69
Q

what does anaphylaxis look like?

A

wheezing, distress, and rash

NSG 452 Synthesis (4 decks)

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