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NCLEX - HURST REVIEW (Pediatrics) > Heads or Tails (Lice, Pin worms, Mono, Tonsilectomy, Otitis media) > Flashcards

Heads or Tails (Lice, Pin worms, Mono, Tonsilectomy, Otitis media) Flashcards

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1
Q

What is Head Lice ?

A

Common problem in which the main symptom is itching

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2
Q

Can lice spread to other parts of the body beside the head ?

A

Yes

can go anywhere

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3
Q

How are Lice spread ?

A

Direct contact

with lice or nits

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4
Q

What is the Treatment for Head Lice ?

A

Antiparasitic medications

   - will often need re-treatment (if missed any)
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5
Q

What is the primary symptom of Pin worms ?

A

Intense Rectal Itching, often manifested by…

  • general irritability
  • restlessness
  • poor sleep
  • bed wetting
  • distractibility
  • short attention span
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6
Q

How are Pin worms spread ?

A

Hand to mouth

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7
Q

True or False:

Pin worm eggs live in dirt and dust ?

A

True

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8
Q

Pin worm eggs can be everywhere, therefore what should be done ?

A

The whole family should be treated

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9
Q

With Pin worms, how do you collect a specimen for diagnosis ?

A

Tape test

to rectum in morning before BM, d/t eggs coming out at night

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10
Q

What is the Tx for Pin Worms ?

A
  • Mebendazole (Vermox)
  • Good handwashing
  • Keep fingernails short
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11
Q

What is Infectious Mononucleosis ?

A

Infectious disease commonly known as the “kissing disease”

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12
Q

What are the signs and symptoms of Mononucleosis ?

A
  • Sore throat
  • Fatigue
  • Swollen lymph nodes
  • Liver and/or spleen enlargement
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13
Q

What is the name of the virus that causes infectious mononucleosis ?

A

Epstein Barr Virus

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14
Q

How is infectious mononucleosis spread ?

A

Direct intimate contact

or with objects like a water fountain

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15
Q

What is the Tx for Infectious Mononucleosis ?

A
  • Rest
  • Analgesics
  • Increased fluids
  • Good nutrition
  • Limit participation in contact sports to prevent injury
    (b/c the spleen will be enlarged)
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16
Q

What are a Tonsilectomy and Adenoidectomy ?

A

Surgical procedures frequently performed for children with recurrent URI’s or obstructive sleep issues

17
Q

How should a client be positioned after a Tonsilectomy ?

A

Place on their side and elevate the HOB…… (blue post-it in book. pg 253)

18
Q

Why are brown and red fluids avoided post-op after Tonsilectomies and Adenoidectomies ?

A

Don’t want anything to be confused with blood

19
Q

What would indicate that hemorrhaging is occurring post-op Tonsilectomies and Adenoidectomies ?

A

Frequent Swallowing

20
Q

How many days post-op Tonsilectomies and Adenoidectomies is the client at risk for hemorrhage ?

Why ?

A

up to 10 days

B/c the scabs on the surgical sites will begin to slough off at 7 to 10 days

21
Q

What types fo foods should be avoided for several days post Tonsilectomies and Adenoidectomies ?

A

No chips or rough foods for several days

22
Q

What are common complaints post-op Tonsilectomies and Adenoidectomies ?

A

Sore throat and slight ear pain

too much ear pain = assume infection

23
Q

Could there be a Low grade temp with Tonsilectomies and Adenoidectomies ?

A

Yes

24
Q

Could bad breath be associated with Tonsilectomies and Adenoidectomies ?

A

Yes

25
Q

What could be the causes of the bad breath that might be associated with Tonsilectomies and Adenoidectomies ?

A
  • Old blood in throat
  • may also be a sign of a foreign body in the nose
    (the bad breath is caused from infection in the area. infection is what smells)
    (tx is to remove the foreign body)
26
Q

What is Otitis Media ?

A

Infection of the middle ear

27
Q

What is Otitis Media characterized by ?

A
  • A bulging, bright red, tympanic membrane

usually preceded by an URI

28
Q

What are the Treatments for Otitis Media ?

A
  • Careful use of Antibiotics
  • Avoid chewing (need soft foods)
  • Teach parent that the child may not be able to hear them well
    (d/t fluid build up)
  • Avoid smoke of any kind
  • May require tympanostomy tubes or PE (pressure equalizing) tubes
29
Q

What do Tympanostomy tubes or PE (pressure equalizing) tubes do ?

A

They keep the middle ear drained

30
Q

Are Tympanostomy tubes or PE (pressure equalizing) tubes temporary ?

A

Yes!

31
Q

Tympanostomy tubes or PE (pressure equalizing) tubes are Temporary. How are they removed ?

A

Fall out, usually after 1 year

32
Q

If a child has PE tubes in the ears, what must they do ?

A

They must wear earplugs in the bathtub or when swimming

anytime there is a risk of getting water n the ears

33
Q

How do you Prevent Otitis Media ?

A
  • Have baby sitting up for feedings
  • No bottle propping
  • Gentle nose blowing
    (hard blowing can push germs into the Eustachian tubes)
  • Play “blowing” games
    (helps keep middle ear open & to get air)
  • Avoid smoke of any kind

NCLEX - HURST REVIEW (Pediatrics) (13 decks)

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