health assessment

Question 1

what is the number 1 assessment component

Answer 1

observation

Question 2

what is part of observation

Answer 2

parent and child interaction

Question 3

what are we assessing

Answer 3

emotional
physiologic
cognitive
social development

Question 4

what to do before touching kids

Answer 4

catagorise care

Question 5

what is the assessment process

Answer 5

establish
respect
listen
observe
obtain
validate and interpret

Question 6

establish

Answer 6

establish report and trust
especially in toddler

Question 7

respect

Answer 7

respect the child and parent

Question 8

listen

Answer 8

listen actively
demonstrate empathy
provide feedback

Question 9

observe

Answer 9

observe systematically

Question 10

obtain

Answer 10

obtain accurate data
look everything up

Question 11

validate and interpret

Answer 11

validate and interpret data accurately
look EVERYTHING up- dont take parents words

Question 12

what is the reason for the visit

Answer 12

cheif complaint
most imprtant
center of care

Question 13

how do we approach children

Answer 13

based off their developmental age and stage

Question 14

how do we weight ped

Answer 14

infants- naked
adult- standing scale

Question 15

how do kids like the exam room

Answer 15

warm

Question 16

how to assess newborns/ infants

Answer 16

if asleep auscultate heart lungs and abdomen first
least invasive to most
more traumatic procedure last (ears, nose, mouth, throat)
quickly and completely

Question 17

how do you handel newborns/ infants

Answer 17

firm gentle handling- dont be nervous
use soft, crooning voice, smile, engage infant
bright colored objects for distraction
talk and play while doing assessment

Question 18

how to assess toddlers

Answer 18

warm room
incorporate play
remove clothing one item at a time
use little touch until they are comfortable with you
introduce instruments slowly- let them play
sit on parents lap
praise child
short phrases for explanation

Question 19

how to assess preschoolers

Answer 19

fear of body invasion and mutilation
sense of initiative leads to cooperation
allow them to help
offer choices if able- never yes or no
positive reenforcement
like to play game s

Question 20

how to assess school age

Answer 20

don’t use medical jargon
truthful and simple explanations
colorful instruments
respect Childs desire to avoid pain
allow to wear underpants
redress asap
privacy and respect for feelings

Question 21

how to assess adolescents

Answer 21

provide privacy- have paretns leave the room
demonstrate respect
perform head to toe
information in a matter of fact- make it normal- it happens
no dumb questions
teach self breast and testicular exam

Question 22

8 rights of med administration

Answer 22

time
dose
route
medication
identification
approach
document , education, refuse, right form

Question 23

pharmacokinetics

Answer 23

movement of drugs throughout the body via absorption, distribution, metabolism, and excretion

Question 24

pharmacodynamic

Answer 24

drugs at the cellular level

Question 25

what can affect drug admin

Answer 25

age
weight
body surface area
body composition

Question 26

oral medications

Answer 26

slower gastic emptying
increase intestinal motility- poop a lot
larger small intestine surface area

Question 27

IM absorption

Answer 27

amount of muscle mass- depends what part of body to give
muscle tone and profusion- changes the absorption
vasomotor instability

Question 28

topical absorption

Answer 28

increase in infants and children- thinner
greater body surface area
greater permeability of the infants skin

Question 29

what is the most common med error

Answer 29

incorrect dose/ quantity

Question 30

who is responsible for checking dose

Answer 30

nurse

Question 31

what is the amount of meds based off of

Answer 31

weight

Question 32

know the difference between 24 hour dose and single

Answer 32

….

Question 33

convert pounds to kilograms

Answer 33

divide pounds by 2.2

Question 34

who is at higher risk for aspiration

Answer 34

5 to 6 year olds
like to fight

Question 35

how to admin liquid meds

Answer 35

posterior side of mouth
give slowly in small amounts and allow to swallow

Question 36

rectal meds

Answer 36

not preferred
absorption erratic and unpredictable
upsetting to toddler and preschoolers
embarassing to school age and adolescents
used when vomiting or NPO
lubricate

Question 37

IM medication

Answer 37

used infrequently b/c painful and lack of muscle mass
immunizations
infants- vastus lateralis
older children- deltoid
no longer aspiration - vit k?

Question 38

sub cu medication

Answer 38

fatty layers
insulin, heparin, certain immunizations
prefered sites- anterior thigh, lateral upper arms, abdomen

Question 39

IV meds

Answer 39

children in hospital
rapid response
more controlled
invasive and traumatic
less traumatic then multiple injections
specified rate and diluted

Question 40

IV

Answer 40

knowledge of drug
amount to be given
minimun dilution
type of solution for dilution
compatibility
length of infusion
rate

Question 41

preventing errors

Answer 41

potential error is 3 times as high!!!
weight based
fractional
need to use decimal
less ability to tolerate med error- smaller- cant tell you whats wrong

Question 42

how to prevent errors

Answer 42

confirm weight is accurate
weight in kilograms
double check med calculations
is dose is unusual verify order
utilize ordering and dispensing sysetms
always report near miss or error

Question 43

what is the expected urine output

Answer 43

1.0 to 2.0 ml/kg/hour

Question 44

preventing IV complications

Answer 44

strict aseptic tech
inspect every 1-2 hr

Question 45

IV imflammation

Answer 45

warmth
redness
induration
tender skin

Question 46

IV infilitration

Answer 46

cool
blanched
puffy

Question 47

PICC lines

Answer 47

more common
places anywhere
older in arms
watch vital signs

Question 48

what do you never administer in TPN line

Answer 48

blood or medication