ill child - exam 1 Flashcards
Interventions recommended for care of a fracture in a cast include
- rest, ice packs, elevation of extremity, analgesics
- do not put anything inside cast
- do not dangle extremity in dependent position
- do not cut edges of cast
- do not put powder in or around cast
- reinforce teaching to client to report any signs of neurovascular compromise and/or pain not relieved with analgesics
A child was diagnosed with strabismus of the left eye. Which eye is patched?
The right eye is patched.
To prevent Reye’s syndrome, this class of medications is avoided:
- Salicylates (aspirin)
This seizure is characterized by a rapid rise in temperature
- Febrile seizure
Salty tears and skin, meconium ileus, steatorrhea, chronic cough and barrel-shaped chest are symptoms/signs of:
Cystic fibrosis
This neurological disease characterized by repeated seizures requires anti-seizure medication to be taken every day
- Epilepsy
Gum hyperplasia is seen with the use of this antiepileptic drug
- phenytoin(Dilantin)
Bacterial meningitis is treated with which class of medication?
- Antibiotics
RSV requires this type of precautions
This congenital heart defect results in an increased BP in the upper extremities and a decreased BP in the lower extremities
This type of otitis results in an erythematous and edematous external auditory canal that is extremely painful to touch
The priority nursing intervention when caring for a child who is actively seizing is:
These foods should be avoided in a child who had a tonsillectomy (immediately post-op)
The most common post-op complication from a tonsillectomy is:
Bruises and fractures in various stages of healing are indicative of which type of child abuse?
Delayed motor development, muscle weakness beginning in the lower extremities, frequent falling, and calf hypertrophy is indicative of:
Risk modifiers for prevention of sudden infant death syndrome (SIDS) are:
A child with CF (cystic fibrosis) should have a diet high in ________
Knee-chest position is important to help relieve acute hypoxia in which congenital heart defect?
Red conjunctiva with purulent drainage and a subjective report of irritation (not itchy) is termed:
Epiglottitis presents with a cough (True or False)Epiglottitis presents with a high fever(True or False)
A child with meningitis should be kept in this type of environment:
The nurse should be sure to keep weights ________ when caring for a child in traction
Interventions to ease fear in a child about to undergo a procedure include:
It is a medical emergency if tympanostomy tubes fall out of a child’s ear (True or False)
Modifiable risk factors to prevent the recurrence of acute otitis media in a child are:
Do not **prop **bottles
Do not give child a bottle in bed
Avoid second-hand smoke environments
Hold child in semi-reclining position during feeds
Pharmacologic and non-pharmacologic treatments for juvenile idiopathic arthritis include:
- Non-pharmacologic methods: Warm packs, swimming, gentle stretching of joints, rest, therapeutic play
- Pharmacologic methods: NSAIDS, acetaminophen, biologic medications, and corticosteroids during acute flares
Dysphagia, drooling, high fevers, tripod (orthopneic) positioning is indicative of this acute respiratory illness that is a medical emergency
Epiglottitis
Symptoms of a pathology that include a sudden onset at nighttime, cough, stridor, low-grade fever and typically has a viral cause is known as:
- Croup
Reye’s syndrome
This occurs when aspirin is used for fever reduction in children and adolescents who have a viral illness (chickenpox or influenza).
Avoid giving aspirin when a child or adolescent has a viral illness (chickenpox or influenza).
