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Question 1

mmrv takes 5 to 12 day for reactions what are they?

Answer 1

mild fever, rash, irritable, restless , swell of injection area . the most rare but srs reaction is febrile seizure

Question 2

2 type of advance directive

Answer 2

living will smith, and durable power of attorney .

a living will has the patients wishes on what actions
DPOA - a person who decides what to do

Question 3

pre schoolers age 3-6 , how do they think?

Answer 3

magical thinkers , this helps them understand the world they live in

Question 4

most common cause of death kids under 5 is choking on what though?

Answer 4

hot dogos, hard candy, grapes, cherries

Question 5

what is the number 1 thing to do for infant with esophageal atresia/tracheoesophageal fistula

Answer 5

prevent aspiration keep them on NPO, raise their head 30 degrees, keep them on their back. keep suction by bed just in case.

Question 6

what will i assess infant with EA/TEF

Answer 6

FROTH salavia, Coughing, Choking, Drooling, they can also have apnea, blueness when eating

Question 7

pt with CKD at risk for fluid overload/HYPERKAL.

What kind of diet they need?

Answer 7

LOW SODIUM, LOW K, LOW Protein 0.6-0.8g/kg/day

Question 8

what are s/s of hypothyroidism remember LOW AND SLOW

Answer 8

card- brady
GI- weigh gain , constip
musculo- fatigue , joint pain
nervous - lethargy, apathy, forget
repro - oligo or amenorrh/ hypermennorhea, infertil, decr libito
integument- cold intol dry skin , british nails , hair loss
hematol- anemia pallorrrr

Question 9

what is non maleficence

Answer 9

ethical prince of doing no harm

Question 10

what is veracity

Answer 10

telling the truth

Question 11

what is paternalism

Answer 11

pts treated as children

Question 12

what is autonomy

Answer 12

allowing pt to act on their own direction of care

Question 13

what has to be done for children w epiglottis

Answer 13

tripod postion, ensure patent airway, try not to produce any anxiety in the child. priority is to protect the airway

Question 14

s/s of epiglottis

Answer 14

severe soar throat, HIGHHH FEVA,
4 D’S Dysphonia(muffin voice)

Dysphagia
DROOL
DISTRESSED RESP eff

Question 15

PE pulmonary embolus appropriate nursing diagnosis

Answer 15

activity intol, acute pain, anxiety,

Impaired gas exchange is the priority . <80 p02 restless , dyspnea , tachycar

Question 16

Major SA of SSRI Paroxatine (paxil) Citalopram(celexa)
escitalopram(Lexapro) Fluoxetine(Prozac) Sertraline( Zoloft)

Answer 16

incr suicide risk (at beginning of therapy) sexual dysfunction weight gain seritonin syndrome( excess dose)

never stop abruptly

Question 17

catatonia s/s

Answer 17

immobile, staying mute, weird posture, extreme nega dont do what you suggest . waxy flex, staring

Question 18

priority for catatonia

Answer 18

dehydration and malnutrition , total care needed

Question 19

ziprasidone hydrochloride ( geodon)

Answer 19

USE: Atypical antipsych for acute bipolar , acute psychosis, and agitation
SA: QT prolong (torsades de pointes) hypotn, seizure

Question 20

tricyclic antidepressants (amitriptyline , notriptyline, desipramine, imipramine )

Answer 20

USE: COMMON FOR NEUROPATHIC PAIN
SA: DIZZy , DRY Mouth, DROWSSIE
teach caution w/ position changes fall risk for hypotn

Question 21

Neonates HR

Answer 21

110 to 160 beats/minute

Question 22

Infants HR

Answer 22

100 to 160 beats/minute

Question 23

1 to 2 years HR

Answer 23

90 to 150 beats/minute

Question 24

2 to 5 years HR

Answer 24

80 to 140 beats/minute

Question 25

6 to 12 years HR

Answer 25

70 to 120 beats/minute

Question 26

Older than 12 years HR

Answer 26

60 to 100 beats/minute