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NCLEX > Nursing Care of Children > Flashcards

Nursing Care of Children Flashcards

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1
Q

FLACC pain tool age

A

2 months - 7 years

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2
Q

Components of FLACC pain tool

A
  • 0-10 rating
  • Face
  • Legs
  • Activity
  • Cry
  • Consolability
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3
Q

FACES pain tool age

A

3 years and older

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4
Q

Oucher pain tool age

A

3-13 years

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5
Q

Oucher pain tool components

A

Pictures that show how the child is feeling

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6
Q

Non-communicating Children’s Pain Checklist age

A

3 years and older

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7
Q

Non-Communicating Children’s Pain Checklist scoring components

A
  • Observe behaviors for 10 minutes
  • Score 0-3 points for each category
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8
Q

Non-Communicating Children’s Pain Checklist categories (6)

A
  • Vocal
  • Social
  • Facial
  • Activity
  • Body/limbs
  • Physiological
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9
Q

Patent ductus arteriosus

A

Fetal ductus arteriosus doesn’t close within minutes - days after birth

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10
Q

Blood flow with patent ductus arteriosus

A
  • Aorta to pulmonary artery
  • Left to right shunting
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11
Q

Patent ductus arteriosus symptoms (7)

A
  • Asymptomatic
  • Symptoms of heart failure
  • Respiratory distress
  • Murmur
  • Bounding pulses
  • Widened pulse pressure
  • Poor feeding
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12
Q

Ventricular septal defect

A

Abnormal opening in the septum between the left and right ventricle

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13
Q

Blood shunting in VSD

A
  • Left to right shunting
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14
Q

VSD symptoms (3)

A
  • Loud, harsh murmur auscultated at left sternal border
  • Mild cyanosis that increases with crying
  • Heart failure
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15
Q

Atrial septal defect

A

Abnormal opening in the septum between the left and right atria

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16
Q

Blood shunting in ASD

A
  • Left to right shunting
17
Q

ASD symptoms (6)

A
  • Asymptomatic
  • Murmur
  • SOB with activity
  • Frequent respiratory infections
  • Dysrhythmias
  • Heart palpitations/skipped beats
18
Q

Tetralogy of fallot

A
  • Pulmonary stenosis
  • VSD
  • Overriding aorta
  • Hypertrophy of right ventricle
19
Q

Blood shunting in TOF

A
  • Left to right
  • Right to left
20
Q

TOF symptoms (5)

A
  • Cyanosis/hypoxia (tet spells)
  • Heart sounds vary depending on defect
  • Cardiomegaly
  • Heart failure
  • Systolic murmur
21
Q

Transposition of great vessels

A
  • 2 main arteries are reversed
  • Aorta exits the right ventricle instead of the left
  • Pulmonary artery comes from the left ventricle instead of the right
22
Q

Transposition of great vessels symptoms (4)

A
  • Cyanosis
  • Heart sounds vary depending on defect
  • Cardiomegaly
  • Heart failure
23
Q

Coarctation of the aorta

A

Narrowing of the lumen of the aorta obstructing blood flow from the ventricle

24
Q

Coarctation of the aorta symptoms (7)

A
  • Upper extremities: elevated bp, bounding pulses
  • Lower extremities: decreased bp, weak/absent pulses, cool skin
  • Dizziness
  • Syncope
  • Headache
  • Epistaxis
  • Heart failure
25
Q

Enterobiasis vermicularis

A

Pinworms

26
Q

Nursing interventions for pinworms (3)

A
  • Trim fingernails short
  • Dress in 1 piece pajamas
  • Shower instead of baths
27
Q

Education for pinworms (3)

A
  • Pyrantel pamoate will turn GI contents red and stain clothes
  • Need to treat the whole family
  • Good handwashing
28
Q

Pediculosis capitis

A

Head lice

29
Q

Education for head lice (8)

A
  • Repeat treatment in 7-10 days
  • Teach how to use nit comb and run in sections from scalp to ends
  • Cover eyes when treating
  • Treat all members of household
  • Wash linens, towels, clothes in hot water and dry with hot air
  • Seal non-washable items in plastic bag for 2 weeks
  • Thoroughly vacuum carpets, car seats, pillows, stuffed animals
  • Soak combs, brushes, hair accessories in lice killing agent for 1 hour

NCLEX (40 decks)

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