Peds Ch 31,32,33,34

Question 1

What are teaching tips to give to parents when the child has to take antibiotics

Answer 1

Don’t stop taking antibiotics

take with food

Question 2

What is the preferred injection site for an infant

Answer 2

Vastus lateralis

Question 3

When assessing an IV site, what should the nurse be looking for

Answer 3

swelling, redness, irritation

Question 4

What is important to know when calculating med doses in children

Answer 4

height and weight

Question 5

What is fluid in the body cells

Answer 5

intracellular

Question 6

What is fluid between the cells

Answer 6

interstitial

Question 7

What is the word for ear medication

Answer 7

otic

Question 8

What is the word for eye medication

Answer 8

opthalmic

Question 9

What should be done to ear medication prior to giving it

Answer 9

Warm it to room temperature

Question 10

How should ear medication be given to a young child

Answer 10

Pull ear down and back

Question 11

How should ear medication be given to an older child

Answer 11

pull ear up and back

Question 12

How would the nurse ID the patient prior to med administration

Answer 12

name and birth date

Question 13

Where should a child be taken prior to doing any painful procedure including injections

Answer 13

treatment room

Question 14

How should oral medication be given to an infant

Answer 14

nipple, syringe, med dropper

Question 15

What is a chronic illness

Answer 15

long duration
progresses slowly
interferes with daily function

Question 16

What is important to keep in mind when caring for a child with a chronic illness

Answer 16

Growth and development

Question 17

Name some chronic illnesses

Answer 17

Cystic Fibrosis
Cancer
Type 1 Diabetes
Down Syndrome

Question 18

What are some common caregiver responses to a child with chronic illness

Answer 18

Over protective
emotional
rejection
denial

Question 19

What are some common responses from children to chronic illness

Answer 19

Regression

Question 20

What are symptoms of physical abuse

Answer 20

Bruises, fractures, shaking, burns

Question 21

What are symptoms of sexual abuse

Answer 21

Aches and pains
GI upset
nightmares
aggression

Question 22

What is psychological abuse

Answer 22

emotional abuse

Question 23

What can happen if a nurse does not report suspected abuse

Answer 23

go to jail, license revoked

Question 24

What is Munchausen by proxy

Answer 24

Caregiver induces illness in a child to gain attention

Question 25

What are symptoms of shaken baby syndrome

Answer 25

ICP, high pitched cry, blindness

Question 26

Which socioeconomic group are most likely to show violence, neglect and sexual abuse

Answer 26

Poor

Question 27

What should a rape victim do immediately after being raped. What should she not do

Answer 27

Go immediately to the hospital

Don’t shower or change

Question 28

Give some examples of neglect

Answer 28

Not taking child to the doctor, dentist or school

Question 29

What is the main goal of hospice care

Answer 29

Comfort

Question 30

What is anticipatory grief

Answer 30

Grief process starts when child is diagnosed

Question 31

What are stages of grief and what does each mean

Answer 31

Denial-denies the death
Anger-angry at person who died or God
Bargaining-tries to think of things that could have been done better or differently
Depression-Sad about the loss
Acceptance-Accepts that the person is gone

Question 32

How should the nurse address cultural differences in times of death

Answer 32

Ask the family if they have any religious rituals they want to have done on their loved one

Question 33

When do kids realize the permanence of death

Answer 33

School age 8-9

Question 34

When family or the patient expresses concern what should the nurse do

Answer 34

encourage them to talk about it