Peds Ch 31,32,33,34 Flashcards
What are teaching tips to give to parents when the child has to take antibiotics
Don’t stop taking antibiotics
take with food
What is the preferred injection site for an infant
Vastus lateralis
When assessing an IV site, what should the nurse be looking for
swelling, redness, irritation
What is important to know when calculating med doses in children
height and weight
What is fluid in the body cells
intracellular
What is fluid between the cells
interstitial
What is the word for ear medication
otic
What is the word for eye medication
opthalmic
What should be done to ear medication prior to giving it
Warm it to room temperature
How should ear medication be given to a young child
Pull ear down and back
How should ear medication be given to an older child
pull ear up and back
How would the nurse ID the patient prior to med administration
name and birth date
Where should a child be taken prior to doing any painful procedure including injections
treatment room
How should oral medication be given to an infant
nipple, syringe, med dropper
What is a chronic illness
long duration
progresses slowly
interferes with daily function
What is important to keep in mind when caring for a child with a chronic illness
Growth and development
Name some chronic illnesses
Cystic Fibrosis
Cancer
Type 1 Diabetes
Down Syndrome
What are some common caregiver responses to a child with chronic illness
Over protective
emotional
rejection
denial
What are some common responses from children to chronic illness
Regression
What are symptoms of physical abuse
Bruises, fractures, shaking, burns
What are symptoms of sexual abuse
Aches and pains
GI upset
nightmares
aggression
What is psychological abuse
emotional abuse
What can happen if a nurse does not report suspected abuse
go to jail, license revoked
What is Munchausen by proxy
Caregiver induces illness in a child to gain attention
What are symptoms of shaken baby syndrome
ICP, high pitched cry, blindness
Which socioeconomic group are most likely to show violence, neglect and sexual abuse
Poor
What should a rape victim do immediately after being raped. What should she not do
Go immediately to the hospital
Don’t shower or change
Give some examples of neglect
Not taking child to the doctor, dentist or school
What is the main goal of hospice care
Comfort
What is anticipatory grief
Grief process starts when child is diagnosed
What are stages of grief and what does each mean
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
How should the nurse address cultural differences in times of death
Ask the family if they have any religious rituals they want to have done on their loved one
When do kids realize the permanence of death
School age 8-9
When family or the patient expresses concern what should the nurse do
encourage them to talk about it
