Peds Exam 4 Flashcards
A patient has a lazy eye (amblyopia), what can be done first to manage this condition?
Patching of the stronger eye, atropine drops in stronger eye.
A patient has congenital cataracts. What management measures should be taken?
Surgical removal of cataracts, sunglasses when outside.
A patient is diagnosed with OME. Should the nurse plan to administer antibiotics?
No. OME is non-infectious.
A child comes to the clinic and the parent states that they’ve been pulling at their ear and running a fever. What do you expect?
Acute otitis media.
How would a nurse expect to manage AOM?
Antibiotics. And manage ear pain and fever.
What are the 3 types of hearing loss?
- Sensorineural: Ototoxic meds, meningitis, CMV, rubella, excessive noise.
- Conductive: Frequent OM
- Mixed: Both conductive and sensorineural
What is used to relieve pressure, provide a route for infection to leave, and is indicated in patients with frequent OM?
Tympanostomy tubes.
A patient that has tympanostomy tubes states that they love swimming. What should the nurse educate them about?
Wearing earplugs while swimming.
On assessment, the nurse finds that the patient’s red reflex is grayish (or green), what condition might the nurse suspect.
Glaucoma
When administering eardrops or inspecting TM in a patient that is 2 years old, what steps should the nurse take?
Pull earlobe down and back.
A patient with ALL complains of leg pain. Why does this make sense?
The issue r/t ALL occurs within the bone marrow.
18 month old presents w/ watery diarrhea, an asymmetric abdomen, a contender mass in right abdomen, proptosis in right eye, and elevated HVA and AMA. What do you suspect?
Neuroblastoma.
15 year old patient presents with complaints of dull R leg pain, has a limp, has erythema/ swelling around the knee and bone scan shows mass in right distal femur. What do you suspect?
Osteosarcoma.
What type of lesion is ringworm?
annular
Why is treatment different for tinea captius vs other fungal infections?
Topical won’t work. Must take oral griseofulvin.
What is associated w/ MRSA and staph, commonly occurs around nose and mouth and has pustules w/ honey colored crusts?
Impetigo.
When staph aureus infection produces a toxin causing the baby to have a burned appearance, what is this called?
SSSS.
When should sunscreen be re-applied?
At least every 2 hours.
A 15 year old child presents with areas of comedones (bumps) on forehead and cheeks and also has scattered pustules on his back with hypertrophic scarring. The nurse knows that he probably has what condition?
Acne Vulgaris
What are some history and physical cues that would support a diagnosis of acne vulgaris?
-Presence of comedones, pustules, hypertrophic scarring
- Oily skin and/or hair
- Hx of endocrine disorder
- Use of steroids, androgens, lithium, phenytoin, isoniazid.
- Acne worsens 2 to 7 days before start of next MP for females