principles of peds nursing lab

Question 1

what pain scale is used for infants?

Answer 1

FLACC

body outline

Question 2

what pain scale is used for preschoolers?

Answer 2

chips
FACES
body outline

Question 3

what pain scale is used for school age kids?

Answer 3

direct question
numeric
visual analog

Question 4

what are the 6 principles of peds nursing?

Answer 4

1) atraumatic care
- prevent/minimize injury/bodily harm
- prevent/minimize separation
- promote sense of control
2) growth and development
3) family centered care
4) communication w child and family
5) safety (physical and infection prevention)
6) teaching and health promotion

Question 5

how is absorption different in children? how that affects med administration?

Answer 5

Topical medications are absorbed much more effectively

smaller dosages are required OR doses should be given less frequently.

IM sites in infants and young children are the vastus lateralis or ventrogluteal because the gluteal muscles are still underdeveloped

Question 6

how is metabolism different in children? how that affects med administration?

Answer 6

metabolized more slowly and less consistently

more medication remains in its active form in the plasma

therefore toxicity risks are higher

Children are at greater risk for developing dehydration

Question 7

how is excretion different in children? how that affects med administration?

Answer 7

slow or incomplete excretion of medication

Increases the risk of toxicity or undesired effects.

Question 8

what are erikson’s stages of development?

Answer 8

1) Trust vs. Mistrust (Infancy from birth to 18 months)
2) Autonomy vs. Shame and Doubt (Toddler years from 18 months to three years)
3) Initiative vs. Guilt (Preschool years from three to five)
4) Industry vs. Inferiority (Middle school years from six to 11)
5) Identity vs. Confusion (Teen years from 12 to 18)
6) Intimacy vs. Isolation (Young adult years from 18 to 40)
7) Generatively vs. Stagnation (Middle age from 40 to 65)
8) Integrity vs. Despair (Older adulthood from 65 to death)

Question 9

behavioural cues to pain in kids?

Answer 9

• changes in sleep pattern
• clingy
• withdrawn
• less active
• less interactive
• crying
• pulling hair
• eyebrows lowered down
• not smiling