Test 13 Flashcards
- ASD manifestations
No eye contact
Impaired verbal and nonverbal communication
Repetitive behaviors/Ritual
Self-injurious behaviors possible
Disrupted routine may cause distress.
Slow to develop speech, echolalia (parrot speech).
Atypical sensory perception, overresponsive, under-responsive
Sleeping problems
May be cognitively impaired or demonstrate unusual abilities.
- Iron-deficiency anemia craves
They might crave ice chips.
- Eating disorders: Bulimia Nervosa manifestations and goal
Manifestations:
Dental caries
Erosion from frequent exposure to stomach acids
Throat irritation
Endocrine and electrolyte imbalance
Calluses or abrasions on back of hand
Foul smelling breath
Goal:
Monitor for electrolyte imbalance and getting them medically stable.
- Suicide warnings
Sudden lift in mood
- Signs of abuse: children, elderly
Bruising that occur in areas of soft tissue, such as the buttocks, genitalia, thigs, back of the knees, upper back, and nose and eyes, may be suspect.
- Nursing actions for burns in children
Airway is priority.
Preventing infection-surgical asepsis
Maintaining adequate nutrition-high protein diet
Reducing pain-medications 30 minutes prior to PT
Increasing mobility
Relieving anxiety
Administer tetanus if indicated.
- Echolalia examples
Parrot speech: they echo words they have heard, such as those in a television commercial but offer no indication that they understand the words.
- Pediculosis capitis manifestations
Nits firmly attached to hair.
Severe itching
- Client education for nystatin (Slide 9)
Swab baby’s mouth
Older child can swish.
Limit feeding for 30 minutes after
- Impetigo manifestations (Slide 6)
Red macules with honey-colored crusts
Very contagious
Meticulous hand hygiene
Keep nails shirt and limit scratching.
- ADHD manifestations
Hyperactive “restless”
I attention “reduced ability to focus.”
Impulsiveness “excessive talking”
Low self-esteem & impaired social skills
- ADHD interventions/ client educations
Loss of appetite & weight
Loss of sleep: restlessness & give last dose no later than 6pm
Improvements in schoolwork
Priority nursing assessments: monitor BP & Monitor and report height, weight trends with HCP
Reversal Agent: Alprazolam
- Nursing actions for STIs and the adolescent
Adolescent need treatment and information about preventing spread of the STI to others, as well as how to prevent contracting another; using spermicide condoms, they are not fail-safe and adolescents must be educated about all aspects of the consequences of sexual activities.
- Thrush manifestations and causes, med
Candidiasis (yeast) in mouth known as thrush.
Causes: often after treatment with antibiotics
Manifestations: mouth has white coating that looks like milk curds
Nystatin: Swab baby’s mouth, older child can swish. Limit feeding for 30 minutes after
- Depression manifestations
Key symptoms: overwhelming feeling of being low, down, gloomy, or sad most of time.
Infants and toddlers: withdrawal, poor attachment, delay development, clingy behavior, low energy, lack of enjoyment in play activities
Younger children: anger, irritability, changes in appetite and sleep patterns, physical complaints, inattention, difficulty concentrating.
Adolescents: More similar to adults than younger children; behavior changes (missing curfew, extreme defiance, shoplifting, dropping grades, spending more time alone, self-hatred, talking about death or suicide, use of drugs and alcohol, and isolation)
- Nursing actions for tinea crurus
All Tinea is treated with antifungals.
- Seborrheic dermatitis (in infants) manifestations and client education (Slide 3)
Manifestations
Yellowish, greasy, scaly, or crusted patches on scalp
Client education/Intervention
Cleanse hair and scalp with baby shampoo
Apply baby oil for 10 minutes and rinse flakes away.
- Acne vulgaris nursing actions/ treatment(med)
Isotretinoin (Accutane) may be used for severe inflammatory acne; negative pregnancy test needed.
- Mononucleosis manifestations and nursing interventions
Manifestations
Fever
Sore throat
Swollen lymph nodes
Enlarged spleen.
Extreme fatigue
SX vary from mild-severe.
Nursing care
Prevent secondary infections with rest.
- Tick removal client education (Slide 15)
Tick bites can be prevented by wearing long pants, long-sleeved shirts and using insect repellent when walking in the woods.
Remove with tweezer keep intact- do not crush.
- Eczema nursing actions/ client education
Administer medication.
Cool compresses
Avoid allergens.
- Anorexia nervosa nursing actions and manifestations
Manifestations and Diagnosis:
Visible emancipated; almost skeleton-like appearance
Appear sexually immature.
Dry skin, brittle nails
Amenorrhea
Constipation
Intolerance to cold
Bradycardia, Arrhythmias, Low BP
Anemia, Malnutrition, Dehydration, Electrolyte imbalance
Serious cardiac involvement major concern; often leads to hospitalization.
Nursing Care for both:
Priority is electrolyte imbalance
Daily weights
Food diaries
- Bullying manifestations and nursing care
A child who is being may have injuries and bruises, but symptoms are often difficult to differentiate from other concerns.
They may have physical signs such as headaches, stomachaches, eating and sleeping issues, or more subtle signs such as anxiety, change in mood, decreasing school performance, or avoidance of certain situations.
The child may try to avoid doing certain things such as taking the school bus or playing on school playground because that is where the bullying is occurring.
Nursing Care
School counselor is a good starting point.
- Miliaria rubra manifestations (Slide 4)
Pinhead-sized erythematous papules. Usually where sweat gland is concentrated (folds of skin, axilla, around neck)
Itching
Uncomfortable and fretful child
