Test 13 Flashcards

1
Q
  1. ASD manifestations
A

 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.

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2
Q
  1. Iron-deficiency anemia craves
A

 They might crave ice chips.

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3
Q
  1. Eating disorders: Bulimia Nervosa manifestations and goal
A

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.

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4
Q
  1. Suicide warnings
A

 Sudden lift in mood

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5
Q
  1. Signs of abuse: children, elderly
A

 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.

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6
Q
  1. Nursing actions for burns in children
A

 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.

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7
Q
  1. Echolalia examples
A

 Parrot speech: they echo words they have heard, such as those in a television commercial but offer no indication that they understand the words.

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8
Q
  1. Pediculosis capitis manifestations
A

 Nits firmly attached to hair.
 Severe itching

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9
Q
  1. Client education for nystatin (Slide 9)
A

 Swab baby’s mouth
 Older child can swish.
 Limit feeding for 30 minutes after

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10
Q
  1. Impetigo manifestations (Slide 6)
A

 Red macules with honey-colored crusts
 Very contagious
 Meticulous hand hygiene
 Keep nails shirt and limit scratching.

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11
Q
  1. ADHD manifestations
A

 Hyperactive “restless”
 I attention “reduced ability to focus.”
 Impulsiveness “excessive talking”
 Low self-esteem & impaired social skills

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12
Q
  1. ADHD interventions/ client educations
A

 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

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13
Q
  1. Nursing actions for STIs and the adolescent
A

 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.

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14
Q
  1. Thrush manifestations and causes, med
A

 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

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15
Q
  1. Depression manifestations
A

 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)

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16
Q
  1. Nursing actions for tinea crurus
A

 All Tinea is treated with antifungals.

17
Q
  1. Seborrheic dermatitis (in infants) manifestations and client education (Slide 3)
A

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.

18
Q
  1. Acne vulgaris nursing actions/ treatment(med)
A

 Isotretinoin (Accutane) may be used for severe inflammatory acne; negative pregnancy test needed.

19
Q
  1. Mononucleosis manifestations and nursing interventions
A

Manifestations
 Fever
 Sore throat
 Swollen lymph nodes
 Enlarged spleen.
 Extreme fatigue
 SX vary from mild-severe.

Nursing care
 Prevent secondary infections with rest.

20
Q
  1. Tick removal client education (Slide 15)
A

 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.

21
Q
  1. Eczema nursing actions/ client education
A

 Administer medication.
 Cool compresses
 Avoid allergens.

22
Q
  1. Anorexia nervosa nursing actions and manifestations
A

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

23
Q
  1. Bullying manifestations and nursing care
A

 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.

24
Q
  1. Miliaria rubra manifestations (Slide 4)
A

 Pinhead-sized erythematous papules. Usually where sweat gland is concentrated (folds of skin, axilla, around neck)
 Itching
 Uncomfortable and fretful child