Unit 4 exam test grid Flashcards
behavior from an adolescent newly diagnosed w/ illness
- not always compliant w/ treatment plan because their peers don’t have to deal with this
child abuse
- some young girl get UTIs but constant recurrent ones can be a sign of sexual abuse.
illness w/ chronic limitations
not curable, can be maintained but may worsen.
- physical dependence/lack of autonomy and independence
- living with it being nonreversible
- as children grow, how it affects them psychosocially.
- CP , not treatable, first concern/first pt to be seen
therapeutic nursing interventions
- keeping them calm
- not overwhelming them with too many things at once when they are already overwhelmed
- guided imagery
- explaining what you’re doing first, child play
- if they have child life specialists, using them
Broselow tape
- any pediatric pt that is experiencing a life threatening emergency
- for when there isn’t enough time to calculate weight for weight based meds
- stretch kid out and measure them, however long they are is where they will fall under the color coded tape which can help get them life saving medications administered as soon as possible.
- child is “pink” on tape, go to pink drawer on crash cart and that will give meds for that weight estimate.
communication w/ provider
preferred for doctor to put in own orders or face to face. remember to repeat back orders to provider for verbal confirmation to reduce chance of medication errors.
- give pertinent information, give allergies and current meds w/ vital signs, are vital signs abnomal
developmental appropriateness
can be based on a variety of things including age, English, education, etc. If they are a small child, getting to their level but keeping it simple. Using medical terms as they get older and explaining simple.
emotional response
Regression can be normal for younger children, such as a child that learned how to be potty trained suddenly starts having accidents
- separation anxiety does occur especially with babies up until about 2-3 years old, it’s normal for them to cry especially in an unknown and scary situation.
fracture associated w/ child abuse
spiral —> shows twisting motion, not natural, indicates abuse
untreated pain in the hospitalized child
- grimacing
- guarding
- increased bp and pulse
- crying, holding their breath —> 02 lower with less quality air exchange
- distrusting
insulin administration
if you have to teach a child, allow them to do it on a doll or pretend to do it on yourself
medical play
let them practice on a doll, show them a video, let them play with crutches, etc.
minimizing stress for the pediatric patient
- talking to them developmentally and age appropriate
- after about age 10 you can be honest if developmentally appropriate
- if they don’t understand, show them pictures
- therapeutic communication, medical play, incorporate family such as watching mom give the medicine
- reassure parent guilt if they have to leave their child
- keeping it as homelike as possible and similar schedule, such as bedtime, sleeping with stuffed animal
Munchausen’s syndrome
someone is making themselves sick, mental condition
- unnecessary tests, labs, procedures with no evidence to support complaints
- when parents step away, child may not have noticeable symptoms or seem fine
Munchausen’s syndrome by proxy
parents make their children sick, mental condition for hero complex
- child could died
- abuse; needs to be reported
negative effects of hospitalization for an infant
they may become preoccupied with death, won’t want to fall asleep, scared/anxious, separation anxiety if their parents have to leave
- give them a tour of the unit, introduce them to staff
newborn airway clearance
bulb syringe, suction
appropriate size ambu bag that goes over their nose and face
- make sure everything is out of reach from curious children
overwhelming caregiver burden
getting respite involved, seeing if others can help if they cannot take care of the child anymore, child could be in danger if not already of neglect or abuse, even if not “intentional”
pediatric pt experiencing shock
child needs to be intubated, IV access with fluids infusing, get ready to use color coded resuscitation tape
- children can crash quickly and hard
physiological integrity
keeping a similar setting to their home and keeping things as “normal” fr them as possible in a new and unknown setting that can be anxiety producing
child regression
shift safety checks
- medical equipment out of reach for children if unsafe
- right equipment for right patient
- beds locked in lower position with appropriate rails up
the perception of death and dying
therapeutic intervention with a toddler
therapeutic relationship w/ the family
unintentional abuse or injury
- if a child accidentally leaves a bruise or mark on their child; harming a child without intent to harm
- may still be a cps check
- can be simple mistakes like not putting cabinet locks when toddler starts exploring and they drink a cleaning product
unresponsive child
check if they’re breathing and for responsiveness in case they are playing, self soothing, upset, etc
- if not breathing, then alert people set up code alerting staff
