Podcast
Questions and Answers
What is the first step in calculating the safe dosage for a child?
What is the first step in calculating the safe dosage for a child?
If a child weighs 36 lb, what is their weight in kilograms?
If a child weighs 36 lb, what is their weight in kilograms?
What is the minimum daily dose for a child weighing 16.36 kg based on the safe dosage range?
What is the minimum daily dose for a child weighing 16.36 kg based on the safe dosage range?
What does the maximum daily dose for a child weighing 16.36 kg equal based on the safe dosage guidelines?
What does the maximum daily dose for a child weighing 16.36 kg equal based on the safe dosage guidelines?
Signup and view all the answers
If a prescribed dose is 525 mg every 12 hours, what is the total daily dose the child receives?
If a prescribed dose is 525 mg every 12 hours, what is the total daily dose the child receives?
Signup and view all the answers
Based on the safe range provided, is a total daily dose of 1,050 mg safe for this child?
Based on the safe range provided, is a total daily dose of 1,050 mg safe for this child?
Signup and view all the answers
How do you calculate the volume of medication to administer for a dose of 525 mg if the concentration is 350 mg/ml?
How do you calculate the volume of medication to administer for a dose of 525 mg if the concentration is 350 mg/ml?
Signup and view all the answers
What is the primary role of non-pharmacologic pain management techniques?
What is the primary role of non-pharmacologic pain management techniques?
Signup and view all the answers
Which tool can be used to gauge a child's pain level based on their developmental stage?
Which tool can be used to gauge a child's pain level based on their developmental stage?
Signup and view all the answers
What is a critical factor in the pharmacologic management of pediatric pain?
What is a critical factor in the pharmacologic management of pediatric pain?
Signup and view all the answers
What is a common site for IV therapy in newborns?
What is a common site for IV therapy in newborns?
Signup and view all the answers
How should a nurse monitor for complications related to IV therapy in children?
How should a nurse monitor for complications related to IV therapy in children?
Signup and view all the answers
Which type of line is used for longer-term IV therapy?
Which type of line is used for longer-term IV therapy?
Signup and view all the answers
What volume of fluid can a child weighing 16.3 kg receive in 24 hours according to the formula provided?
What volume of fluid can a child weighing 16.3 kg receive in 24 hours according to the formula provided?
Signup and view all the answers
Why do children have a higher risk for fluid volume overload during IV therapy?
Why do children have a higher risk for fluid volume overload during IV therapy?
Signup and view all the answers
What kind of medications are classified as opioids?
What kind of medications are classified as opioids?
Signup and view all the answers
What is the purpose of using open-ended questions in health history assessments?
What is the purpose of using open-ended questions in health history assessments?
Signup and view all the answers
Which section of the health history focuses on the main reason for the visit?
Which section of the health history focuses on the main reason for the visit?
Signup and view all the answers
Why is it important to assess a child's functional inquiry?
Why is it important to assess a child's functional inquiry?
Signup and view all the answers
What does Atraumatic Care emphasize during physical assessments?
What does Atraumatic Care emphasize during physical assessments?
Signup and view all the answers
How should the physical assessment be organized according to developmental considerations?
How should the physical assessment be organized according to developmental considerations?
Signup and view all the answers
In incorporating play during assessments, what is the main goal?
In incorporating play during assessments, what is the main goal?
Signup and view all the answers
Why is it necessary to be aware of a child's age and developmental stage during assessments?
Why is it necessary to be aware of a child's age and developmental stage during assessments?
Signup and view all the answers
Family-centered care involves which of the following?
Family-centered care involves which of the following?
Signup and view all the answers
What is a key consideration when assessing vital signs in children?
What is a key consideration when assessing vital signs in children?
Signup and view all the answers
Why is it recommended to measure a child's pulse when they are calm or sleeping?
Why is it recommended to measure a child's pulse when they are calm or sleeping?
Signup and view all the answers
Which temperature measurement method is considered invasive and has risks associated with discomfort and infection?
Which temperature measurement method is considered invasive and has risks associated with discomfort and infection?
Signup and view all the answers
What is a recommended practice when comforting infants during vital signs assessment?
What is a recommended practice when comforting infants during vital signs assessment?
Signup and view all the answers
Which condition makes the rectal temperature measure unsuitable?
Which condition makes the rectal temperature measure unsuitable?
Signup and view all the answers
What aspect of children's anatomy affects pulse measurement?
What aspect of children's anatomy affects pulse measurement?
Signup and view all the answers
Which temperature measurement method is not suitable for infants younger than 3 months and those with fever?
Which temperature measurement method is not suitable for infants younger than 3 months and those with fever?
Signup and view all the answers
What should be documented during a vital signs assessment if the child is active or crying?
What should be documented during a vital signs assessment if the child is active or crying?
Signup and view all the answers
What is the gold standard method for measuring pulse in infants under 2 years old?
What is the gold standard method for measuring pulse in infants under 2 years old?
Signup and view all the answers
Which factor can contribute to a child's decreased ability to fight infections?
Which factor can contribute to a child's decreased ability to fight infections?
Signup and view all the answers
What is the normal heart rate range for preschoolers aged 3-5 years?
What is the normal heart rate range for preschoolers aged 3-5 years?
Signup and view all the answers
What is an essential component to assess during the health history of a child with a possible infection?
What is an essential component to assess during the health history of a child with a possible infection?
Signup and view all the answers
Which age group is most likely to experience a pulse rate of 90-150 beats per minute?
Which age group is most likely to experience a pulse rate of 90-150 beats per minute?
Signup and view all the answers
What symptom would indicate a child might be experiencing severe infection?
What symptom would indicate a child might be experiencing severe infection?
Signup and view all the answers
Which of the following could cause an increase in respiratory rate (RR) in children?
Which of the following could cause an increase in respiratory rate (RR) in children?
Signup and view all the answers
How do infants primarily breathe?
How do infants primarily breathe?
Signup and view all the answers
Which vital sign is particularly important to monitor for signs of infection?
Which vital sign is particularly important to monitor for signs of infection?
Signup and view all the answers
Which method is NOT recommended for measuring pulse in children older than 2 years?
Which method is NOT recommended for measuring pulse in children older than 2 years?
Signup and view all the answers
What can dehydration in a child typically result from during an infection?
What can dehydration in a child typically result from during an infection?
Signup and view all the answers
Which physical assessment finding might suggest a child has an infection?
Which physical assessment finding might suggest a child has an infection?
Signup and view all the answers
What should be documented during a pulse assessment in children?
What should be documented during a pulse assessment in children?
Signup and view all the answers
Which intervention is a priority for a child diagnosed with an infection?
Which intervention is a priority for a child diagnosed with an infection?
Signup and view all the answers
Where can monitors be placed to measure oxygen saturation?
Where can monitors be placed to measure oxygen saturation?
Signup and view all the answers
What is a key sign that may indicate dehydration in a child with an infection?
What is a key sign that may indicate dehydration in a child with an infection?
Signup and view all the answers
Study Notes
Guiding Principles for Pediatric Nursing Care
- Atraumatic care minimizes psychological and physical distress for children and families
- Kinds of trauma include abuse, neglect, witnessing violence or death
- Strategies for atraumatic care include preventing physical stress, controlling pain, preventing/minimizing parent-child separation, and minimizing stress during procedures (using comforting positions, distraction methods, preparation, encouraging cooperation)
- Trauma and violence informed care involves realization, recognition, resistance to retraumatization, and treating children as if they've experienced trauma, especially in medical situations
- Family-centered care involves including families in care to improve engagement and empower them to make informed decisions
- Effective communication with children and families involves safe/calm environments, clear communication, awareness of age/developmental stage, and age-appropriate communication
Physical Assessment Considerations
- Health history involves open-ended questions to understand physical, emotional, and social development
- History includes demographics, chief complaint, past health, family health, review of systems, developmental history, social history, and relevant environmental factors
- Physical assessments should prioritize organization, starting with least invasive areas first, considering age/developmental stage, incorporating play, practices for atraumatic communication, and incorporating family-centered care
- Vital signs such as pulse, respirations, and temperature need to be assessed when the child is calm or sleeping, as activity, crying, feeding, or anxiety can skew the results
- Different methods (i.e. apical pulse, tympanic, rectal) may be used for different age groups, with accurate method documentation needed
- Normal ranges for vital signs vary based on a child's age
Pediatric Medication Administration
- Children are at higher risk for medication errors, as dosages depend heavily on weight and age
- Safety, pharmacodynamics, and pharmacokinetics are important considerations
- Processes to ensure safety include reviewing considerations/dosage differences prior to administering, accurate weight measurement, a double check, and verifying that the dosage range is acceptable
- Dosage calculations are presented in a step-by-step approach
Pediatric Pain
- Children may struggle to express pain clearly
- Tools such as FACES® or Oucher scales can help gauge pain level based on age
- Pain can directly impact vital signs; increased heart rate, respiratory rate, or blood pressure can indicate distress
- Pain management includes non-pharmacological methods like relaxation, distraction, and pharmacological treatment like opioids and non-opioids (NSAIDs, Acetaminophen)
Infections in Childhood
- Immature immune systems increase susceptibility to infections
- Improper handwashing and factors like poverty, low health literacy and immunization status can expose children to infection risk
- Fever is a body's way of fighting infection
Skin color and temperature, respiratory effort, and hydration status are indicators of infection risk as well as lymph node palpation and enlarged lymph nodes.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
