Untitled Quiz

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the first step in calculating the safe dosage for a child?

  • Assess the child's pain level
  • Determine the concentration of the medication
  • Calculate the prescribed dose
  • Convert the weight into kilograms (correct)

If a child weighs 36 lb, what is their weight in kilograms?

  • 12.5 kg
  • 14.0 kg
  • 18.0 kg
  • 16.36 kg (correct)

What is the minimum daily dose for a child weighing 16.36 kg based on the safe dosage range?

  • 900 mg/day
  • 1,000 mg/day
  • 818 mg/day (correct)
  • 750 mg/day

What does the maximum daily dose for a child weighing 16.36 kg equal based on the safe dosage guidelines?

<p>1,227 mg/day (A)</p> 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?

<p>1,050 mg/day (C)</p> 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?

<p>Yes, it is within the safe range (C)</p> 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?

<p>Volume = Dose/Concentration (C)</p> Signup and view all the answers

What is the primary role of non-pharmacologic pain management techniques?

<p>To help the child cope with pain (B)</p> Signup and view all the answers

Which tool can be used to gauge a child's pain level based on their developmental stage?

<p>Wong-Baker FACES Pain Rating Scale (D)</p> Signup and view all the answers

What is a critical factor in the pharmacologic management of pediatric pain?

<p>Dosing based on weight and age (D)</p> Signup and view all the answers

What is a common site for IV therapy in newborns?

<p>Scalp (B)</p> Signup and view all the answers

How should a nurse monitor for complications related to IV therapy in children?

<p>Regularly assessing for swelling, redness, or infiltration (D)</p> Signup and view all the answers

Which type of line is used for longer-term IV therapy?

<p>PICC line (D)</p> 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?

<p>1180mL (D)</p> Signup and view all the answers

Why do children have a higher risk for fluid volume overload during IV therapy?

<p>They lack developed organ systems (B)</p> Signup and view all the answers

What kind of medications are classified as opioids?

<p>Morphine and fentanyl (C)</p> Signup and view all the answers

What is the purpose of using open-ended questions in health history assessments?

<p>To gain deeper insights into physical, emotional, and social development. (D)</p> Signup and view all the answers

Which section of the health history focuses on the main reason for the visit?

<p>Chief Complaint (A)</p> Signup and view all the answers

Why is it important to assess a child's functional inquiry?

<p>To understand their daily routines and overall health behaviors. (D)</p> Signup and view all the answers

What does Atraumatic Care emphasize during physical assessments?

<p>Minimizing pain and anxiety for the child. (C)</p> Signup and view all the answers

How should the physical assessment be organized according to developmental considerations?

<p>Follow a head-to-toe approach, from least to most invasive. (B)</p> Signup and view all the answers

In incorporating play during assessments, what is the main goal?

<p>To make the child feel more involved and less anxious. (B)</p> Signup and view all the answers

Why is it necessary to be aware of a child's age and developmental stage during assessments?

<p>It helps in choosing appropriate communication and handling techniques. (D)</p> Signup and view all the answers

Family-centered care involves which of the following?

<p>Involving the child's family in the assessment and care. (D)</p> Signup and view all the answers

What is a key consideration when assessing vital signs in children?

<p>The child's age, size, and health condition (B)</p> Signup and view all the answers

Why is it recommended to measure a child's pulse when they are calm or sleeping?

<p>To ensure accurate readings free from elevated heart rates (C)</p> Signup and view all the answers

Which temperature measurement method is considered invasive and has risks associated with discomfort and infection?

<p>Rectal method (D)</p> Signup and view all the answers

What is a recommended practice when comforting infants during vital signs assessment?

<p>Distract them or comfort them as needed (D)</p> Signup and view all the answers

Which condition makes the rectal temperature measure unsuitable?

<p>When the child is immunosuppressed (B)</p> Signup and view all the answers

What aspect of children's anatomy affects pulse measurement?

<p>The proximity of blood vessels to the skin's surface (D)</p> Signup and view all the answers

Which temperature measurement method is not suitable for infants younger than 3 months and those with fever?

<p>Temporal method (B)</p> Signup and view all the answers

What should be documented during a vital signs assessment if the child is active or crying?

<p>Documentation of the behavior during assessment (C)</p> Signup and view all the answers

What is the gold standard method for measuring pulse in infants under 2 years old?

<p>Auscultate the apical pulse for one minute (B)</p> Signup and view all the answers

Which factor can contribute to a child's decreased ability to fight infections?

<p>Poor nutrition (A)</p> Signup and view all the answers

What is the normal heart rate range for preschoolers aged 3-5 years?

<p>80-120 beats per minute (B)</p> Signup and view all the answers

What is an essential component to assess during the health history of a child with a possible infection?

<p>Immunization status (D)</p> Signup and view all the answers

Which age group is most likely to experience a pulse rate of 90-150 beats per minute?

<p>Toddlers (A)</p> Signup and view all the answers

What symptom would indicate a child might be experiencing severe infection?

<p>Fatigue or lethargy (B)</p> Signup and view all the answers

Which of the following could cause an increase in respiratory rate (RR) in children?

<p>Crying (B)</p> Signup and view all the answers

How do infants primarily breathe?

<p>Mostly using their diaphragm (B)</p> Signup and view all the answers

Which vital sign is particularly important to monitor for signs of infection?

<p>Heart rate (D)</p> Signup and view all the answers

Which method is NOT recommended for measuring pulse in children older than 2 years?

<p>Auscultating the apical pulse for one minute (A)</p> Signup and view all the answers

What can dehydration in a child typically result from during an infection?

<p>Vomiting or diarrhea (B)</p> Signup and view all the answers

Which physical assessment finding might suggest a child has an infection?

<p>Dry mouth and sunken eyes (D)</p> Signup and view all the answers

What should be documented during a pulse assessment in children?

<p>Whether the child has been active or crying (B)</p> Signup and view all the answers

Which intervention is a priority for a child diagnosed with an infection?

<p>Maintain hydration (D)</p> Signup and view all the answers

Where can monitors be placed to measure oxygen saturation?

<p>On various body parts including fingers and ears (B)</p> Signup and view all the answers

What is a key sign that may indicate dehydration in a child with an infection?

<p>Decreased energy levels (D)</p> Signup and view all the answers

Flashcards

Open-Ended Questions

Questions designed to encourage detailed responses and deeper insights into a child's physical, emotional, and social development. They help build trust and rapport.

Chief Complaint

The primary reason for a child's visit, stated in their or their caregiver's own words, including details about the onset, symptoms, and any treatments received.

Past Health History

Information about a child's prenatal and birth history, prior illnesses, allergies, immunizations, medications, and (for older children) menstrual history.

Family Health History

A review of health conditions in three generations of a child's family to assess genetic health risks.

Signup and view all the flashcards

Review of Systems

A systematic check of each body system (e.g., respiratory, cardiovascular, endocrine) to gather information about the child's overall health.

Signup and view all the flashcards

Developmental History

A record of a child's milestones in motor skills, language, social skills, and self-care.

Signup and view all the flashcards

Functional Inquiry

Gathering information about a child's daily routines, safety, nutrition, physical activity, screen time, sleep, and relationships.

Signup and view all the flashcards

Social History

Information about a child's family dynamics, economic resources, home environment, and potential environmental hazards (e.g., lead exposure).

Signup and view all the flashcards

Apical Pulse

The heart rate measured by listening to the heart with a stethoscope, often used in children under 2 years old.

Signup and view all the flashcards

Radial Pulse

The pulse measured by feeling the artery at the wrist.

Signup and view all the flashcards

Normal Heart Rate of Infants

A healthy heartbeat rate for infants (0-12 months) falls between 100 and 160 beats per minute.

Signup and view all the flashcards

Normal Respiratory Rate of Toddlers

A healthy breathing rate for toddlers (1-3 years) is between 20 and 30 breaths per minute.

Signup and view all the flashcards

Diaphragmatic Breathing

A breathing pattern where the diaphragm muscle contracts, causing the abdomen to move outward during inhalation. This is common in infants.

Signup and view all the flashcards

Thoracic Breathing

A breathing pattern where the chest expands and contracts during inhalation and exhalation. This is common in children over one year old.

Signup and view all the flashcards

Oxygen Saturation Measurement

A non-invasive technique to measure the percentage of oxygen in the blood. It's often measured on fingers, toes, ears, or head.

Signup and view all the flashcards

Pulse Oximeter

A device used to measure oxygen saturation in the blood. It's often used in infants and children to check for oxygen levels.

Signup and view all the flashcards

TVIC

Taking Vital Signs In Children. This approach emphasizes being sensitive to the child's individual needs, considering past trauma, and using methods appropriate for their age and development.

Signup and view all the flashcards

Vital Sign Factors

When assessing a child's vital signs, consider their age, size, and overall health condition, as these factors can influence normal ranges.

Signup and view all the flashcards

Calm Assessment

Measuring vital signs while a child is quiet provides the most accurate readings. Distractions or comforting may be necessary to achieve this.

Signup and view all the flashcards

Temperature Methods

Oral temperature is age-dependent. Axillary (armpit) is suitable for all ages. Tympanic (ear) and temporal are acceptable for children over 3 months old. Rectal is invasive and should be avoided unless necessary.

Signup and view all the flashcards

Pulse Accuracy

It is best to measure pulse when a child is calm or sleeping. Activity or anxiety can lead to inaccurate readings.

Signup and view all the flashcards

Pulse in Young Children

In infants, blood vessels are closer to the skin's surface and easily obstructed during palpation due to their size and delicate skin.

Signup and view all the flashcards

Temporal Artery Thermometer

This thermometer uses infrared scanning to measure temperature on the temporal artery. Not suitable for infants under 3 months or those with fever.

Signup and view all the flashcards

Rectal Temperature

This is a very accurate method, but invasive and uncomfortable. It poses the risk of infection and should be avoided in immunosuppressed children.

Signup and view all the flashcards

Safe Dosage Range

The acceptable range of medication dosage per kilogram of body weight per day, ensuring safety and effectiveness.

Signup and view all the flashcards

Minimum Daily Dose

The lowest acceptable daily dose based on the child's weight and the safe dosage range.

Signup and view all the flashcards

Maximum Daily Dose

The highest acceptable daily dose based on the child's weight and the safe dosage range.

Signup and view all the flashcards

Calculate Dosage Volume

Determining the amount of medication liquid to administer per dose using the formula: Volume = Dose / Concentration.

Signup and view all the flashcards

Concentration

The amount of medication in a specific volume of liquid, often expressed as milligrams per milliliter (mg/ml).

Signup and view all the flashcards

FACES Scale

A pain assessment tool using facial expressions to help children communicate their pain level, especially helpful for young children who may not be able to describe their pain verbally.

Signup and view all the flashcards

OUCHER Scale

A pain assessment tool using pictures of individuals with different pain expressions to help children communicate their pain level.

Signup and view all the flashcards

Vital Signs

Measurements like heart rate, breathing rate, and blood pressure that provide insights into a child's overall health and can indicate pain or distress.

Signup and view all the flashcards

Airborne vs. Contact

Two ways infections spread: Airborne (through the air, like measles) and Contact (direct touch, like chickenpox).

Signup and view all the flashcards

Immunization Status

Checks if a child has received all the necessary vaccines to protect them from diseases.

Signup and view all the flashcards

Past Infections

Knowing about previous infections helps understand the child's current immune response and treatment needs.

Signup and view all the flashcards

Weight & Height

Measures a child's growth, helping to identify overall health and dehydration.

Signup and view all the flashcards

Skin Color & Temperature

Changes in skin can signal infection, poor circulation, or dehydration.

Signup and view all the flashcards

Respiratory Effort

Observing how a child breathes can tell if their lungs are working well or struggling.

Signup and view all the flashcards

Enlarged Lymph Nodes

Swollen lymph nodes are a sign of fighting infection or inflammation.

Signup and view all the flashcards

Non-pharmacologic Pain Management

Techniques used to help children cope with pain without medication, such as relaxation techniques (deep breathing, soothing touch) and distraction (games, storytelling, videos).

Signup and view all the flashcards

Pharmacologic Pain Categories

Pain medication is grouped into two categories: Non-opioids (NSAIDS, acetaminophen) for mild to moderate pain and Opioids (morphine, fentanyl) for moderate to severe pain.

Signup and view all the flashcards

Pediatric Medication Dosing

Pediatric medications require careful dosing based on weight and age to prevent underdosing or overdosing, ensuring optimal effectiveness and safety.

Signup and view all the flashcards

Peripheral IV Sites for Kids

Common IV sites in children include hands, feet, forearms, and scalp (for newborns). The site choice depends on the child's age and vein accessibility.

Signup and view all the flashcards

PICC Lines & Port-a-Caths

Used for longer-term IV therapy, PICC lines are inserted into larger veins in the arm, while Port-a-Caths are implanted under the skin for easy access.

Signup and view all the flashcards

Butterfly Needles

Small, winged needles used for IV access in children, but carry an increased risk of fluid volume overload due to their small size and potential for fluid leakage.

Signup and view all the flashcards

Fluid Volume Overload Risk

Children have a higher risk of fluid overload due to their smaller body size and developing organ systems, potentially leading to swelling, difficulty breathing, and high blood pressure.

Signup and view all the flashcards

IV Site Monitoring

Frequent checks of the IV site are crucial to ensure it remains intact, free of swelling, redness, and infiltration (leakage into surrounding tissues).

Signup and view all the flashcards

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.

Quiz Team

Related Documents

More Like This

Untitled Quiz
6 questions

Untitled Quiz

AdoredHealing avatar
AdoredHealing
Untitled Quiz
55 questions

Untitled Quiz

StatuesquePrimrose avatar
StatuesquePrimrose
Untitled Quiz
50 questions

Untitled Quiz

JoyousSulfur avatar
JoyousSulfur
Untitled Quiz
48 questions

Untitled Quiz

StraightforwardStatueOfLiberty avatar
StraightforwardStatueOfLiberty
Use Quizgecko on...
Browser
Browser