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Questions and Answers

What is the focus of the Identity vs. Role Confusion stage in Erikson’s Psychosocial Theory?

  • Finding social acceptance
  • Developing physical strength
  • Enhancing communication skills
  • Creating a personal identity (correct)

Which of the following is a key caregiver role in the Identity vs. Role Confusion stage?

  • Monitoring peer interactions
  • Supporting independence while maintaining guidance (correct)
  • Encouraging complete independence
  • Preventing risk-taking behaviors

What communication approach should be used for toddlers aged 1-3 years?

  • Engage them in direct discussions
  • Use complex sentences to explain
  • Allow for choices to foster independence (correct)
  • Use technical terms to facilitate understanding

Which age group should be communicated with using simple, concrete terms and storytelling?

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

What should be maintained to ensure the efficacy of vaccines?

<p>Cold chain storage (B)</p> Signup and view all the answers

How should communication with adolescents aged 13-18 years be conducted?

<p>Engage in direct and honest communication (A)</p> Signup and view all the answers

Which of the following is a critical aspect of social/emotional development during the Identity vs. Role Confusion stage?

<p>Development of emotional independence (B)</p> Signup and view all the answers

Which of the following is NOT a focus area of physical therapy for maximizing mobility?

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

What is the primary purpose of non-invasive ventilation such as BiPAP in patient care?

<p>To support breathing as respiratory muscles weaken (A)</p> Signup and view all the answers

What is the most common cause of irritant contact dermatitis in diaper dermatitis?

<p>Prolonged contact with moisture (C)</p> Signup and view all the answers

In pediatric nursing care, what is a key strategy for preventing pressure sores?

<p>Promoting skin integrity through mobility support (D)</p> Signup and view all the answers

Which of the following options is part of the ongoing research focus in managing dystrophin-related conditions?

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

Which type of conjunctivitis is characterized by purulent discharge?

<p>Bacterial conjunctivitis (C)</p> Signup and view all the answers

What symptom is commonly associated with allergic conjunctivitis?

<p>Itchy, watery eyes (D)</p> Signup and view all the answers

Which type of conjunctivitis requires supportive care and hygiene rather than antibiotics?

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

What is the most common cause of irritant conjunctivitis?

<p>Exposure to chemicals (D)</p> Signup and view all the answers

What is a primary sign of bacterial conjunctivitis?

<p>Eye redness and swelling (A)</p> Signup and view all the answers

What method is often used to confirm bacterial conjunctivitis?

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

What additional symptom might accompany viral conjunctivitis?

<p>Cold-like symptoms (A)</p> Signup and view all the answers

What is a common treatment for bacterial conjunctivitis?

<p>Antibiotic eye drops (B)</p> Signup and view all the answers

Which symptom is indicative of irritant conjunctivitis?

<p>Redness and a foreign body sensation (A)</p> Signup and view all the answers

What type of conjunctivitis can affect both eyes simultaneously and is often due to allergens?

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

What is the primary purpose of weight-based dosing in pain management?

<p>To ensure accuracy in determining the correct medication dosage. (A)</p> Signup and view all the answers

Which medication is prescribed at a dose of 10-15 mg/kg every 4-6 hours for pain management?

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

Which method is NOT considered a non-pharmacologic approach for pain management?

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

In double-checking medication calculations, which individual is NOT typically consulted?

<p>A laboratory technician (B)</p> Signup and view all the answers

What is the correct formula to convert weight in pounds to kilograms?

<p>Weight in kg = Weight in lbs ÷ 2.2 (C)</p> Signup and view all the answers

Which of the following is a characteristic of bacterial infections?

<p>May cause localized or systemic infection. (B)</p> Signup and view all the answers

What is the minimum interval for administering ibuprofen to children over 6 months of age?

<p>Every 6-8 hours (B)</p> Signup and view all the answers

Which of the following symptoms is NOT typically associated with bacterial infections?

<p>Severe joint pain (D)</p> Signup and view all the answers

What range is commonly prescribed for amoxicillin in pediatric patients?

<p>20-40 mg/kg/day divided every 8-12 hours (D)</p> Signup and view all the answers

What is the primary age group affected by Kawasaki disease?

<p>Children under five years old (C)</p> Signup and view all the answers

Which of the following symptoms is NOT associated with Kawasaki disease?

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

What laboratory findings are commonly associated with Kawasaki disease?

<p>Elevated inflammatory markers and possible thrombocytosis (B)</p> Signup and view all the answers

What is the hallmark of Kawasaki disease's pathophysiology?

<p>Vascular inflammation of medium-sized arteries (C)</p> Signup and view all the answers

Which treatment is most effective when given within the first ten days of illness for Kawasaki disease?

<p>Intravenous Immunoglobulin (IVIG) (A)</p> Signup and view all the answers

Which of the following clinical criteria is NOT used for diagnosing Kawasaki disease?

<p>Chest pain (D)</p> Signup and view all the answers

What is a significant risk associated with the vascular inflammation seen in Kawasaki disease?

<p>Aneurysms and thrombosis (D)</p> Signup and view all the answers

Which symptom of Kawasaki disease involves changes in the oral cavity?

<p>Red, cracked lips (D)</p> Signup and view all the answers

What factor is believed to potentially trigger Kawasaki disease?

<p>Viral infections or environmental factors (D)</p> Signup and view all the answers

In Kawasaki disease, what is indicated by swollen hands and feet?

<p>Inflammation of blood vessels (C)</p> Signup and view all the answers

Flashcards

Erikson's Stage: Identity vs. Role Confusion

This stage focuses on developing a strong sense of self and individuality. Adolescents explore different roles and values to form a cohesive identity.

Family-Centered Care

This approach emphasizes the inclusion of parents and caregivers in all aspects of a child's care, recognizing the family's central role.

Active Listening

This involves paying full attention to what a child says, using verbal and nonverbal cues to show empathy and understanding.

Communication with Toddlers

Use simple words, short sentences, and offer choices to promote independence. Play is a vital tool for communication at this stage.

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Communication with Adolescents

Maintain open, honest conversations, respecting their independence and confidentiality. Encourage active participation in decision-making.

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Vaccine Storage

Maintaining the cold chain is crucial for ensuring the efficacy of vaccines. This involves storing and transporting vaccines at specific temperatures.

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CDC Immunization Schedule

The Centers for Disease Control and Prevention provides a recommended schedule for administering vaccines to children at different ages.

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Weight-Based Dosing

Calculating medication doses based on a child's weight in kilograms, ensuring safe and effective treatment.

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Convert Pounds to Kilograms

To calculate a dose based on weight, convert pounds to kilograms using the formula: Weight in kg = Weight in lbs ÷ 2.2

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Calculate Dose

Multiply the child's weight in kilograms by the prescribed dose per kilogram to determine the total medication dose.

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Acetaminophen Dosage

Administer 10-15 mg/kg every 4-6 hours for pain relief.

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Ibuprofen Dosage

For children over 6 months, give 5-10 mg/kg every 6-8 hours for pain relief.

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Bacterial Infection Characteristics

Caused by single-celled organisms called bacteria. Can affect specific areas (localized) or the whole body (systemic) and are often treated with antibiotics.

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Common Bacterial Infections

Examples include Strep throat, scarlet fever, impetigo, cellulitis, E. coli, and Meningococcus, each causing specific symptoms.

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Bacterial Infection Signs

Common signs include localized redness, swelling, pus drainage, fever, chills, fatigue, and malaise.

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Lyme Disease

A bacterial infection transmitted by tick bites, causing a rash, fatigue, and other flu-like symptoms.

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Conjunctivitis

Inflammation or infection of the conjunctiva, the membrane lining the eyelid and covering the white part of the eye.

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Bacterial Conjunctivitis

Conjunctivitis caused by bacteria, characterized by thick, yellow or green discharge.

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Viral Conjunctivitis

Conjunctivitis associated with upper respiratory infections, typically with watery discharge.

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Allergic Conjunctivitis

Conjunctivitis triggered by allergens, causing itching and watery eyes, but no discharge.

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Irritant Conjunctivitis

Conjunctivitis caused by foreign bodies or chemicals in the eye, leading to redness and discomfort.

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Conjunctivitis Diagnosis

Usually diagnosed based on symptoms, physical examination, and patient history. Culture and sensitivity tests may be used for bacterial conjunctivitis.

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Bacterial Conjunctivitis Treatment

Antibiotic eye drops or ointments are used to treat bacterial conjunctivitis.

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Viral Conjunctivitis Treatment

Supportive care with artificial tears, cool compresses, and hygiene is usually used. Antiviral medications are rarely used.

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Signs of Shunt Malfunction

Signs of shunt malfunction may include headache, vomiting, lethargy, fever, and seizures.

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Post-Surgery Care for Child

Parents need to be taught how to care for the child post-surgery, including recognizing signs of shunt malfunction and following up regularly with a pediatric neurologist.

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Diaper Dermatitis

Inflammation of the skin in the diaper area caused by moisture, irritants in urine and stool, or infections.

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Irritant Contact Dermatitis

The most common type of diaper dermatitis, caused by prolonged contact with urine or stool.

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Candidiasis

A fungal infection in the diaper area often following antibiotic use.

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Moisture and Friction

Prolonged exposure to urine and stool leads to skin irritation and breakdown in diaper dermatitis.

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Factors Contributing to Diaper Dermatitis

Factors like prolonged contact with moisture, irritants from urine and stool, and infections can lead to diaper dermatitis.

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Kawasaki Disease

A severe illness that primarily affects children under five and causes inflammation of blood vessels throughout the body, It can lead to heart problems.

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Vasculitis

Inflammation of blood vessels

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What causes Kawasaki disease?

The exact cause is unknown, but it's thought to be an autoimmune response, possibly triggered by an infection or environmental factors. Genetics may also play a role.

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Coronary Arteries

Blood vessels that supply blood to the heart muscle.

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Aneurysm

A weakened and bulging area in a blood vessel.

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Thrombosis

Formation of a blood clot inside a blood vessel.

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Signs of Kawasaki Disease

High fever lasting more than five days, red eyes, rash, swollen hands and feet, enlarged lymph nodes, red lips, and a strawberry tongue.

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Diagnostic Criteria

The diagnosis is based on at least five days of fever, plus four of the following: red eyes, rash, swollen hands/feet, red lips, and enlarged lymph nodes.

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Treatment: Intravenous Immunoglobulin (IVIG)

Administered through a vein to reduce inflammation and the risk of heart problems. It's most effective within the first ten days of illness.

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Treatment: Aspirin

High-dose aspirin is given during the acute phase to reduce inflammation and prevent clots.

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Study Notes

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