Mental Health Warning Signs

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Questions and Answers

What is the purpose of administering acetazolamide in the context of CSF bypass?

To reduce intracranial pressure (correct)

To promote breastfeeding

To treat otitis media

To manage respiratory infections

What is the most common age range for otitis media to occur in children?

6-36 months (correct)

6-12 months

1-2 years

4-6 years

What is a possible long-term complication of untreated otitis media?

Conductive hearing loss

Cleft palate

Hearing impairment (correct)

Respiratory infection

What is the primary reason why formula-fed infants are more likely to develop otitis media?

Less frequent breastfeeding Signup and view all the answers

What is the typical duration of conductive hearing loss after an acute otitis media infection?

Up to 6 months Signup and view all the answers

What is the primary goal of tympanocentesis in the context of otitis media?

To obtain a sample for bacterial culture Signup and view all the answers

What is the primary symptom of Hirschsprung's disease in newborns?

Ribbon-like stools Signup and view all the answers

What is the purpose of daily enemas in the management of Hirschsprung's disease?

To achieve bowel movements Signup and view all the answers

What is the incidence rate of hydrocephalus per 1,000 live births?

3 to 4 per 1,000 Signup and view all the answers

What is the primary cause of hydrocephalus in newborns?

All of the above Signup and view all the answers

What is the name of the procedure used to assess bowel function in Hirschsprung's disease?

Anorectal manometry Signup and view all the answers

What is the common sign of increased intracranial pressure in hydrocephalus?

Increased head circumference Signup and view all the answers

What is a common characteristic of the pain experienced by a child with intussusception?

It lasts a short time with intervals of no crying in between Signup and view all the answers

What is the probable cause of the development of intussusception in most children?

Administration of rotavirus vaccine Signup and view all the answers

What is a possible complication of untreated intussusception?

Necrosis of the invaginated portion Signup and view all the answers

What is a common symptom of intussusception in addition to vomiting and abdominal distension?

Blood in stool Signup and view all the answers

What is the age range most affected by intussusception?

Infants Signup and view all the answers

What is a possible behavior exhibited by a child with intussusception?

Drawing up the legs Signup and view all the answers

What is the primary mode of transmission of bacterial meningitis?

Through respiratory droplets Signup and view all the answers

What is a possible complication of bacterial meningitis in children?

Blindness or deafness Signup and view all the answers

What is the primary diagnostic tool for bacterial meningitis?

Cerebrospinal fluid analysis Signup and view all the answers

What is a common symptom of bacterial meningitis in newborns?

Poor sucking and weak cry Signup and view all the answers

What is the purpose of placing a child on respiratory precautions after starting antibiotic therapy?

To prevent the spread of infection Signup and view all the answers

Why may prophylactic antibiotics be started for a child's immediate family?

To prevent the spread of infection Signup and view all the answers

What is a potential warning sign of suicide?

Making comments about being hopeless or helpless Signup and view all the answers

Which of the following is a risk factor for suicide?

Having a family history of mental disorder Signup and view all the answers

What is a therapeutic management approach for suicide prevention?

Psychotherapy and psychosocial interventions Signup and view all the answers

What is a warning sign of suicide that involves a sudden change in behavior?

Sudden switch from being very sad to being very calm Signup and view all the answers

Which of the following is not a risk factor for suicide?

Regular exercise habits Signup and view all the answers

What is a warning sign of suicide that involves communication with others?

Saying goodbye to friends and family Signup and view all the answers

Study Notes

Nursing Care of Children with Various Health Conditions

Acute Otitis Media

Inflammation of the ear, most prevalent disease among children after RTI
Occurs most often in children 6-36 months and 4-6 years old
Higher incidence in males and children with cleft palate
Caused by Streptococcus pneumoniae, Haemophilus influenzae, and Group A beta hemolytic streptococci
Signs and symptoms: fever, sharp or constant pain in one or both ears, irritable
Nursing management:
- Administer oxygen and antibiotics as ordered
- Monitor intake and output closely, obtain daily weight
- Encourage mother to breastfeed

Bacterial Meningitis

Infection of the meninges, occurring most often in children under 24 months
Caused by Neisseria meningitidis, Streptococcus pneumoniae, Group B streptococcus, and Escherichia coli
Signs and symptoms: very irritable, headache, seizures or shock, bulging fontanels
Nursing management:
- Assist with intrathecal injections
- Administer antibiotics and corticosteroids as ordered
- Place child on respiratory precautions after antibiotic therapy
- Assist with feeding using specialty feeding devices

Hydrocephalus

Excessive cerebrospinal fluid (CSF) in the ventricles and subarachnoid spaces of the brain
Types: communicating hydrocephalus, extraventricular obstructive hydrocephalus, and intraventricular
Caused by overproduction of CSF or obstruction of fluid passage
Signs and symptoms: prominent scalp veins, bossing of forehead, enlarged fontanelles, sunset eyes
Nursing management:
- Assist with CSF bypass (V-P shunt or V-A shunt)
- Administer acetazolamide (Diamox) as ordered

Hirschsprung's Disease

Absence of ganglionic innervation to the muscle of a section of the bowel
Causes chronic constipation or ribbon-like stools
Occurs at a greater incidence in siblings of a child with the disorder
Symptoms: duration of constipation, consistency of stool, and illness
Nursing management:
- Assist with anorectal manometry
- Assist with temporary colostomy followed by bowel repair at 12-18 months

Intussusception

Invagination of one portion of the intestine into another
Occurs for idiopathic reasons, often after rotavirus vaccine administration
Signs and symptoms: severe pain, vomiting, blood in stool, and abdomen distension
Nursing management:
- Recognize symptoms and prevent necrosis of invaginated portion

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Description

This quiz covers the warning signs of mental health issues, including suicidal thoughts and behaviors. It also touches on the importance of seeking professional help.