30 Questions
What is the term for an abnormal collection of air or gas in the pleural space, which may interfere with normal breathing?
Pneumothorax
What is the purpose of fractional exhaled nitric oxide (FeNo) tests?
To measure how much nitric oxide is in your breath
What is the primary cause of spontaneous pneumothorax?
Rupture of the apical subpleural bleb
What is an important part of home care measures for individuals with respiratory problems?
All of the above
What is the purpose of preparing the child for a CXR?
To diagnose pneumothorax
What is essential for the administration of medications in children with respiratory problems?
Instructing the child in self-administration
What is a characteristic of small varicoceles?
They present as soft lumps above the testicle, usually on the left side of the scrotum
What is a risk factor for varicoceles?
Premature birth or low birth weight
What is a diagnostic tool used to assess varicoceles?
Color-flow Doppler Ultrasound
What is a management option for varicoceles?
Catheter-directed Embolization
What is a complication associated with varicoceles?
Testicular cancer
What is a characteristic of retractile testicles?
They allow the testicle to move in and out of the scrotum
When caring for a child who requires daily medicine injections, which toy would provide the best therapeutic play?
A syringe to practice injections
What is a key difference in body composition between children and adults that makes diarrhea more devastating in infants?
Higher proportion of fluid
During therapeutic play, a 4-year-old child draws a girl with a head and body but no arms or legs. What is the best action in response?
Tell the girl to finish the drawing
What is a key consideration when planning play experiences for a 4-year-old confined to bed?
Planning activities that require minimal movement
Why is it important to avoid performing procedures during family visits?
To minimize family anxiety
What is a key role of the nurse when it comes to caring for a child who has a medical condition?
To provide education and support to the parents
What is the primary reason for a woman with endometriosis to experience infertility?
Scarring of the fallopian tubes
What is the primary purpose of stimulation in the management of infertility?
To induce ovulation
What is a common complication of infertility treatment?
Multiple pregnancies
What is the primary reason for using NSAIDS in the management of infertility?
To alleviate pain and discomfort
What is the primary purpose of egg retrieval in the management of infertility?
To retrieve eggs for future use
What is a common manifestation of endometriosis?
Dull, throbbing pain in the lower abdomen
What is an appropriate way to provide therapeutic play for a 3-year-old girl hospitalized for eye surgery?
Providing a doll and syringe for therapeutic play.
How should you respond to a 3-year-old girl's statement, 'You won't watch TV again when I tell you not to!' during therapeutic play?
Explain that nurses never give injections into eyes.
What is the best action to take when a school-aged child needs 5 units of regular insulin administered in the playroom?
Inject the insulin in the playroom; insulin injections do not hurt.
How should you respond to a 2-year-old girl playing roughly with a truck?
Try to divert her attention to a different toy.
What is the significance of providing a doll and syringe for therapeutic play to a 3-year-old girl hospitalized for eye surgery?
It allows her to express her feelings about the upcoming surgery.
Why is it essential to have a supportive attitude when caring for a 3-year-old girl hospitalized for eye surgery?
It promotes the child's sense of security and reduces anxiety.
Study Notes
Play Therapy and Child Development
- A 4-year-old child may draw people with only three or four body parts.
- Providing a tray of dry oatmeal for "sand" and a doll with a syringe can facilitate therapeutic play.
- A 3-year-old girl can engage in role-playing with a doll and syringe, sticking the syringe in the doll's eye.
Administering Medications to Children
- When administering insulin to a school-aged child, it is best to inject it in a private area, not in the playroom.
- The child should be prepared and educated about the injection process.
Pediatric Care and Assessment
- A 2-year-old girl may exhibit rough play, such as playing roughly with a truck.
- In assessing a child's development, it is essential to consider cultural and religious factors.
Infertility and Reproductive Health
- Endometriosis, pelvic inflammatory disease, uterine fibroids, and IUD use are risk factors for infertility.
- Steps in assisted reproductive technology include stimulation, egg retrieval, insemination and fertilization, embryo culture, and embryo transfer.
- Complications of infertility treatment include multiple pregnancies, which increase the risk of low birth weight and premature birth.
Respiratory Care and Management
- Symptoms of respiratory distress include dull, throbbing pain in the lower abdomen, pain that radiates to the lower back and thighs, sweating, and dizziness.
- Management of respiratory distress includes NSAIDs, exercise, rest, and oxygen therapy.
Cryptorchidism and Varicocele
- Cryptorchidism is the absence of a testicle in the scrotum, and it increases the risk of testicular cancer.
- Varicocele is an abnormal collection of air or gas in the pleural space, which can cause the lungs to collapse.
- Risk factors for varicocele include low birth weight, family history, and maternal exposure to pesticides during pregnancy.
Nursing Considerations
- Nursing considerations for respiratory distress include monitoring respiratory status, providing humidified oxygen, and preparing for a chest X-ray.
Child Development and Growth
- Children differ from adults in body composition, with higher proportions of fluid and extracellular fluid.
- Diarrhea can be devastating in infants due to their high fluid content and shorter intestine length.
Therapeutic Play and Child Development
- A 4-year-old child may draw incomplete or distorted body parts, indicating possible mental health concerns.
- Therapeutic play experiences, such as providing a doll with a cast or a stuffed bear with a Band-Aid, can facilitate age-appropriate play for a confined child.
Review key concepts and nursing considerations for caring for mothers and children at risk or with problems. Topics include respiratory care, nutrition, and laboratory tests.
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