Podcast
Questions and Answers
What are the signs of severe dehydration in a child?
What are the signs of severe dehydration in a child?
- Comatose with sunken fontanels and dry oral mucosa (correct)
- Slightly lethargic with normal skin turgor
- Alert and well-hydrated
- Mildly listless with moist mucosa
Which option describes an appropriate initial treatment for a toddler experiencing diarrhea?
Which option describes an appropriate initial treatment for a toddler experiencing diarrhea?
- Oral Rehydration Solutions and real food without dairy (correct)
- Intravenous fluids only
- Oral Rehydration Solutions with dairy products
- Clear fluids and dairy products
What should be included in patient education for a child prescribed oral antifungal agents?
What should be included in patient education for a child prescribed oral antifungal agents?
- Medication should be taken with milk
- Complete the full course even if symptoms improve (correct)
- Avoid all physical activity until the medication is finished
- Stop taking the medication if a rash appears
What are the 5 Ps to assess for musculoskeletal compromise in a child with a fracture?
What are the 5 Ps to assess for musculoskeletal compromise in a child with a fracture?
Which symptom is NOT commonly associated with mumps?
Which symptom is NOT commonly associated with mumps?
What is a key assessment finding in a child with bronchiolitis and RSV?
What is a key assessment finding in a child with bronchiolitis and RSV?
Which nursing intervention is appropriate for a child with RSV?
Which nursing intervention is appropriate for a child with RSV?
What is a priority observation for a patient post-tonsillectomy?
What is a priority observation for a patient post-tonsillectomy?
Which position is recommended for a child recovering from a tonsillectomy?
Which position is recommended for a child recovering from a tonsillectomy?
What indicates effective treatment for a patient with croup?
What indicates effective treatment for a patient with croup?
Which of the following is NOT a complication of croup?
Which of the following is NOT a complication of croup?
What care measure should be avoided in a child after tonsillectomy?
What care measure should be avoided in a child after tonsillectomy?
Which assessment finding is a common indicator of tinea capitis (ringworm)?
Which assessment finding is a common indicator of tinea capitis (ringworm)?
Flashcards
RSV assessment findings in children
RSV assessment findings in children
Children with RSV bronchiolitis exhibit signs like air hunger, cyanosis, respiratory distress, rapid breathing, chest retractions, wheezing, and apnea. Early symptoms may include a runny nose, sore throat, and low fever, followed by a cough and wheezing.
Post-tonsillectomy care
Post-tonsillectomy care
Post-tonsillectomy care focuses on maintaining a clear airway, providing fluids (avoiding deep sucking or straws) and managing pain.
Croup treatment effectiveness
Croup treatment effectiveness
Treatment for croup is effective when the child's stridor and coughing decrease, indicating an opening of their airway.
Tinea Capitis assessment
Tinea Capitis assessment
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RSV nursing care
RSV nursing care
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Post-tonsillectomy positioning
Post-tonsillectomy positioning
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Croup complications
Croup complications
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Tinea Capitis interventions
Tinea Capitis interventions
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Mild Dehydration Signs
Mild Dehydration Signs
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Severe Dehydration Signs
Severe Dehydration Signs
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Mumps Symptoms
Mumps Symptoms
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Fracture/Cast Assessment
Fracture/Cast Assessment
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Rehydration for Diarrhea/Vomiting
Rehydration for Diarrhea/Vomiting
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Study Notes
Acute Respiratory Disease
- Assessment findings for bronchiolitis and RSV:
- Air hunger, cyanosis, respiratory distress, tachypnea, retractions, grunting, cough, wheezing, apnea periods, listlessness, and uninterested in feeding.
- Early wheezing throughout; later it becomes quiet
- Clear runny nose, pharyngitis, low-grade fever, bronchiolitis cough (1-2 days), then wheezing; excess mucus production, and poor feeding.
Nursing Care for RSV
- Protect the airway:
- Supplemental oxygen, elevate HOB, PO/IV hydration, frequent suctioning, inhaling bronchodilators, frequent airway assessment.
- Reduce risk of infection:
- Isolation for droplet precautions.
Post-Tonsillectomy Assessments
- Promote airway:
- Position: Recovery - Side lying or prone, Awake - HOB elevated or sitting.
- Suctioning as needed (careful not to hit surgical site).
- Monitor for dry blood on teeth/nares or in emesis.
- Maintain fluid balance.
Croup Treatment and Complications
- Treatment:
- Decrease stridor and cough (opens the airway).
- Complications:
- Severe airway obstruction.
Tinea Capitis (Ringworm) Assessment and Interventions
- Assessment findings:
- Hand hygiene, wash sheets/clothes in hot water, antifungal agents (oral griseofulvin, shampoo), no school/daycare for 1 week are the nursing interventions.
Medication Prescribing and Patient Education
- Medication prescription: Medication mechanisms of action, complications, and patient education will be discussed.
Musculoskeletal Compromise (Fracture/Cast)
- Assessments:
- Odor or drainage, skin irritation, early compromise signs (5 Ps - pain, pulse, pallor, paresthesia, paralysis), peripheral assessment bilaterally will be necessary.
Acute Gl Disorders (Dehydration)
- Mild dehydration: Alert, soft & flat fontanels, normal eyes, pink and moist skin turgor.
- Moderate dehydration: Alert - listless, sunken fontanels, mildly sunken orbits, pale and slightly dry mucosa, decreased skin turgor, delayed cap refill.
- Severe dehydration: Alert - comatose, sunken fontanels, deeply sunken orbits, dry oral mucosa, tenting skin turgor, cool/mottled/significant delayed cap refill.
Infectious Diseases (Mumps)
- Symptoms: Fever, tiredness, swollen cheeks, tender swollen jaw.
- Long-term effects: Deafness, brain swelling, painful and/or swollen testicles/ovaries.
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