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Questions and Answers
What are the signs of severe dehydration in a child?
What are the signs of severe dehydration in a child?
Which option describes an appropriate initial treatment for a toddler experiencing diarrhea?
Which option describes an appropriate initial treatment for a toddler experiencing diarrhea?
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?
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?
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Which symptom is NOT commonly associated with mumps?
Which symptom is NOT commonly associated with mumps?
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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?
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Which nursing intervention is appropriate for a child with RSV?
Which nursing intervention is appropriate for a child with RSV?
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What is a priority observation for a patient post-tonsillectomy?
What is a priority observation for a patient post-tonsillectomy?
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Which position is recommended for a child recovering from a tonsillectomy?
Which position is recommended for a child recovering from a tonsillectomy?
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What indicates effective treatment for a patient with croup?
What indicates effective treatment for a patient with croup?
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Which of the following is NOT a complication of croup?
Which of the following is NOT a complication of croup?
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What care measure should be avoided in a child after tonsillectomy?
What care measure should be avoided in a child after tonsillectomy?
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Which assessment finding is a common indicator of tinea capitis (ringworm)?
Which assessment finding is a common indicator of tinea capitis (ringworm)?
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Study Notes
Acute Respiratory Disease
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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
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Protect the airway:
- Supplemental oxygen, elevate HOB, PO/IV hydration, frequent suctioning, inhaling bronchodilators, frequent airway assessment.
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Reduce risk of infection:
- Isolation for droplet precautions.
Post-Tonsillectomy Assessments
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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
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Treatment:
- Decrease stridor and cough (opens the airway).
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Complications:
- Severe airway obstruction.
Tinea Capitis (Ringworm) Assessment and Interventions
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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)
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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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Description
This quiz covers important assessment findings and nursing care strategies for respiratory diseases, particularly bronchiolitis and RSV. Key concepts include airway management, infection control, and post-operative care following tonsillectomy. Understanding these aspects is crucial for effective patient care in nursing.
