Podcast
Questions and Answers
What are the six rights of medication administration?
Which of the following is a proper consideration when administering IVs to pediatric patients?
What is a potential interaction to consider with phenytoin (Dilantin)?
Which of these methods should be used to prepare a child preoperatively?
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What should be done to minimize complications postoperatively in children?
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Which feeding method involves delivering nutrients directly to the stomach?
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When considering drug interactions, which of the following food interactions can affect the absorption of iron supplements?
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What is a key nursing action related to the protection of an IV site in children?
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What aspect is critical in the prevention of drug interactions?
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What is an important factor to consider when providing oxygen therapy to a child?
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What is one of the key responsibilities of a nurse when admitting a child to the pediatric unit?
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Which vital sign measurement is specifically important for infants?
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What is a critical measure when transporting an infant within the hospital?
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What should be done first when collecting urine specimens from infants?
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When assessing vital signs in infants, what technique should be demonstrated?
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What is essential to remember regarding medication administration in infants and children?
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Which aspect of parenteral fluid administration is a nursing responsibility?
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What is the recommended site for intramuscular injections in infants?
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What should a nurse do to prepare a pediatric patient for surgery?
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Which of the following is NOT a part of collection procedures for specimens?
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List five safety measures when caring for hospitalized children.
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How should an infant be positioned for a lumbar puncture?
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What two nursing responsibilities are critical when a child is receiving parenteral fluids?
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What is the most important variable in predicting drug therapy response in children?
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What basic daily data should be collected for hospitalized infants and children?
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Study Notes
Lesson 22.1
Objectives (1 of 2)
1.Define each key word listed.
2.List five safety measures applicable to the care of the hospitalized child.
3.Illustrate techniques of transporting infants and children.
4.Plan the basic daily data collection for hospitalized infants and children.
5.Identify the normal vital signs of infants and children at various ages.
Lesson 22.1
Objectives (2 of 2)
6.Devise a nursing care plan for a child with a fever.
7.Discuss the technique of obtaining urine and stool specimens from infants.
8.Position an infant for a lumbar puncture.
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Admission to the Pediatric Unit—Nursing Responsibilities
Identification
Consents
Safety measures
Procedure preparation
Transporting, positioning, and restraining
Basic Data Collection
Observation
Growth and development
Level of interaction between child and environment
History survey
Physical Survey
Vital signs
Pain
Weight
Height
Head circumference (infants)
Collecting Specimens
Verify physician order.
Obtain lab requisitions, correct containers, and supplies.
Collect specimen.
Label clearly and attach proper forms.
Send to laboratory according to hospital policy.
Record in nurses’ notes and on intake and output record what specimens were obtained and, where appropriate, the amount of output.
Lesson 22.2
Objectives (1 of 2)
9.Demonstrate techniques of administering oral, eye, and ear medications to infants and children.
10.Demonstrate proper techniques of assessing vital signs in infants and children
11.Compare the preferred sites for intramuscular injection for infants and adults.
12.Discuss two nursing responsibilities necessary when a child is receiving parenteral fluids and the rationale for each.
Lesson 22.2
Objectives (2 of 2)
13.Calculate the safe dosage of a medicine that is in liquid form.
14.Demonstrate the appropriate technique for gastrostomy tube feeding.
15.Summarize the care of a child receiving supplemental oxygen.
16.Recall the principles of tracheostomy care.
17.List the adaptations necessary when preparing a pediatric patient for surgery.
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Medications in Infants and Children
Age is the most important variable in predicting response to any drug therapy
Absorption
Metabolism
Excretion
Nursing Responsibilities in Administering Medications to Infants and Children
Observe for toxic symptoms.
Safe dose should be calculated before administration.
Administration
ØOral
ØParenteral
ØIntravenous
ØTPN
Medication Safety Alert!: Preventing Medication Errors
Six rights of medication administration
ØPatient
ØDrug
ØDose
ØTime
ØRoute
ØDocumentation
Factors to Consider for Pediatric IVs
Developmental characteristics
Site where IV is to be inserted
Preparation of child
Family Involvement
Related nursing actions
Protection of IV site
Mobility considerations
Safety needs
Preventing Drug Interactions
Selected drug–environment interactions
ØPhototoxicity
Selected drug–drug interactions
ØPhenytoin (Dilantin) and antacid
Selected drug–food interactions
ØIron supplement and egg yolks
Nutrition, Digestion, and Elimination
Gavage feeding
Gastrostomy
Enema
Respiration
Tracheostomy care
Indications for suctioning
Complications
Signs and symptoms to monitor for
Oxygen therapy
Airway obstruction
Preoperative and Postoperative Care
Preoperative
ØChildren require both physical and psychological preparation at their level of understanding.
ØClarify any misunderstandings the child may have.
ØInfants should not be maintained on NPO status for longer than 4 to 6 hours; provide a pacifier to assist in meeting developmental need for sucking.
Postoperative
ØNursing interventions are aimed at assisting the child to master a threatening situation and minimize physical and psychological complications.
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Description
Test your knowledge on essential pediatric nursing practices, including medication administration, IV considerations, and preoperative care for children. This quiz covers critical interactions, feeding methods, and safety measures in pediatric healthcare settings.