Podcast
Questions and Answers
A 5-year-old child presents with persistent vomiting and diarrhea. Which electrolyte imbalance is MOST likely to develop?
A 5-year-old child presents with persistent vomiting and diarrhea. Which electrolyte imbalance is MOST likely to develop?
A neonate (5 days old) has a sodium level of 128 mmol/L. What is the appropriate interpretation of this lab value?
A neonate (5 days old) has a sodium level of 128 mmol/L. What is the appropriate interpretation of this lab value?
Which of the following nursing interventions is MOST appropriate for a child diagnosed with hypernatremia?
Which of the following nursing interventions is MOST appropriate for a child diagnosed with hypernatremia?
Which of the following is a potential cause of hypernatremia in children?
Which of the following is a potential cause of hypernatremia in children?
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A 10-year-old child is admitted with confusion and muscle weakness. Lab results show a sodium level of 119 mmol/L. Which nursing diagnosis is MOST appropriate?
A 10-year-old child is admitted with confusion and muscle weakness. Lab results show a sodium level of 119 mmol/L. Which nursing diagnosis is MOST appropriate?
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What is the expected normal range of potassium for a 3-year-old child?
What is the expected normal range of potassium for a 3-year-old child?
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A child is diagnosed with Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH). Which electrolyte imbalance is the MOST likely complication?
A child is diagnosed with Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH). Which electrolyte imbalance is the MOST likely complication?
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A 7-year-old child is receiving intravenous fluids at an excessive rate. Which electrolyte imbalance is the child at risk of developing?
A 7-year-old child is receiving intravenous fluids at an excessive rate. Which electrolyte imbalance is the child at risk of developing?
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Which of the following electrolyte imbalances is most directly associated with milk-alkali syndrome?
Which of the following electrolyte imbalances is most directly associated with milk-alkali syndrome?
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A patient with metabolic alkalosis exhibits compensatory hyperventilation. What is the primary physiological purpose of this response?
A patient with metabolic alkalosis exhibits compensatory hyperventilation. What is the primary physiological purpose of this response?
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Which of the following nursing interventions is most appropriate for a patient experiencing moderate symptoms of metabolic alkalosis?
Which of the following nursing interventions is most appropriate for a patient experiencing moderate symptoms of metabolic alkalosis?
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A patient with a history of cystic fibrosis is admitted with metabolic alkalosis. Which of the following health teachings would be most important for this patient?
A patient with a history of cystic fibrosis is admitted with metabolic alkalosis. Which of the following health teachings would be most important for this patient?
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In a child with respiratory acidosis due to impaired gas exchange, which compensatory mechanism would the nurse expect to observe?
In a child with respiratory acidosis due to impaired gas exchange, which compensatory mechanism would the nurse expect to observe?
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A child with muscular dystrophy develops respiratory acidosis. Which of the following etiological factors is the most likely cause in this scenario?
A child with muscular dystrophy develops respiratory acidosis. Which of the following etiological factors is the most likely cause in this scenario?
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Which of the following sets of signs and symptoms would indicate a move from mild to moderate respiratory acidosis?
Which of the following sets of signs and symptoms would indicate a move from mild to moderate respiratory acidosis?
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A child aspirates a foreign body, leading to airway obstruction and subsequent respiratory acidosis. Which of the following physiological processes primarily contributes to the acidosis?
A child aspirates a foreign body, leading to airway obstruction and subsequent respiratory acidosis. Which of the following physiological processes primarily contributes to the acidosis?
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What nursing intervention is most important when caring for a child with hypermagnesemia?
What nursing intervention is most important when caring for a child with hypermagnesemia?
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A child with a magnesium imbalance is also displaying muscle weakness. Which nursing diagnosis is most appropriate for this?
A child with a magnesium imbalance is also displaying muscle weakness. Which nursing diagnosis is most appropriate for this?
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A child is diagnosed with hypochloremia secondary to cystic fibrosis. Besides administering prescribed medications, what dietary advice should the nurse provide to the parents?
A child is diagnosed with hypochloremia secondary to cystic fibrosis. Besides administering prescribed medications, what dietary advice should the nurse provide to the parents?
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Which assessment finding in a child would lead the nurse to suspect hyperchloremia?
Which assessment finding in a child would lead the nurse to suspect hyperchloremia?
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Why does hypochloremia lead to metabolic alkalosis?
Why does hypochloremia lead to metabolic alkalosis?
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A child presents with muscle weakness, fatigue, and a history of frequent vomiting. Lab results indicate low chloride levels. Which acid-base imbalance is most likely occurring?
A child presents with muscle weakness, fatigue, and a history of frequent vomiting. Lab results indicate low chloride levels. Which acid-base imbalance is most likely occurring?
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Parents of a child with a magnesium imbalance ask how to recognize signs of an imbalance at home. What information is most important for the nurse to include in the teaching?
Parents of a child with a magnesium imbalance ask how to recognize signs of an imbalance at home. What information is most important for the nurse to include in the teaching?
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How does hyperchloremia contribute to metabolic acidosis?
How does hyperchloremia contribute to metabolic acidosis?
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Which of the following nursing interventions is MOST appropriate for a child experiencing moderate respiratory distress due to bronchiolitis?
Which of the following nursing interventions is MOST appropriate for a child experiencing moderate respiratory distress due to bronchiolitis?
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A child with bronchiolitis is displaying signs of increased anxiety. Which nursing intervention is MOST appropriate to alleviate this?
A child with bronchiolitis is displaying signs of increased anxiety. Which nursing intervention is MOST appropriate to alleviate this?
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A child with respiratory distress is admitted. Which nursing intervention is the highest priority upon admission?
A child with respiratory distress is admitted. Which nursing intervention is the highest priority upon admission?
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A child is showing mild symptoms of respiratory alkalosis. Which of the following symptoms would the nurse expect to observe?
A child is showing mild symptoms of respiratory alkalosis. Which of the following symptoms would the nurse expect to observe?
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Which of the following is the MOST common etiological agent for croup?
Which of the following is the MOST common etiological agent for croup?
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A child with croup is experiencing a barking cough and stridor at rest. Which medication is MOST likely to be administered?
A child with croup is experiencing a barking cough and stridor at rest. Which medication is MOST likely to be administered?
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The nurse is caring for a child with asthma who is hyperventilating. Blood gas analysis reveals respiratory alkalosis. Which intervention is most appropriate?
The nurse is caring for a child with asthma who is hyperventilating. Blood gas analysis reveals respiratory alkalosis. Which intervention is most appropriate?
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A nursing diagnosis for a child with either bronchiolitis or croup is 'Impaired gas exchange related to inflammation and edema'. Which nursing intervention directly addresses this diagnosis?
A nursing diagnosis for a child with either bronchiolitis or croup is 'Impaired gas exchange related to inflammation and edema'. Which nursing intervention directly addresses this diagnosis?
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A child with cystic fibrosis is at risk for respiratory alkalosis. What health teaching should the nurse prioritize for the family?
A child with cystic fibrosis is at risk for respiratory alkalosis. What health teaching should the nurse prioritize for the family?
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A child is diagnosed with respiratory alkalosis due to salicylate toxicity. What is the most important nursing intervention?
A child is diagnosed with respiratory alkalosis due to salicylate toxicity. What is the most important nursing intervention?
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Which health teaching point is MOST crucial for parents of a child recently diagnosed with bronchiolitis or croup?
Which health teaching point is MOST crucial for parents of a child recently diagnosed with bronchiolitis or croup?
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A child with respiratory distress has the following arterial blood gas results: pH 7.50, PaCO2 28 mm Hg, HCO3- 22 mEq/L. Which nursing diagnosis is most appropriate?
A child with respiratory distress has the following arterial blood gas results: pH 7.50, PaCO2 28 mm Hg, HCO3- 22 mEq/L. Which nursing diagnosis is most appropriate?
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Which of the following is a modifiable risk factor that parents can manage to reduce the likelihood of their child contracting bronchiolitis or croup?
Which of the following is a modifiable risk factor that parents can manage to reduce the likelihood of their child contracting bronchiolitis or croup?
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A nurse is caring for a child with severe respiratory alkalosis. Which of the following findings requires immediate intervention?
A nurse is caring for a child with severe respiratory alkalosis. Which of the following findings requires immediate intervention?
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A 6-month-old infant is diagnosed with bronchiolitis. What is the MOST important infection control measure to emphasize to the parents?
A 6-month-old infant is diagnosed with bronchiolitis. What is the MOST important infection control measure to emphasize to the parents?
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A child is being discharged after treatment for respiratory alkalosis. Which statement indicates that the parents understand the discharge teaching?
A child is being discharged after treatment for respiratory alkalosis. Which statement indicates that the parents understand the discharge teaching?
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Which of the following is the most critical nursing intervention for a child diagnosed with intussusception?
Which of the following is the most critical nursing intervention for a child diagnosed with intussusception?
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A nurse is caring for a child with intussusception. Which assessment finding would require immediate notification of the physician?
A nurse is caring for a child with intussusception. Which assessment finding would require immediate notification of the physician?
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Which of the following nursing diagnoses takes highest priority in the care of an infant with suspected meningitis?
Which of the following nursing diagnoses takes highest priority in the care of an infant with suspected meningitis?
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What is the primary goal of nursing interventions for a child with meningitis?
What is the primary goal of nursing interventions for a child with meningitis?
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Which nursing intervention is most important when caring for a child with meningitis?
Which nursing intervention is most important when caring for a child with meningitis?
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A 10-month-old infant presents with fever, irritability, and vomiting. The mother reports a recent episode of diarrhea. Which condition should the nurse prioritize in their assessment?
A 10-month-old infant presents with fever, irritability, and vomiting. The mother reports a recent episode of diarrhea. Which condition should the nurse prioritize in their assessment?
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Which intervention would be most appropriate for a child experiencing abdominal pain related to intussusception?
Which intervention would be most appropriate for a child experiencing abdominal pain related to intussusception?
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Following a successful enema reduction for intussusception, what is the most important nursing action?
Following a successful enema reduction for intussusception, what is the most important nursing action?
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Flashcards
Normal Sodium Levels
Normal Sodium Levels
Normal sodium (Na+) levels in children are 135-145 mmol/L.
Normal Potassium Levels
Normal Potassium Levels
Normal potassium (K+) levels in children are 3.5-5.5 mmol/L.
Hyponatremia
Hyponatremia
Hyponatremia is low sodium in the blood, affecting fluid balance and function.
Hypernatremia
Hypernatremia
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Symptoms of Hyponatremia
Symptoms of Hyponatremia
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Symptoms of Hypernatremia
Symptoms of Hypernatremia
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Nursing Intervention for Hypernatremia
Nursing Intervention for Hypernatremia
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Nursing Diagnoses for Electrolyte Imbalance
Nursing Diagnoses for Electrolyte Imbalance
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Hypokalemia
Hypokalemia
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Hypocalcemia
Hypocalcemia
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Milk-alkali syndrome
Milk-alkali syndrome
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Respiratory alkalosis
Respiratory alkalosis
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Signs of metabolic alkalosis (mild)
Signs of metabolic alkalosis (mild)
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Moderate symptoms of alkalosis
Moderate symptoms of alkalosis
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Nursing interventions for alkalosis
Nursing interventions for alkalosis
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Respiratory acidosis
Respiratory acidosis
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Monitor Magnesium Levels
Monitor Magnesium Levels
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Hypomagnesemia
Hypomagnesemia
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Hypermagnesemia
Hypermagnesemia
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Chloride Imbalance
Chloride Imbalance
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Hypochloremia
Hypochloremia
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Hyperchloremia
Hyperchloremia
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Signs of Magnesium Imbalance
Signs of Magnesium Imbalance
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Dietary Modifications for Magnesium
Dietary Modifications for Magnesium
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Respiratory Failure
Respiratory Failure
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Nursing Management: Assess Respiratory Status
Nursing Management: Assess Respiratory Status
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Airway Patency
Airway Patency
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Signs of Respiratory Acidosis
Signs of Respiratory Acidosis
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Respiratory Alkalosis Etiology
Respiratory Alkalosis Etiology
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Signs of Respiratory Alkalosis
Signs of Respiratory Alkalosis
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Health Teaching: Recognizing Respiratory Issues
Health Teaching: Recognizing Respiratory Issues
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Intussusception
Intussusception
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Signs of Intussusception
Signs of Intussusception
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Symptoms: Classic Triad
Symptoms: Classic Triad
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Causes of Meningitis
Causes of Meningitis
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Nursing Interventions for Intussusception
Nursing Interventions for Intussusception
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Potential Complications of Intussusception
Potential Complications of Intussusception
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Classic Symptoms of Meningitis in Infants
Classic Symptoms of Meningitis in Infants
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Nursing Interventions for Meningitis
Nursing Interventions for Meningitis
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Signs of Mild Respiratory Distress
Signs of Mild Respiratory Distress
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Signs of Moderate Respiratory Distress
Signs of Moderate Respiratory Distress
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Signs of Severe Respiratory Distress
Signs of Severe Respiratory Distress
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Nursing Interventions for Respiratory Distress
Nursing Interventions for Respiratory Distress
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Health Teaching for Bronchiolitis
Health Teaching for Bronchiolitis
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Croup Definition
Croup Definition
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Etiology of Croup
Etiology of Croup
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Nursing Interventions for Croup
Nursing Interventions for Croup
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Study Notes
Cardiovascular Responses
- Tachycardia: Increased heart rate (greater than 160 bpm in infants, greater than 120 bpm in children).
- Bradycardia: Decreased heart rate (less than 80 bpm in infants, less than 60 bpm in children).
- Hypotension: Low blood pressure.
- Cardiac arrhythmias: Abnormal heart rhythms.
- Decreased cardiac output: Reduced blood flow.
Respiratory Responses
- Tachypnea: Rapid breathing rate (greater than 40 breaths/minute in infants, greater than 20 breaths/minute in children).
- Dyspnea: Difficulty breathing.
- Grunting: Inspiratory effort.
- Retractions: Chest wall indrawing.
- Apnea: Pauses in breathing.
Neurological Responses
- Altered mental status: Confusion, lethargy, or coma.
- Seizures: Convulsions.
- Decreased consciousness: Reduced responsiveness.
- Irritability: Restlessness or agitation.
Hemodynamic Responses
- Vasoconstriction: Decreased peripheral blood flow.
- Vasodilation: Increased peripheral blood flow.
- Increased systemic vascular resistance: Elevated blood pressure.
Renal Responses
- Oliguria: Decreased urine output (less than 1 ml/kg/h).
- Anuria: Absent urine output.
- Fluid overload: Excess fluid accumulation.
Metabolic Responses
- Metabolic acidosis: Increased lactic acid production.
- Hypoglycemia: Low blood glucose.
- Hyperglycemia: Elevated blood glucose.
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Description
This quiz focuses on the cardiovascular, respiratory, neurological, and hemodynamic responses in pediatric patients. It covers vital sign abnormalities such as tachycardia, bradycardia, and altered mental status. Test your knowledge on the critical signs that indicate potential health issues in infants and children.