Peds Final Exam Paper PDF

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QEB Provide iron supplements to full term infants by the age of 4 to 6 months. Recommend iron-fortified formula for infants when solids are introduced. Modify the infant s diet to include high iron, and vitamin C. Monitor formula intake in infants. ◦ Limit formula intake to 32 oz (960 mL) per day. ◦ Encourage intake of iron-rich foods. ◦ Provide iron-fortified cereal when solid foods are introduced ◦ Allow frequent rest periods. If packed RBCs are required, follow protocols for administration. Patient-Centered Care Sickle cell anemia Nursing Care Promote rest to decrease oxygen consumption. Administer oxygen as prescribed if hypoxia is present. ◦ Provide intense hydration therapy while maintaining fluid and electrolyte balance. ◦ Monitor I&O. 0.990 NaCl or LR ◦ Give oral fluids. NS ◦ Administer IV fluids with electrolyte replacement. Use caution with potassium replacement. Administer blood products, usually packed RBCs, and exchange transfusions per facility protocol. Observe for manifestations of hypervolemia and transfusion reaction. Treat and prevent infection. ◦ Administer antibiotics. ◦ Perform frequent hand hygiene. ◦ Give oral prophylactic penicillin. QEB ◦ Administer pneumococcal conjugate vaccine, meningococcal vaccine, and Haemophilus influenzae type B vaccine. Monitor and report laboratory results.  thick tattoos El Dizziness Headache  ftp.tdk ee if chest syndrome TmenF THib.inf type Bvac Common complication amiania IT Bruising Jointpain Usedto prevent treat hemorrhage  NO NSAIDS Donot admin ASPIRI acetaminophen is substi  F Poorfeeding Patchit Balloonangioplasty Placements ofstents Thief when hearthavinghardtime pumpingBlood into thelungs On  illness Blue gray Skin deoxygenated blood goesthroughthebody Oxygenatedbloodgoes totheLungs Murmurs LowO2saturation Cardiomegaly Dyspnea SOB HF S S  Nursing Action Etpsurgical Procedures therapies Surgery to switch the arteries withinthefirst 2 weekof life IV prostaglandin E keepducts open Patient-Centered Care HF intervention Nursing Care Remain calm when providing care. Keep the child well-hydrated. Conserve the child s energy by providing frequent rest periods; clustering care; providing small, frequent meals; bathing PRN; and keeping crying to a minimum in cyanotic children. Perform daily weight and I&O to monitor fluid status and nutritional status. Monitor heart rate, blood pressure, blood electrolytes, and kidney function to assess for complications. Provide support and resources for parents to promote developmental growth in the child. Monitor family coping and provide support. Administer prescribed medications. Maintain fluid and electrolyte balance. ◦ Administer potassium supplements if prescribed. These might not be indicated if the child is concurrently taking an ACE inhibitor. ◦ Maintain sodium and fluid restrictions if prescribed. Decrease workload of the heart. ◦ Maintain bed rest. ◦ Position in an infant seat or hold at a 45° angle. Keep safety restraints In_ low and loose on the abdomen. ◦ Allow the child to sleep with several pillows and encourage a semi- Fowler s or Fowler s position while awake. Provide adequate nutrition. ◦ Plan to feed the infant using a feeding schedule of every 3 hr. The infant should be rested, which occurs soon after awakening. ◦ Use a soft preemie nipple or a regular nipple with a slit to provide an enlarged opening. ◦ Hold the infant in a semi-upright position. ◦ Allow the infant to rest during feedings, taking approximately 30 min to completeE the feeding. ◦ Gavage feed the infant if they are unable to consume enough formula or breast milk. ◦ Increase caloric density of formula gradually from 20 kcal/oz to 30 kcal/ oz. ◦ Encourage clients who are breastfeeding to alternate feedings with high- density formula or fortified breast milk. Increase tissue oxygenation. ◦ Provide cool, humidified oxygen via an oxygen hood (or tent), mask, or nasal cannula. ◦ Suction the airway as indicated. ◦ Monitor oxygen saturation every 2 to 4 hr.  meet the metabolic physicaldemands Of the body dueto inadequate Blood Encourage Highktfoods monitorweight daily Encourage Fluids Infection III Limitactivity for 24hr Irvit self  unscented lotion If coronaryabnormalitiesdevelop continue aspirin therapy indefinitely nonacidic