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85 Cards in this Set
- Front
- Back
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What is a common symptom of pertussis?
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A dry hacking cough
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How can nurses help prevent severe asthma exacerbations?
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They can educate parents and children on the proper use of an albuterol inhaler
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How can the effectiveness of an albuterol inhaler be demonstrated?
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An increase in HR
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How can a nurse help an infant experiencing decreased oxygenation with bronchiolitis?
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By suctioning the nares. (admin. of albuterol is not effective)
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What are common sings of cystic fibrosis?
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Large loose stools, and thick, grey mucous
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What is a sign of respiratory distress in an infant?
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Respirations greater than 30
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How do infants breathe and what should the nurse do to help them breathe better?
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Infants are obligatory nose breathers and the nurse should provide frequent nasal suctioning
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What is hirschsprung disease?
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A congential anomaly resulting in mechanical obstruction from inadequate motility of part of the intestine
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For a child with hirschsprung disease, is the use of an ostomy bag lifelong?
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No, it is temporary until the colon returns to its normal size
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What are three things the parents of a child with an ostomy bag are taught to do?
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They are taught to assess the stoma, ensure that the appliance is secure, and to keep a one peice outift on to protect the bag
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How should the nurse prepare for a child getting ready for surgery with pyloric stenosis?
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The nurse should place the NG tube, and monitor for decompression of the stomach. The nurse should also correct any electrolyte or fluid imbalance.
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Where would a child with appendicitis experience pain?
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In the RLQ
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When can a child who has undergone the repair of a ruptured appendix eat again?
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When the child starts passing flatus
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What is the priority intervention for the child with gastroenteritis?
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Oral rehydration (If unsuccessful IV rehydration with lactated ringers, NS, or D5w and potassium.)
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How should the nurse approach an adolescent who needs a foley catheter?
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The nurse should give a detailed explanation and offer the opportunity to assent.
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What kind of questions should be avoided when speaking to a toddler?
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yes/no questions
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What is an effective disciplinary strategy for a preschool child?
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Time outs
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What kind of questions should be avoided when speaking to a toddler?
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yes/no questions
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What is a good general nutritional guide for parents of a toddler?
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1 TB of solid food per year of age.
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What is an effective disciplinary strategy for a preschool child?
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Time outs
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How much milk should a toddler have every day?
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No more than 16 oz.
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What is a good general nutritional guide for parents of a toddler?
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1 TB of solid food per year of age.
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Are popcorn, nuts or raisins a good snack for a toddler?
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No they are a choking hazard.
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How much milk should a toddler have every day?
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No more than 16 oz.
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How should the child with a repaired cleft lip be positioned after surgery?
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In an upright sitting position
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Are popcorn, nuts or raisins a good snack for a toddler?
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No they are a choking hazard.
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What age group would enjoy puppets as a play activity?
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Toddlers
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How should the child with a repaired cleft lip be positioned after surgery?
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In an upright sitting position
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How should severe diaper dermatitis be treated?
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Gently remove skin barrier ointments, refrain from using a blow dryer, and avoid the use of disinfecting commercial wipes.
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What age group would enjoy puppets as a play activity?
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Toddlers
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How is strabismus treated?
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With an eye patch over the stronger/unaffected eye/
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How should severe diaper dermatitis be treated?
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Gently remove skin barrier ointments, refrain from using a blow dryer, and avoid the use of disinfecting commercial wipes.
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What kind of room would children with varicalle or TB be placed in?
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The would be placed in a negative ariflow room
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How is strabismus treated?
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With an eye patch over the stronger/unaffected eye/
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What kind of room would children with varicalle or TB be placed in?
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The would be placed in a negative ariflow room
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Erythema migrans is a manifestation of what disease?
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Lyme disease
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What is a common sign in an adolescent with mono? And what should be avoided?
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Spleenomegaly. Contact sports for 4 weeks.
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How would the nurse evaluate the effectiveness of treatment in a child with aids?
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By their ability to take 3 oz. of formula every 3 hours.
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When should lead levels be reported and environmental modifications made?
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If the lead level is above 10mcg/dl
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How is ringworm treated?
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A topical ointment for 1-2 weeks.
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How is lice treated?
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Manual removal of nits and sealing porous non-washable toys in a bag for 2 weeks.
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What is the specific gravity in a child with renal failure?
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1.005 to 1.030.
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Would an adolescent with asthma know the daily use of their medication?
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Yes
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What is a s&s of a child receiving a blood transfusion experiencing fluid overload?
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Distended neck veins
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What would the heart sound like in a child with a ventricular septal defect?
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A loud hard murmur
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What symptom will be present in a child with an Hct <35% and/or a Hgb <11.5?
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Fatigue
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When feeding an infant with a congenital heart disease, how often should they rest?
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Between every 1-2 oz. They should be fed with a soft nipple with a large opening.
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How many Iv lines should be inserted in the child presenting to the ED with a blood sugar of 410?
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Two one for NS, potassium and insulin, and one for D10W
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What is a risk for the child receiving growth hormone injections for hypopituitarism.
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Cancer.
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What will prevent spinal headache in the child who has just received a lumbar puncture?
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Having the child lay flat
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What reflexes will be absent in a 15 mo. old?
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Babinski, moro, and palmar grasp
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What are signs of increased ICP in a child with hydrocephalus and a VP shunt?
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drowsiness and irritablitiy
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Should the nurse ever adjust skeletal traction weights?
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NO
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How should the child with harrington rods be repositioned?
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They should be log-rolled
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When does a child with harrington rods begin to walk again?
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3-4 days post op
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What can a nurse do for a child who is dying?
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The nurse can encourage the child to talk
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How should the nurse treat a child who is experiencing an allergic reaction to PCN?
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Stop the infusion, and admin. epinephrine IV push
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What is a common side effect of vaccinations?
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a low grade fever 24-48 hours after the vaccination
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What can a nurse do for a child who is dying?
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The nurse can encourage the child to talk
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Why should the child with a viral illness not receive aspirin?
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Due to the possibility of Reyes syndrome
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How should the nurse treat a child who is experiencing an allergic reaction to PCN?
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Stop the infusion, and admin. epinephrine IV push
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What is a common sign of a child experiencing sexual abuse?
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poor school performance
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What is a common side effect of vaccinations?
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a low grade fever 24-48 hours after the vaccination
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What will be elevated in a child experiencing nephrotic syndrome?
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Lipids
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Why should the child with a viral illness not receive aspirin?
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Due to the possibility of Reyes syndrome
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T/F:Absent tears are a good thing in an infant.
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False. This shows that their tear ducts are not well developed
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What is a common sign of a child experiencing sexual abuse?
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poor school performance
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How are Hepatitis B and C transmitted?
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They are transmitted through the blood
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What will be elevated in a child experiencing nephrotic syndrome?
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Lipids
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What is a nursing intervention for a closed head injury?
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Elevate the HOB 30 degrees
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T/F:Absent tears are a good thing in an infant.
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False. This shows that their tear ducts are not well developed
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What should be implemented for the child who is unconscious with a closed head injury?
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Seizure precautions.
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How are Hepatitis B and C transmitted?
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They are transmitted through the blood
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What is a nursing intervention for a closed head injury?
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Elevate the HOB 30 degrees
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What should be implemented for the child who is unconscious with a closed head injury?
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Seizure precautions.
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When are the MMR vaccines given
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The first is given at 15 mo. and the second is given between 4-6 years.
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Why should growth hormone injections be given at bedtime?
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To mimic the physiologic release of the hormone
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Poor personal hygiene in a preschooler is a common sign of. . .
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neglect
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Which way should an infants car seat face?
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It should face towards the back of the car
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Common manifestations of DKA:
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kussmaul respirations (respirations with an increased rate and depth), nausea, vomitting, abd. pain, polyuria, polydipsia, flushed, dry skin
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What is the normal HbA1c level? What should a child's with DM be?
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Normal 4-6%
Childs should be about 7.5% |
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T/F HbA1c levels have to be taken after the child has been NPO for 8 hours.
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False. HbA1c levels can be taken at any time and without regard to food.
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Why should a child recovering from dehydration not drink plain water?
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Because it will not give them electrolytes or nutrients they need
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When is varicella no longer contagious?
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6 days after the lesions dissapear
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Why should demerol not be given to children?
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Because it can cause delirium
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