Quiz 6

Front 1

D/H x Q = x, or Desired dose (amount) = ordered Dose amount/amount on Hand x Quantity.

Doctor orders 15mg/kg dose of Acetaminophen for a child who weighs 25lbs. The medication bottle contains 160mg/5ml.

150/160 x 5 = 4.687 or 4.7ml

Back 1

Acetaminophen is commonly infants and children. The maximum dose is 15 mg/kg/dose with a maximum of 5 doses in 24 hours. Toxicity involves liver failure.

Ibuprofen (Motrin), are given in a maximum dosage of 8 to 10 mg/kg every 6 hours (q6h).

Ketorolac (Toradol) is a parenterally administered NSAID given for a maximum of 5 days.

Front 2

Opioids for moderate to severe pain such as postoperative pain, sickle-cell crises, and cancer and administered with stool softeners to prevent constipation.

Fentanyl potent analgesic given for short surgical procedures. rapid onset with short duration of action.

Back 2

Naloxone should be available for use in case of opioid overdose.

Flumazenil (Romazicon) for a midazolam (Versed) or diazepam (Valium) overdose.

EMLA cream is a mixture of lidocaine and prilocaine

Patient-controlled analgesia (PCA) allows the patient to press a button attached to an IV analgesic infusion to self-administer a bolus of medication. Parents and children as young as 7 years old can be taught to use PCA.

Front 3

How is pain assessment documented? With routine vital sign documentation.

Back 3

Broselow tape, a system of color-coded ID bracelets for each child admitted to a hospital unit, is based on the child's _________? Weight

Front 4

At what age are children able to safely swallow tablets or capsules? 5 years of age

Back 4

A child's pulse rate will increase as their temperature increases. What is this due to? Increased oxygen consumption needs

Front 5

Why should medications not be diluted in formula or water? To assure the complete dose is consumed

Back 5

Apical pulses are advised for children younger than which age? Younger than 5 years of age.

Front 6

Why is it important for an adolescent's care plan be designed to incorporate choice, privacy, and understanding? They experience feelings of loss of control during hospitalization

Back 6

When hospitalized, which child will experience separation anxiety most severely? Toddler

Front 7

pain has come to be considered a “fifth vital sign.”

Patients in pain secrete higher levels of cortisol, have compromised immune systems, experience more infections, and show delayed wound healing.

Back 7

How often should the Physical Survey, which includes a head-to-toe review, be completed, on a hospitalized child? Once Each shift

Front 8

What can occur if the cast on a limb is too tight and compromises circulation? Compartment syndrome

Back 8

Which injury is a tearing of subcutaneous tissue resulting in hemorrhage, edema, and pain? Contusion

Front 9

Sudden Infant Death Syndrome is thought to be caused by which abnormality?Brainstem abnormality of cardiorespiratory control

Back 9

Which disease is often responsible for rectal prolapse in infants and children partly because of poor muscle tone in the rectal area and because of the excessive leanness of the buttocks of the patient?

Cystic Fibrosis

Front 10

What do premature newborns up to 34 weeks lack to hold the alveoli and airways in the lungs stiff enough to enable sufficient exchange of oxygen and carbon dioxide? Surfactant

Back 10

In which disease process can examining tongue blade possibly trigger a laryngospasm and result in sudden respiratory arrest?Epiglottiti

Front 11

Paroxysmal hypercyanotic episodes occur with which congenital heart defect?Tetrology of Fallot

Back 11

What is the principal cause of death during the first year of life? Heart defect

Front 12

Which is one of the most common cardiac anomalies involving blood crosses from the pulmonary artery to the aorta? Patent Ductus Arteriosus (PDA)

Back 12

In leukemia, the WBCs take over the centers that are designed to form which blood cells? RBC

Front 13

Hodgkin's disease is seen in adolescence and early adulthood. It is twice as common in boys

Back 13

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