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53 Cards in this Set
- Front
- Back
What retractions are found at A?
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Supraclavicular
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What retractions are found at B?
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Suprasternal
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What retractions are found at C?
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Intercostal
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What retractions are found at D?
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Substernal
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What retractions are found at E?
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Subcostal
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What is the most frequent cause of acute renal failure?
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Hemolytic Uremic Syndrome
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What are the S&S of hemolytic uremic syndrome?
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bloody diarrhea, vomiting, decreased urination, hematuria, pallor, edema
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The prodomal hemolytic uremic syndrome is typically accompanied by what?
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Toxin producing E. coli
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What are the S&S of appendicitis?
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RLQ pain, n/v, anorexia, rigidity over RLQ, low grade fever
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If a patient with appendicitis says that they have pain and then suddenly do not, what do you expect?
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Perforation
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How do you breast feed a child with a cleft lip?
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Just like you would any other child, they breast forms to the child's mouth
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Cryptochordism
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Detached scrotum
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How do you test for cryptochordism?
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Put the boy in a warm bath and have him get out, they will shrink
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What is enuresis?
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repeated involuntary voiding by a child who has reached an age at which the bladder control is expected
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By what age should a child have bladder control?
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5-6 years
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Bed wetting is normal until what age?
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8 years
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If a child has enuresis what should you check for?
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diabetes mellitus, renal insufficiency, fistulas, sacral dimples, or tufts of hair
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What is the treatment for enuresis?
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fluid restriction, bed wetting alarms, bladder exercises, timed voiding, reward system, medications
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What medications treat enuresis?
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Ditropan and Trofanil
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How is Trofanil given?
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Capsule 1 hour before bed
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What is esophageal atresia?
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Esophagus terminates before it reaches the stomach and of a fistula is present that forms an unnatural connection with the trachea
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What are the S&S of esophageal atresia?
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Can't pass suction catheter at birth, excessive oral secretions, vomiting, abd distention
3 C'S: COUGHING, CHOKING, CYANOSIS |
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What is the ESSR method with cleft lip or palate?
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Enlargement, Stimulate, Swallow, Rest
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What are the S&S of GERD?
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vomiting, spitting up, failure to thrive
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What are the treatments of GERD?
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Diet, positioning, sleep supine unless risk of aspiration, reglan
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Acute glomerulonephritis is a side effect of what?
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Streptococcal infection
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What are S&S of acute glomerulonephritis?
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Periorbital edema, hypertension
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What is Hirschsprung's disease?
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Congenital aganglionic megacolon: inadequate motility causes mechanical obstruction of the intestine
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How do you treat Hirschsprung's disease?
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monitor fluid and electrolytes, bowel training, measure ad, may have colostomy
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What is intussusception?
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One portion of the intestine prolapses and then telescopes into another
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What are the S&S of intussusception?
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acute episodes of pain, stools red and resemble currant jelly
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What are the nursing interventions for intussusception?
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check for S&S of infection, manage pain, maintain NG tube patency, clear liquids
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What is a hydrocele?
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Fluid filled mass in the scrotum
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What is the treatment of a hydrocele?
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Surgery around 3 months in most newborn boys
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What is the primary cause of nephritoc syndrome?
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Minimal change nephropaty
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What is pyloric stenosis?
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Hypertrophic obstruction of the circular muscle of the pyloric canal
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What are the S&S of pyloric stenosis?
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Projectile vomiting
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What can you see on the abdomen in pyloric stenosis?
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peristaltic waves
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What are S&S of organ rejection?
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fever, swelling, tenderness, decreased urine output, elevated BP
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How do you test specific gravity in an infant?
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Put a cotton ball on their urethra and squeeze it out
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What are the early S&S of dehydration?
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5% body weight loss, alert restless thirsty, normal pulse, normal skin turgor, moist mucous membranes, normal urine, normal respiration, treat with oral fluids
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What are the S&S of moderate dehydration?
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6-8% body weight loss, irritable, alert, thirsty, restless, postural hypotension, rapid pulse, poor skin turgor, dry mucous Montague, concentrated urine, respirations normal or rapid
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What are the S&S of severe dehydration?
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10+% body weight loss, lethargic/comatose, apprehensive, often conscious, rapid weak pulse, poor skin turgor, parched mucous membranes, decreased urine output,
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High concenterated formulas have excessive _________ which can lead to dehydration.
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Sodium
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Rimactane in TB turns the urine ______.
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Orange
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What is cystic fibrosis?
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Genetic multisystem exocrine mucus producing gland dysfunction
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What type of stools does a cystic fibrosis kid have?
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large bulkey loose frothy foul smelling stools
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How do you treat cystic fibrosis?
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Nebulizer, suction, huffing, aeroslized DNase, increase exercise, vitals, pulse ox, check resp status, high protein high calorie diet
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What are S&S of resp distress?
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Tachypnea, paradoxical breathing, adentitious breathing, nasal flairing, check pulses, check color, cough?, behavior changes
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What is the goal of bowel management?
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Keep client clean for 24 hours
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What do you do for bowel management?
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Contrast enema X-ray followed by laxatives or enemas
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What is encorpresis?
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Involuntary defection in a child older than 4 with normal colon and rectal anatomy
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What must be done before any disimpatction?
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Contrast enema
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