Bright

The nurse assists to create a nursing care plan for the child with an arm cast and should include which interventions in the plan?

1. Instruct parents to keep the cast clean and dry. 2.Monitor the extremity for circulatory impairment. 3. Instruct the child not to stick objects down the cast. 4. Notify the registered nurse immediately if circulatory impairment occurs.

The nurse has provided instructions to the mother of an infant with viral pneumonia .which statement by the mother would indicate the need for further teaching?

"I understand I will need to have my baby on antibiotics for this pneumonia."

The nurse is preparing for the admission of an infant with a diagnosis of bronchiolitis caused by the respiratory syncytial virus. Which intervention should be included in the plan of care?

1.Place the infant in a private room. 2. Place the infant in a room near the nurses station.

The parents of a child recently diagnosed with cerebral palsy ask the nurse about the disorder. The nurse bases the response on the understanding that cerebral palsy is which type of condition?

A chronic disability characterized by impaired muscle movement and posture.

The nurse is assigned to care for a child after a myringotomy with the insertion of tympanostomy tubes. The nurse notes a small amount of reddish drainage from the child's ear after the surgery. On the basis of this finding, which action should the nurse take?

Document the finding.

The nurse is assigned to care for a child who is in skeletal traction. The nurse needs to avoid which action when caring for the child?

Placing bed linens on the traction ropes.

A child diagnosed with Rey's syndrome. The nurse assist with developing a nursing care plan for the child and should include which intervention in the plan?

Provide a quiet atmosphere with dimmed lighting.

Osteomyelitis

infection of the bone Common organisms that cause it is staphylococcus aureus and haemophilus influenza

Types of Child Abuse

physical, sexual, emotional, neglect

Signs of child abuse

too many clothes, retinal hemorrhage may indicate shaken baby syndrome, irritation in genital area, dirty cothes, monitor skin for bruises, location and color

Triggers of asthma

House dust, animal dander, wool, feathers, pollen, mold, passive smoking, strong odors, certain foods

Know what asthma is and symptoms

A syndrome caused by the increased responsiveness of the trachea bronchial tree to various stimuli resulting the construction of the airway. Symptoms are signs of air hunger, such as flaring of the nostrils, use of accessory muscles, wheezes, abdominal pain, and orthopnea appear

The nurse is monitoring the daily weight of an infant with heart failure. Which finding alerts the nurse to suspect fluid accumulation and thus the need to notify a registered nurse?

A weight gain of 1 lb in 1 day

Signs and Symptoms of infant pain

Tightly closed eyes Clenched fists Furrowed brows

After a tonsillectomy, the child begins to vomit bright red blood. Which is the initial nursing action?

Turn the child to the side.

The nurse reviews the record of a child who was just seen by the primary health care provider. The PHCP has documented a diagnosis of suspected aortic stenosis. Which specific sign and symptom of aortic stenosis should the nurse anticipate?

Exercise intolerance

The mother of a child with juvenile idiopathic arthritis calls the nurse because the child is experiencing a painful exacerbation of the disease. The mother asks the nurse if the child should perform range-of-motion (ROM) exercises at this time. The nurse makes which response to the mother?

Have the child perform simple isometric exercises during this time.

The nurse has provided instructions to the mother of a child who has been diagnosed with bacterial conjunctivitis . Which statement by the mother would indicate the need for further teaching?

I need to use hot compresses to relieve the eye.

The nurse reinforces home care instructions to the parents of a child with a brace for scoliosis. Which statement by a parent indicates a need for further teaching?

I understand that my child needs to wear this brace for 12 hours a day.

slipped femoral capital epiphysis

aka coxa vara, spontaneous displacement of the epiphysis of the femur

The nurse is reviewing the record of a child with increased intracranial pressure and notes that the child exhibited signs of decerebrate posturing. During the data collection about the child, the nurse expects to note which characteristic of this type of posturing?

rigid extension and pronation of the arms and legs

Know the best choice to give the patient to eat post tonsillectomy.

Provide clear, cool, noncitrus, and noncarbohydrate fluids. Crushed ice, Ice pops. Avoid Red, purple, brown liquids and milk products.

The nurse reinforces instructions to the mother of a child with croup about the measures to take if an acute spasmodic episode occurs. Which statement by the mother indicates the need for further teaching?

I will place a steam vaporizer in my child's bedroom.

The nurse is instructing the mother of a child with cystic fibrosis about the appropriate dietary measures. Which meal best illustrates the most appropriate diet for a client with cystic fibrosis?

Chicken tenders and a baked potato with butter

The nurse instructs a mother of a child who has seizures regarding seizure precautions. What statement by the mother indicates a need for further teaching?

I will give antiseizure medications when my child has a seizure.

Know what RSV is and symptoms

Wheezing, Coughing

The nursing instructor asks a nursing student about sudden infant death syndrome. Which statement by the student indicates further teaching is needed?

The incidence of SIDS has been found to be higher in breastfed infants ad infants that use a pacifier.