Exam 2: Questions Set 4

How would the nurse prevent cold stress in an infant?

Warmed and humidified O2 to prevent cold stress and drying of mucosa Caution on O2 is hazardous CPAP Surfactant (infants less than 34 weeks!)

Premature Infants

1/3 of ALL infant deaths are related to PREMATURITY -highest rate in black infants

How many minutes BEFORE a meal should a nurse administer Lispro?

15 minutes -Lispro is rapid acting with an onset of 15 minutes and peak 30-90 minutes

What is the chief danger associated with tracheoesophageal fistula?

Aspiration into the lungs -infant will CHOKE and cough, excessive drooling

The nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child's record and expects to note which symptom of this disorder documented?

Bright red blood and mucous in stools -Intussusception is a telescoping of one portion of the bowel into another. The condition results in an obstruction to the passage of intestinal contents. A child with intussusception typically has severe abdominal pain that is crampy and intermittent, causing the child to draw in the knees to the chest. - Bright red blood and mucus are passed through the rectum and commonly are described as currant jelly-like stools

Why is drinking from a straw discouraged post cleft palate repair?

Can tear suture line

Clinical Manifestations of Pyloric Stenosis

Clinical manifestations of pyloric stenosis include projectile vomiting, irritability, hunger and crying, constipation, and signs of dehydration including a decrease in urine output PROJECTILE vomiting OLIVE shaped mass

What is a complication of an infant with cleft palate (before surgery)

Compromised SUCKING ability -infant needs special nipples on bottle, seated upright, and breaks while feeding

The mother of a 6-year-old child who has type 1 diabetes mellitus calls a clinic nurse and tells the nurse that the child has been sick. The mother reports that she checked the child's urine and it was positive for ketones. The nurse should instruct the mother to take which action?

Encourage the child to drink fluids

What would you expect to see on a patient with thalassemia major?

Frontal bossing Upper teeth protrusion -abnormal production of a protein responsible for iron absorption, leading a LETHAL iron overload

Glomerular Nephritis Signs and Symptoms?

Gross hematuria, resulting in dark, smoky, cola-colored or brown-colored urine, is a classic symptom of glomerulonephritis

What is imperforate anus?

Imperforate anus is the incomplete development or absence of the anus in its normal position in the perineum. During the newborn assessment, this defect should be identified easily on sight. A rectal thermometer or tube may be necessary, however, to determine patency if meconium is not passed in the first 24 hours after birth

Which labs indicate APPENDICITIS?

Increased WBCs Increased C-Reactive protein

What is a long-term complication related to thalassemia major?

Iron Overload

ITP

Low platelet count and Hgb Levels

The difference between Hemophilia and Von Willebrands disease is WHERE the bleeding tends to occur. Where does the person with Willebrands bleed from?

Mucous membranes

The child with type 1 diabetes mellitus is brought to the emergency department by the mother, who states that the child has been complaining of abdominal pain and has been lethargic. Diabetic ketoacidosis is diagnosed. Anticipating the plan of care, the nurse prepares to administer which type of intravenous (IV) infusion?

Normal Saline

Assessment findings in pyloric stenosis?

Olive shaped mass on abdomen, projectile vomiting, dehydration

What is an early indication of gastrointestinal reflux in an infant?

Regurgitation

When performing a physical examination on an infant, the nurse in charge notes abnormally low-set ears. This findings is associated with?

Renal anomalies

What position after an appendectomy?

Semi-Fowler's to facilitate drainage and improve comfort

Post-op care for cleft palate repair?

Side lying position

What are signs and symptoms of a 2 year-old with celiac disease?

Steatorrhea (bloody diarrhea) Deficiency of fat-soluble vitamins Malnutrition Distended Abdomen

A child with a poor nutritional status and weight loss is at risk for a negative nitrogen balance. To help diagnose this problem, the nurse in charge anticipates that the doctor will order which laboratory test?

Total Protein