PEDS Final Review

pulmonary edema

A 4 month old who has a congenital heart defect develops heart failure and is exhibiting marked dyspnea at rest. The nurse is aware this finding can be attributed to:

Calibrated dropper in the bottle.

A newborn is diagnosed with coarctation of the aorta. The baby is discharged with a prescription of digoxin (lanoxin) 0.01mg po q12hrs. The bottle of digoxin is labeled 0.01mg in 1/2 tsp. The nurse should teach the mother to administer the medication by using:

Hold and burp the baby frequently while feeding.

A newborn with a cleft lip is fed with a special nipple. To minimize regurgitation of the feedings the nurse instructs the mother to:

Providing small frequent feedings

An appropriate nursing action to include in the care of an infant with congenital heart disease who has been admitted with heart failure would be;

Bowel Movement

An infant with a cardiac defect is fed in the semi-fowlers position. After the nurse feeds and burps the infant and changes the infants position, the infant has a bowel movement and almost immediately becomes cyanotic, diaphoretic, and limp. These symptoms are most likely caused by the:

Performs ROM (range of motion) exercises

An infant with a congenital heart defect has just returned to the unit after a cardiac catherization. The nurse manager immediately intervenes when the infants nurse:

Allow the intestinal tract to rest

An infant with persistent diarrhea is placed on NPO. The nurse understands that this is done to:

acetaminophen (Tylenol) and ibuprofen (Motrin)

Analgesic and antipyretics used for Otitis Media

Amoxicillin

Antibiotic used for Otitis Media

Remove and reinsert the tube

Before an infant is to receive a tube feeding, the nurse inserts a nasogastric tube. When the infant begins to cough and gag, the nurse's initial action should be to:

URI, strep throat, and allergies

Common causes of Otitis Media include:

Otitis Media Assessment

Ear pain, fever, rubbing one ear, inflamed tympanic membrane, hearing loss, and ear drainage

Fever, Difficulty swallowing, stridor (sign of airway obstruction and medical emergency), red and inflamed throat, and tripod positioning in attempt to ease effort to breathe

Epiglottitis Assessment

Hib vaccine

Has reduced the incidence and risk of epiglottitis

It occurs earlier in girls.

How does the onset of the pubertal growth spurt compare in girls and boys?

Associative play

In what type of play are children engaged in similar or identical activity without organization, division of labor, or mutual goal?

medical emergency

Inflammation from epiglottitis can restrict airway which is considered a:

Epiglottitis

Inflammation of the epiglottis most often caused by Haemophilus influenze type B. bacterial form of croup.

Otitis Media

Inflammatory disorder of the middle ear as a result of dysfunction of the Eustachian tube and poor drainage. -Middle ear becomes inflamed and infected

Pull the earlobe down and back

Otic medication administration for infants and toddlers

permanent hearing loss and perforation of the tympanic membrane

Primary goal with Otitis Media is to prevent:

Is showing respect for nurse.

The Vietnamese mother of a child being seen in the clinic avoids eye contact with the nurse. Considering cultural differences, the best explanation for this is that the parent:

order the child a meatless tray.

The father of a hospitalized child tells the nurse, "He can't have meat. We are Buddhist and vegetarians." The nurse's best intervention is to:

Clean and rinse the suture line of the lip.

The first action by the nurse after each feeding of an infant with a recent surgical repair of a cleft lip should be to:

Common reaction to divorce.

The mother of a school-age child tells the school nurse that she and her spouse are going through a divorce. The child has not been doing well in school and sometimes has trouble sleeping. The nurse should recognize this as:

She looks for the toy the parents hide under the blanket.

The nurse is observing parents playing with their 10-month-old daughter. What should the nurse recognize as evidence that the child is developing object permanence?

Brian playing with his truck next to Kristina playing with her truck

The nurse observes some children in the playroom. Which play situation exhibits the characteristics of parallel play?

Wear gloves each time we change the babys diaper

The parents of an infant admitted to the hospital with gastroenteritis and dehydration want to be involved with the babys care. The nurse recognizes that they understand the teaching about the maintenance of standard precautions when they state: "We should:

Erikson

The theorist who viewed developmental progression as a lifelong series of conflicts that need resolution is:

Assess and maintain patent airway -Avoid attempting to visualize posterior pharynx. This can cause spasm and complete obstruction. -Avoid oral thermometers -Maintain NPO -Do no leave the child -Avoid supine positioning which can further restrict airway. -Assess pediatric patients for Hib vaccine

Therapeutic Management of Epiglottitis

Avoid causing increased pain, chewing -Administer prescribed medications (analgesics , antipyretics, and antibiotics -apply heat/cold therapy to ear -Monitor for perforation of tympanic membrane

Therapeutic Management of Otitis Media

cooperative play

Three children playing a board game would be an example of:

Consanguineous

What type of family is one in which all members are related by blood?

culture

Which term best describes a group of people who share a set of values, beliefs, practices, social relationships, law, politics, economics, and norms of behavior?

ethnocentrism

Which term best describes the emotional attitude that one's own ethnic group is superior to others?