PEDS Q6

Congenital clubfoot

*"We are happy this is the only cast our baby will need"*

Erythema multiforme minor Manifestations

Skin lesions may be preceded by fever, malaise, and upper respiratory symptoms

A 27.5 lb child is receiving antibiotics for osteomyelitis. The order reads Pen-Vee-K 40mg/kg/ day divided every 6 hours. Which dosage of antibiotics should this child receive with each dose?

Steps: 27.5 lb/ 2.2= 12.5kg 40mg x 12.5kg= 500 (remember divided every 6 hours→ so that's 24/6= 4) 500/4= 125 *Answer: 125*

A nurse is calculating the intake of a client during the past 9 hr. The client's intake includes lactated Ringer's IV at 150 mL/hr, cefazolin 2 g IV intermittent bolus in 100 mL of 0.9% sodium chloride, two units of packed RBCs of 275 mL and 250 mL; two IV bolus infusions of 250 mL of 0.9% sodium chloride, ranitidine 50 mg IV intermittent bolus in 50 mL of dextrose 5% in water. How many mL of intake should the nurse record?

Steps: add all the ml so that's (150x9 + 100ml+ 275ml+ 250ml+250ml +250ml +50ml= 2525) *Answer: 2525*

A 88 lb child is started on Augmentin (as noted in the picture 642.9mg/5ml) for cellulitis treatment. The dose is 40mg/kg given Q8 hours by mouth. How many MLS will be given for each dose? (round to the nearest whole number)

*12mL* Steps: 80lb/2.2= 40kg 40mgx 40kg= 1600mg 1600mgx 5ml= 8000 8000/ 642.9mg= 12ml

How long is the incubation period of lice?

*7-10 days* eggs usually hatch by then

What is a Green stick fracture?

*A break through the periosteum and bone on one side but the other side is intact and only bends*

Achondroplasia / Dwarfism manifestations

*Bulky forehead, saddle nose, lumbar lordosis, bow legs - Arms and legs are disproportionately short- Head looks abnormally large but this is actually an illusion* what is this? Achondroplasia

Burn care interventions for *superficial burns*

*Covering a small area, using moist soaks to stop the burning process and to relieve pain*

Diaper dermatitis client teaching (diaper rash)

*I should wash all clothes before the first wearing and to rinse clothes an extra time to remove all the soap*

What causes Red papules and edema at the site...

*Mosquito bites*

The health risks of youth backpacks (SATA)

*Practice back strengthening exercises and learn to bend at the knees when lifting objects* *Use a padded back and waist strap* *Have wide padded shoulder straps and wear the pack on both shoulders, close to the body* *Consider a rolling backpack if its too heavy*

(Duchenne) muscular dystrophy management plan

*Recommend genetic counseling*

Skin allergies what is the highest priority?

*Reducing swelling and relieving itching*

Compartment syndrome patho

*Serious condition that involves increased pressure in sheaths of the inelastic fascia and leads to massive impairment of circulation*

A black widow bite... what do you do?

*Take the child to the emergency department*

Stevens-Johnson Syndrome

*remember SJS prodromal is 1-7days*

How does scabies spread?

*skin to skin* and sexual contact

Nursing diagnosis for fracture (SATA)

- Health Behavior, Risk-Prone, related to peer group influence and chosen activities - Mobility: Physical, Impaired, related to treatment - Skin Integrity, Risk for Impaired, related to treatment - Pain, Acute, related to injury

Burns - risk factors and what to monitor for regarding severe burns SATA

-Keep infants and toddlers off the lap when drinking hot beverages or eating soup -Lower the temperature settings for hot water heaters

Tinea Corporis *"Ringworm"* manifestations

A pink, scaly circular patch with an expanding border may be scaly or erythematous throughout. *So if a patient has a red circular rash with clearer skin, it is Tinea Corporis*

Spica cast care

If parents say *"I can use baby powder on the cast to absorb moisture if it becomes wet"* → remember we never want it to get wet at all

Molluscum contagiosum manifestations

Multiple pearl-like flesh-colored smooth papules, PEARL-LIKE... what is this? *Molluscum contagiosum*

Manifestation of Hip dysplasia (sata)

a. Limited abduction of the affected hip b. Unequal gluteal folds c.Telescoping of the thigh

stage 3 pressure injury

full thickness injury

what is a *wood lamp* used for?

helps identify some form of TINEA Shining a *Wood lamp* on the lesion helps identify some forms of tinea (e.g., Microspore fluoresces brilliant green)

what age is lice most common in?

most common in ages *3-11 years old*

staging pressure sores

patient right heel: stage 2 pressure injury *know: stage 2 is Partial thickness skin loss of the dermis*

Molluscum contagiosum manifestations

pearl-like, bumps appear on face arms and legs--> Molluscum contagiosum