Peds CH 35

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A 6-year-old has had a viral infection for the past 5 days and is now having severe vomiting, confusion, and irritability, although he is now afebrile. During the assessment, the nurse should ask the parent which of the following questions?

"Did you use any medications like aspirin for the fever?"

If someone is drowning what is the immediate treatment after getting them out of the water

CPR

A 15-year-old adolescent is brought to the emergency department by his parents. The adolescent is febrile with chills that started suddenly. He states, "I had a sinus infection and sore throat a couple of days ago." The nurse suspects bacterial meningitis based on which of the following?

Complaints of stiff neck • Photophobia • Vomiting

Nursing care for someone with Reye's Syndrome

I&O, monitor BS, PTINR

The nurse is caring for a child who has conductive hearing loss. Which of the following is true regarding this type of hearing loss?

It is caused by chronic otitis media or other infection

What is the system that is the communication network of the body

Nervous System

What is the most common infectious disease of childhood

Otis media

Treatment for CP includes

PCT, Ortho management, technological aids for daily living

Put the following events of a generalized epileptic seizure in correct order

Prodromal period Tonic stage Clonic stage Postictal period

What do nerve impulse do

activate, coordinate, integrate, and control all body functions

What is the drug of choice for a child with Otis media

amoxicillin for 10 days

What is the drug of choice for epileptic seizures

anticonvulsant drug therapy; Dilantin

By what age does an infant focus and follow an object with their eye

at 2 months old

Mixed hearing loss is defined as

both conductive and sensorineural hearing impairment

What makes up the Central Nervous System

brain and spinal cord

If a child is profoundly deaf, when would they more than likely be diagnosed

by 1 year of age

What are the 4 types of hearing loss

conductive, sensorineural, mixed, and central

What type of glaucoma occurs in children 3 and under

congenital infantile type

Central hearing loss is defined as

damage to or faulty development of the proper brain centers makes the child unable to use the auditory info received

Sensorineural hearing loss is defined as

damage to the nerve endings in the cochlea or to the nerve pathways leading to the brain; results can be encephalitis, meningitis

What is the second leading cause of accidental death in children

drowning

Who more commonly drowns in the bath tub

infants

Athetoid CP is

involuntary, uncoordinated motion with varying degrees of muscle tension

What is treatment for someone who has issues with their eyes

surgery, corrective lenses, special equipment, braille equipment

Rigidity CP is

uncommon and lack of active movement

What is the drug of choice for a child with a seizure

Valium may be administered IV

What is the treatment for a child with haemophilus influenza

isolation, IV ATB such as Rocephin

What type of glaucoma occurs after the child is 3 years of age

juvenile type

Ataxic CP is

lack of coordination caused by disturbances in the kinesthetic and balance senses

Conductive hearing loss is defined as

middle ear structures fail to carry sounds waves to the inner ear; results from chronic serous Otis media

What are specific nursing interventions that apply to seizures

prevent aspiration, promote safety, promote family coping, provide teaching

What type of glaucoma results from injury or disease

secondary type

What seizures are under partial seizures

simple and complex

What is the most common cerebral palsy

spastic type

What makes up the Peripheral Nervous System

the nerves throughout the body

What is the purpose of Cerebral Spinal Fluid

to cushion and protect nerve cells

What is the nursing care for a child who is unable to hear

to make sure the caregiver is present to communicate the child's needs and feelings

Who more commonly drowns in pools and small bodies of water

toddlers and preschoolers

What seizures are under generalized seizures

tonic-clonic, absence, atonic, myoclonic, infantile spasm

Mixed CP is

usually severely disabled

A nurse is developing a plan of care for a child who is admitted to the hospital for surgery. The child is visually impaired. Which of the following would be most appropriate for the nurse to include in the child's plan of care?

Explaining instructions using simple and specific terms the child understands • Allowing the child to explore the postoperative equipment with his hands • Using the child's body parts to refer to the area where he may have postoperative pain

What is the treatment for a child that has been diagnosed with Reye's Syndrome

ICU, osmotic diuretics (mannitol)


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