Peds CH 35
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)
