Term
| Health supervision has three components: |
|
Definition
Developmental surveillance and screening
Injury and disease prevention
Health promotion. |
|
|
Term
| Developmental Surveillance |
|
Definition
| Ongoing process requiring a skilled observer and interviewer |
|
|
Term
| Nurse role in Developmental Surveillance |
|
Definition
Nurse must understand normal growth and development expectations and be proficient at developmental screening procedures
Nurse needs to have a trusting relationship with the child and family
Listen and then answer any and all concerns.
6 |
|
|
Term
|
Definition
| Are modalities that identify treatable disease in an early or asymptomatic state and allow for cure or lessening of the disease’s injury. |
|
|
Term
Hearing screening (when, why, and how?)
Vision screening (when, why, and how?) |
|
Definition
|
|
Term
|
Definition
Snellen,
HOTV
Lea
Allen-for young children |
|
|
Term
|
Definition
The nurse can be pivotal in assuring that children and adolescents are fully immunized by serving as client educator and advocate.
Immunizations are a cornerstone of pediatric disease prevention. |
|
|
Term
Components of Health Supervision
Health promotion |
|
Definition
Providing anticipatory guidance-#1
Promoting healthy weight
Promoting oral health care
Promoting personal hygiene
Promoting safe sun exposure |
|
|
Term
Children with Chronic Illnesses
Primary goal |
|
Definition
| evaluating growth and development at all well-child/health maintenance visits by obtaining weight, height, and head circumference |
|
|
Term
|
Definition
Easily spread through airborne, droplet, or direct contact transmission.
Most can be prevented with immunizations.
The child who is immunocompromisedis most susceptible to complications of
these diseases. |
|
|
Term
| Communicable Diseases: Risks |
|
Definition
Immunocompromisedstatus
Crowded living conditions
Poor sanitation
Poor nutrition
Poor oxygenation and impaired circulation
Chronic illness |
|
|
Term
All of these diseases are preventable by
vaccines/immunizations. |
|
Definition
Chicken pox (varicella)
Measles (Rubeola)
Pertussis(Whooping Cough)
Rubella (German Measles)
Mumps |
|
|
Term
Do not give an immune
suppressed child these shots- they are live vaccines. |
|
Definition
measles
mumps
rubella
varicella |
|
|
Term
|
Definition
Transmission: direct contact & droplet
Incubation: 10-21 days
*Communicability: 1 to 2 days before onset of vesicles and until the vesicles are crusted over; approximately 7-days.
Prodromalphase: slight fever, malaise, pruriticrash; macular to papularto vesicular. |
|
|
Term
|
Definition
Symptomatic Tx: tepid bath, calamine lotion, clip finger nails; keep from scratching; Antihistamines for itching.
Treat with acetaminophen or ibuprophen
No salicylates(ASA) –due to the possibility of Reye’s syndrome
Immunocompromised-Acyclovir IV |
|
|
Term
|
Definition
Transmission: direct contact & droplet
Incubation period: 10 to 21 days
Communicability: 4 days before and 5 days after rash
Prodromalstage: runny nose, high fever, cough, conjunctivitis, rash, Koplikspots-small bright red spots with a blue-WHITE center on bucalmucosa (in the mouth).
Symptomatic treatment |
|
|
Term
|
Definition
Red maculopapular
rash; usually begins
behind ears, hairline, on the
forehead, or neck;
progresses downward
To chest to then
extremities |
|
|
Term
|
Definition
small bright red spots with
a blue-WHITE center on bucalmucosa
(in the mouth). |
|
|
Term
| Rubella or German Measles |
|
Definition
Transmission: direct contact & droplet
Incubation period: 14 to 21 days
Communicability: 7 days before to 5 days after appearance of rash.
Low-grade fever, headache, rash first appears on face and rapidly spreads downward
Symptomatic treatment
Isolate from pregnant women |
|
|
Term
|
Definition
| refers to infection of a developing fetus or newborn. Toxoplasmosis, Other Agents, Rubella(also known as German Measles), Cytomegalovirus, and Herpes Simplex |
|
|
Term
| (Bordelella) Pertussis(Whooping Cough) |
|
Definition
Transmission: droplet
Incubation period: 6 to 20 days
Communicability: catarrhal stage before paroxysms to 4 weeks after onset.
Nighttime cough w/ sudden
inspirations & high pitched sound
Paroxysm cough
Symptomatic treatment |
|
|
Term
|
Definition
Strep throat with a rash
Respiratory precautions for 24 hours.
Oral antibiotic for 10 days.
Treat sore throat with analgesics, gargles, lozenges, and antiseptic throat spray
Encourage fluids |
|
|
Term
| *MononucleosisEpstein-Barr Virus (EBV) |
|
Definition
Transmission: direct contact
Incubation period: 4 to 6 weeks
Communicability: unknown
S&S: fever, sore throat, fatigue, malaise, enlarged lymph nodes, enlarged spleen (splenomegaly)
Treatment: may need to restrict activities for 2-3 months; symptomatic txfor S&S |
|
|
Term
*Health History
Past medical history |
|
Definition
includes the mother's pregnancy history (prematurity, maternal infection during pregnancy or labor, prolonged difficult delivery, or immunocompromise)
–family history (recent infectious or communicable disease) |
|
|
Term
Health History
History of present illness |
|
Definition
| (when the symptoms started and how they have progressed) |
|
|
Term
|
Definition
Neonates and young infants have a higher susceptibility due to their immature immune system, inability to localize infections, and lack of IgMimmunoglobulin, which is necessary to protect against bacterial infections
The prognosis is variable and depends on the child's age and the cause |
|
|
Term
| *Sepsis: Signs & Symptoms |
|
Definition
Child just does not look or act right
Crying more than usual, inconsolable
Fever
Hypothermia(in the neonate and those with severe disease)
Lethargic and less interactive or playful
Increased irritability
Poor feeding or poor suck
Rash (e.g., petechiae, ecchymosis, diffuse erythema)
Difficulty breathing
Nasal congestion
Diarrhea
Vomiting
Decreased urine output
Hypotonia
Changes in mental status (confused, anxious, excited)
Seizures
Older child may complain of heart racing |
|
|
Term
| Sepsis: Therapeutic Management |
|
Definition
Aggressive in infants, especially neonates
Infant is admitted for close monitoring along with antibiotic therapy. Intravenous antibiotics are started immediately after
–Blood culture
–Urine culture
–Cerebrospinal fluid culture |
|
|
Term
|
Definition
Interaction with cats/kittens (bites/scratches)
Caused by the bacteria Bartonellahenselae
Incubation period is 7 to 12 days
Therapeutic management is supportive and is aimed at management of symptoms
Antibiotics may be needed
S/S: headache, fatigue, fever, swollen lymph nodes |
|
|
Term
|
Definition
A sign of illness-the body's weapon to fight infection.
Watch for signs and symptoms of dehydration; it is important to provide oral rehydration by increasing fluid intake.
Dress the child lightly and avoid warm, binding clothing or blankets.
The use of sponging with tepid water is controversial; do not use cold water or alcohol. |
|
|
Term
|
Definition
–Any child less than 3 months who has a rectal temperature above 38°C (100.4°F)
–Any child who is lethargic or listless, regardless of temperature
–Fever lasting more than 3 to 5 days
–Fever greater than 40.6°C (105°F)
–Any child who is immunocompromisedby illness, such as cancer or HIV, will need further evaluation and treatment. |
|
|
Term
| Infant’s Response to Pain |
|
Definition
Forcefully closed eyes
Lowered brows
Deepened furrow between nose and outer corner of lip.
Generalized response of rigidity, thrashing
Loud crying
Facial expressions of pain (grimace) |
|
|
Term
| Toddler’s Response to Pain |
|
Definition
Verbalizations: “Ow”, “Ouch”, “It hurts”
“owie”, “booboo”
Point to pain
Parents report that “they aren’t acting
like they normally do”
Loud crying, screaming
Thrashing of limbs
Attempts to push away stimulus |
|
|
Term
| School-Age Child’s Response to Pain |
|
Definition
Stalling behavior (“wait a minute”)
Muscle rigidity
Increased ability to communicate pain in more abstract terms.
They can describe pain: squeezing, stabbing or burning
Respond well to direct questioning.
Tools: body outline, faces scale, visual analog. |
|
|
Term
| Adolescent’s Response to Pain |
|
Definition
Less vocal protest, less motor activity
Increased muscle tension and body control
Can explain pain more clearly because they understand words and concepts that younger children don’t
They can use specific words to describe the character of the pain |
|
|
Term
| Principles of Pain Assessment in Children: QUESTT |
|
Definition
Question the child
Use a pain rating scale
Evaluate behavioral and physiologic changes
Secure parent’s involvement
Take the cause of pain into account
Take action and evaluate results |
|
|
Term
|
Definition
Face
Legs
Activity
Cry
Consolability |
|
|
Term
| Wong-Baker FACES Pain Rating Scale |
|
Definition
| Used for 3 years and up who prefer a non-numerical scale |
|
|
Term
| Pain Scale: VAS & Numeric |
|
Definition
| Used in cognitively intact children around 7 and up |
|
|
Term
| Physiologic Response to pain |
|
Definition
Increased heart rate
Increased respiratory rate
Increased blood pressure
Decrease in oxygen saturation |
|
|
Term
|
Definition
Increased secretion of catecholamine, glucagon, and corticosteroids.
Delayed wound healing
Poor intake / anorexia
Impaired mobility
Sleep disturbances
Irritability |
|
|
Term
*Pain Classification by Etiology
Nociceptive |
|
Definition
| Reflects pain due to activation of the A-delta fibers and C fibers by noxious stimuli |
|
|
Term
*Pain Classification by Etiology
Neuropathic |
|
Definition
| Due to malfunctioning of the peripheral or central nervous system |
|
|
Term
*Pain Classification by Etiology
Somatic |
|
Definition
| –Pain develops in the tissue |
|
|
Term
*Pain Classification by Etiology
Visceral |
|
Definition
| –Pain develops within organs |
|
|
Term
| *Pain Assessment Components |
|
Definition
Onset of pain
History
Duration/pattern
Intensity
Location
Is current treatment effective?
Factors that aggravate or relieve the pain
Interference with the child’s mood,
function, and interactions with family |
|
|
Term
|
Definition
Pain that continues past the expected point of healing for injured tissue
This pain in children can significantly affect the child’s daily life and activities as well as the family’s life.
Rating pain does not always accurately convey to others how they really feel
If Rx stops working-obtain a new order for a differentRx
Child should not have to hurt/suffer |
|
|
Term
| Nonpharmacologic Interventions for pain |
|
Definition
Swaddling, pacifier, holding, rocking
Distraction
Breathing Techniques
Guided Imagery |
|
|
Term
| *EMLA Cream-Topical Anesthetic(Eutectic Mixture of Local Anesthetics) |
|
Definition
| Must be applied 2-3 hours before a deeper, more invasive procedure (LP) |
|
|
Term
| *Side Effects of Pain Rxs |
|
Definition
Respiratory depression-with narcotics
Constipation
Pruritus
Nausea, vomiting
Sedation
Tolerance
Physical dependence |
|
|
Term
Evaluation of Effectiveness of Pharmacologic and NonpharmacologicInterventions
When to evaluate? |
|
Definition
| –every 15 to 30 minutes after intervention |
|
|
Term
| The only reason to assess pain is |
|
Definition
| TO TAKE ACTION TO RELIEVE PAIN. |
|
|
Term
Medication Administration Nursing Intervention
Infant: |
|
Definition
–Place in small amount of apple sauce or cereal
–Put in nipple without formula
–Give by oral syringe or dropper
–Have parent help
»Never leave medication in room for parent to give later.
»Stay in room while parent gives the oral medication |
|
|
Term
Medication Administration Nursing Intervention
Toddler: |
|
Definition
–Use simple terms to explain while they are getting medication
–Be firm, only offer two (2) choices (i.e. grape juice or apple juice)
–Use distraction
–Band-Aid if injection
–Use distraction
–Stickers / rewards |
|
|
Term
Medication Administration Nursing Intervention
Preschool: |
|
Definition
–Offer choices
–Band-Aid after injection
–Assistance for IM injection
–Praise / reward / stickers |
|
|
Term
Medication Administration Nursing Intervention
School-age: |
|
Definition
–Concrete explanations
–Interact with child whenever possible
–Give choices
–Medical play |
|
|
Term
Medication Administration Nursing Intervention
Adolescent |
|
Definition
–Use more abstract rationale for medication
–Include in decision making especially for long term medication administration |
|
|
Term
|
Definition
Encourage child to place the pill on the back of tongue and swallow
Do not crush this pill as it will affect the delivery of the medication
Place the pill in a small amount of applesauce, pudding, etc.
Do not pinch nose and blow in face |
|
|
Term
*Nutritional Support
Nasogastrictube (NG)
Oragastrictube (OG)
Gastrostomytube (G-tube) |
|
Definition
Note: Partial Guidelines-review p. 369-377
–Position individual appropriately
–Pour medication into syringe via med cup
–Rinse med cup with water and administer
–Allow to flow slowly by gravity
–Flush tube with warm water & clamp |
|
|
Term
| *Promote G&D-during tube feedings |
|
Definition
Give a pacifier during feeding time
Sucking produces saliva, which aids in digestion.
Hold, cuddle, rock infant or child
Talk or play music
Promote an active feeding time |
|
|
Term
|
Definition
Largest muscle in infants/small child.
0.5 ml in infant
1 ml in toddler
2 ml in pre-school
Use 5/8 to 1 inch needle |
|
|
Term
|
Definition
Use ½ to 1 inch needle
0.5 to 1 ml injection volume
More rapid absorption than
gluteal regions |
|
|
Term
|
Definition
Pull the lower lid down
Rest hand holding the dropper with the medication on the child’s forehead to reduce risk of trauma to the eye. |
|
|
Term
|
Definition
In children younger than age 3 years the pinna is pulled down and back to straighten the ear canal
In the child older than 3 years, the pinna is pulled up and back. |
|
|
Term
|
Definition
*Position child with the head hyper extended to prevent strangling sensation caused by medication trickling into the throat.
*Don’t stimulate sneezes
*Don’t let the dropper make contact with the nasal membranes |
|
|
Term
|
Definition
–Accurate delivery system for administering small volumes
–Continuousadministration |
|
|
Term
| Buretrolacts as a second chamber |
|
Definition
–Useful when controlling amounts of fluid to be infused
–Useful for administering IV antibiotics / medications that need to be diluted in order to administer safely |
|
|
Term
|
Definition
Used for:
–Long term administration of meds
–Chemotherapy
–Total parental nutrition |
|
|
Term
|
Definition
Signs and symptoms:
–Fluid leaking around catheter site
–Site cool to touch
–Solution rate slows and pump alarm registers down-stream-occlusion
–Tenderness or pain: infant is restless or crying |
|
|
Term
|
Definition
Often due to chemical irritation
When medications are given by direct intravenous injection, or by bolus (directly into the line) it is important to give them at the prescribed rate.
Always check the site for infiltrate before giving an IV medication
Erythema at site
Pain or burning at the site
Warmth over the site
Slowed infusion rate / pump alarm goes off |
|
|
Term
*Goals/Intervention
Children With Special Health Needs |
|
Definition
| Promote optimum development-early intervention-aMUST!! |
|
|
Term
*Nursing Management: Child
Children With Special Health Needs |
|
Definition
| Provide maximum developmental potential by early intervention |
|
|
Term
| *Nursing Management: Child |
|
Definition
Promoting growth and development
Provide maximum developmental potential by early intervention
Identifying and managing failure to thrive and feeding disorders in children with special needs
Providing ongoing follow-up of for the medically fragile infant/child
Stressors-monitor coping
Developing a therapeutic relationship
Family-centered care
Screening and ongoing assessment
Providing care coordination
Promoting home care
»Early discharge planning
»Caring for the technology-dependent child at home |
|
|
Term
*Nursing Management: Child
Assisting the adolescent with special health needs in transitioning to adulthood |
|
Definition
| »Monitoring for compliance with treatment-they want to be like their friends, therefore they may not take their Rxsor do their treatment regime |
|
|
Term
*Nursing Management: Family
Children With Special Health Needs |
|
Definition
Assess and support coping methods/abilities
Accept the family without judgment about their decisions about diagnosis or their indecision |
|
|
Term
Promotion of Normal Development
Early childhood |
|
Definition
| –Basic trust, separation from parents, beginning independence |
|
|
Term
Promotion of Normal Development
School age |
|
Definition
|
|
Term
Promotion of Normal Development
Adolescence |
|
Definition
| Developing independence/autonomy |
|
|
Term
*The Dying Child
Nursing management of the dying child |
|
Definition
Managing pain and discomfort
–Easing anxiety or fears
–Providing nutrition
»Serving small meals of things the child likes |
|
|
Term
Reaction to Dying
Infant/Toddler |
|
Definition
| Parent reaction influences |
|
|
Term
*Reaction to Dying
Preschool |
|
Definition
| Punishmentfor self, guilt with siblings |
|
|
Term
Reaction to Dying
School Age |
|
Definition
| Fear of unknown, affects security, may act out |
|
|
Term
Reaction to Dying
Adolescent |
|
Definition
| Feel alone, difficulty coping |
|
|
Term
Concept of Death
Infant/Toddler |
|
Definition
No concept of death itself
React to parents or other feelings |
|
|
Term
Concept of Death
Preschool |
|
Definition
|
|
Term
Concept of Death
School age 6-7 |
|
Definition
| Concrete thoughts, ‘boogyman’ , guilt |
|
|
Term
Concept of Death
School age 9-10 |
|
Definition
| More adult , reactions of parents influences |
|
|
Term
Concept of Death
Adolescent |
|
Definition
| Adult, may feel some guilt |
|
|
Term
| *Community Health Nursing |
|
Definition
Aimed at prevention and improvement of the health of populations and communities
Focus: promoting good health
Population is defined as “a collection of individuals who have one or more personal or environmental characteristics in common” |
|
|
Term
|
Definition
“Specific group of people, often living in a defined geographical area, who share a common culture, values, and norms and who are arranged in a social structure according to relationships developed over a period of time”
A system that includes children, families, the physical environment, educational facilities, and services |
|
|
Term
| Role of the community-based nurse |
|
Definition
–Education and communication
–Discharge planning and case management
–Advocacy and resource management
–Physical care |
|
|
Term
| *Medically Fragile Daycare Centers |
|
Definition
They decrease the need for long term hospitalization/rehospitalization
Accept children who have complicated medical needs or are technology dependent
Children are able to receive all prescribed therapies (medications, suctioning, dressing changes, G-tube feedings, etc.) |
|
|
Term
|
Definition
Focus: improving student’s health to improve their achievement and success
Remove or minimize health barriers to learning to provide students with the best opportunity to achieve academic success
All children have the ability to learn and the right to an education |
|
|
Term
|
Definition
Goals: promoting, restoring, and maintaining the health of the child
The family setting improves the child's quality of life
Focus
–minimizing the effects of the illness or disability
–meeting the child's needs and involving the family
Nurse experience a greater amount of independence |
|
|
Term
|
Definition
| at a minimum age of 12 months. |
|
|
Term
|
Definition
| can be given at a minimum age of 12 months. |
|
|
Term
|
Definition
| Should be done prior to leaving hospital |
|
|
Term
| Lead Screening: “Elevated blood levels" (BLLs) |
|
Definition
| >10 micrograms per deciliter remain a preventable health threat. |
|
|
Term
| breast milk and formula are given |
|
Definition
| until 6 months; iron-fortified rice cereals after that |
|
|
Term
| sunscreen 30 spf and above |
|
Definition
| make sure it says that it protects against both UVA and - UVB rays |
|
|
Term
|
Definition
| (SPF 15 or higher) applies sunscreens half an hour before exposure, reapply every hour if perspiring heavily. |
|
|
Term
| What are the key considerations for addressing sensitive health issues with an adolescent while taking the health history? |
|
Definition
| It is important first to ask the adolescent if they would like to talk in privacy |
|
|
Term
|
Definition
| -Stroking along the lateral part of sole and across the plantar area results in fanning and hyperextension of the toes that disappears Approximately 12 months when the child starts walking. |
|
|
Term
| The three phases of separation anxiety are: |
|
Definition
1) Protest
2) Despair
3) Detachment or Denial |
|
|
Term
|
Definition
| The child is physically separated from his/her parents or caregivers. The phase may last several hours to days, and the child exhibits aggression and great distress by crying, screaming, acting agitated, rejecting others, and expressing anger and grief. |
|
|
Term
|
Definition
| With no return of the parents or caregivers, the child will withdraw from others and be quiet without crying, apathetic, depressed, show disinterest in play and food, and exhibit general sadness. Developmental regression. |
|
|
Term
|
Definition
| The child begins to form coping mechanisms to deal with extended separation and emotional pain. The child will show interest in their environment, start to play, form superficial relationships with nurses and other children, and show general resignation. If parents return in this stage the child may ignore them; this stage is more difficult to reverse and may cause developmental delays. Lack of interaction with unfamiliar people |
|
|
Term
| As a case manager, the nurse works with an interdisciplinary team to ensure |
|
Definition
| the client and their family is receiving comprehensive care. |
|
|
Term
| What are the pros and cons of home health care? |
|
Definition
Geared toward meeting client and family needs by involving the family.
The family setting improves the child’s quality of life.
It is not cheaper to have home health!
Nurses working in the home care setting focus on meeting the child’s physical and psychological needs while including the family.
When providing family-centered care it is important to recognize that the family is the constant in the child's life and that it is important to respect different methods of coping. |
|
|
Term
| The Individuals with Disabilities Education Act |
|
Definition
| reauthorized in 2004 and it stated that every child with special needs would be able to get the help and assistance that they needed within the public school system. |
|
|
Term
| Children with special needs |
|
Definition
| best educated within the public school system |
|
|
Term
| Although infants and children have many drugs introduced to their bodies through the same routes as adults, the child’s |
|
Definition
| age, weight, body surface area, and body composition are much different which results in different outcomes when the drug is administered. |
|
|
Term
| THe nurse is preparing to assess the pain of a 3 year old child who had surgery the day before. Which pain rating scale would be the most appropriate for the nurse to use? |
|
Definition
|
|
Term
| WHen developing a plan of care for a child in pain, the nurse identifies appropriate strategise aimed at modifying which factors that influence pain? |
|
Definition
|
|
Term
| An adolescent who is a competetve swimmer comes to the ED complaining of localized aching pain in his shoulder. He states, "I've been practicing really hard and long to get myself ready for my meet this weekend. The area is tender to the touch. The nurse determines that the adolescent is experiencing which type of pain? |
|
Definition
|
|
Term
| After teaching a childs parents about the different methods of distraction that can be used for pain management, which statement by the parents indicates the need for additional teaching? |
|
Definition
| We'll have her imagine that she's at the beach this summer. |
|
|
Term
| A child is scheduled for a bone marrow aspiration at 4pm. The nurse would plan to apply EMLA cream to the intended site at which time? |
|
Definition
|
|
Term
| n the child recieving epidural anesthesia with morphine, what would the nurse be alert for? |
|
Definition
Respiratory depression
Pruritus
Constipation
Vomiting |
|
|
Term
| A nurse is preparing to administer an IM inj. to an infant.what is the most appropriate site? |
|
Definition
|
|
Term
| A 3y/o child is to recieve a medication that is supplied as an enteric coated tablet. What is the best nursing action? |
|
Definition
| Check with the prescriber to see if an alternative form can be used. |
|
|
Term
| The nurse is caring for an infant who weighs 8.2 kg. and is NPO and receiving IV fluid therapy. What rate does the nurse calculate as meeting the child's daily fluid requirements? |
|
Definition
34 mL/hr
Using the infant’s weight of 8.2 kg, the daily IV fluid requirement would be 8.2 × 100 mL, which equals 820 mL/day. The hourly infusion rate would be calculated as 820/24, which equals 34.2 or 34 mL/hour. |
|
|
Term
| When administering ear drops to a 2 y/o which action would be most appropriate? |
|
Definition
| Pull the pinna of the child's ear down and back. |
|
|
Term
| The nurse is preparing to administer the next scheduled reeding to an infant with an NG tube. PLace the events in order |
|
Definition
1.Position pt on right side with HOB slightly eleveated
2.Pour the solution into the barrell of the syringe
3. Check the placement of the feeding tube.
4. Flush the tube with water.
5. Clamp the tube to prevent room air from entering the stomach
6. Allo the feeding to come to room air temperature. |
|
|
Term
| The parents of a 5 y/owith special health care needs talk to the parents of a 10 y/o with asimilar confition for quite a while each day. What is the nurse's interpretation of this behavior? |
|
Definition
| Support between parents of special childreen is extremely valuable. |
|
|
Term
| The nurse is caring for a child who has received all possible medical care for cancer, yet continues to experience relapseand metastasis. It is time to make the transition from curative care attempts to palliative care. Hat is the most important nursing consideration at this time? |
|
Definition
| Involve the family in the decision making process about the shift to palliative care. |
|
|
Term
| The nurse is caring for a 3 y/o with a gastrotomy tube and tracheostomy who is on supplemental o2 and multiple meds. THe mother is rooming in during this hospitalization. What is the priority nursing action? |
|
Definition
| Recognisze the mother as the expert in the child's needs and care. |
|
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Term
| The nurse is caring for a child with a developmental disability who is starting kindergarten this year. The mother is tearful and doesn't want the child to go to school. What is the best response by the nurse? |
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Definition
| It is normal to feel stressed out or sad at this time. |
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Term
| The parents of a child with a develpomental disability ask the nurse for advice about disciplining their child. What is the best response by the nurse? |
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Definition
| YOu should choose the methods which are most congruent with your values about discipline. |
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Term
| The nurse caring for a 5 y/o with DM in a family-centered care environment tells the family that there is a support group for children with similar health problems. This discussion is an example of what key element of family centered care? |
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Definition
| Encourage and make referrals to family-to-family support groups and networks. |
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Term
| The nurse providing home care for a 2 y/o listens to the child's parents talk about hoe the child and family are adjusting to the child's current illness. WHich of the folloing roles is the nurse participating in? |
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Definition
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Term
| A child is to undergo a tympanostomy tune placement in a freestanding outpatient suregery center. What is the major disadvantage associated with this location? |
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Definition
| Need to be transferred if overnight stay is required. |
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Term
| The nurse would most likely assess separation anxiety in which child? |
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Definition
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Term
| WHen developing the preoperative plan of care for an adolescent, the nurse plans interventionstp address the adolescent's anxieties and fears realted to? |
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Definition
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Term
| The nurse is preparing a 5 y/o boy for surgery on his lower leg. His mother is helping him into the hospital gownand the boy fights the removal of his undergarment. WHat is the most appropriate nursing action? |
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Definition
| Allow the boy to keep his underwear on. |
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Term
| A 6 month old infant requires restraint to prevent removal of his NG tube. What is the priority nursing intervention? |
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Definition
| Leave the baby unrestrained when directly observed. |
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Term
| A 10 y/o on a revular diet refuses to eat teh food on her meal tray, Dhe requests chicken nuggets, fries, and ice cream. What is the best nursing action? |
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Definition
| Ask thea the child's desired foods be sent up from the kitchen. |
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Term
| A 5 y/o boy visits the physician's office with an URI. Which approach would five the nurse the most information about the childs developmental level? |
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Definition
| Using a screening tool during a follow-up office visit. |
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Term
| WHich statement indicates the best sequence for the nurse to conduct an assessment in a non-emergency situation? |
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Definition
| Introduce yourself, ask about any problems, take a history, do the physical exam. |
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Term
| What approach by the nurse ould most likely encourage a child to cooperate with an assessment of physical and developmental health? |
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Definition
| Explain what is coing to happen in words the child can understand. |
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Term
| A sleeping 5 month oldgirl is being helad by the mother when the nirse comes in to do a physical exam. WHat assessment should be done initially? |
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Definition
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Term
| Which assessment finging is considered normal in children? |
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Definition
| Split S2 and sinus arrhythmia |
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Term
| During the health interview, the mother of a 4 month old makes the staement, "I'm not sure my baby is doing what he should be." What is the nurses best response? |
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Definition
| Tell me more about your concerns |
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Term
| AN infant male is at your facility for his initial health supervision visit. He is 2 weeks old and responds to a bell during his examination. You review his birth records and there is no documentation that a new born hearing screeening was performend. THe best nurse action would be to? |
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Definition
| Schedule the infant immediately for a newborn hearing screen. |
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Term
| 15 month old girl is having her first health supervision visit at you facility. Her caregiverjas mpt brpigjt a coppy of the child's immunization record, but believes she is fully immunized. The mother states she had immunizations 3 months ago at the local health dept. What is the best action by the nurse? |
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Definition
| Call the local health dept. and verify the child's immunization status. |
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Term
| A 4 year old is haveing a vision screening performed. WHich of the screening charts would be best for determining the childs visual acuity? |
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Definition
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Term
| WHich of the folowing facilities fulfills the characteristics of a medical home? |
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Definition
| A primary care pediatric practice |
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Term
| The child's dirst examination by a dentist should occur |
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Definition
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Term
| A 10 year old child has just had an appendectiomy following a ruptured appendix. A nurse is monitoring the child's response to abx, postoperative healing, and pain control. WHich of the following tools is appropriate for assessing the child's pain? |
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Definition
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Term
| For which of the following children should the nurse use the child's behavior rather than a self-report as an indication of pain? |
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Definition
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Term
| List appropriate non-pharm paind control techniques for a 5 y/o |
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Definition
Distraction
Holding or rocking
Positioning |
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Term
| A nurse is caring for an adolescent child who has a long leg cast applied following surfical repair of a fractured leg. THe first night in the hospital the cliant states " my leg hurts really badly" THe next action the nurse shoudl take is? |
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Definition
| Obtain more information about the charateristics of the pain |
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