NURS 409 Exam 3

studied byStudied by 13 people
5.0(1)
get a hint
hint

What are three important nursing priorities for a nurse caring for a child with diabetes?

1 / 53

Tags and Description

Nursing

54 Terms

1

What are three important nursing priorities for a nurse caring for a child with diabetes?

Regulating glucose control, monitoring and managing complications, and education family

New cards
2

What is the main focus in managing a child with sick cell disease?

Preventing crisis, infection, and other complications

New cards
3

What are some important nursing management goals for an adolescent with scoliosis ?

Encouraging compliance with bracing, inspect skin integrity

New cards
4

What are some assessment findings for cellulitis?

Rapid onset fever, redness, edema, warmth pain in extremities, and enlarged lymph nodes

New cards
5

Name 2 major nursing management goals for a child with juvenile idiopathic arthritis?

Pain management and exercise as tolerated to promote mobility and prevent joint contractures

New cards
6

What are some developmental consideration of a school-age child with diabetes ?

Can begin to participate in more of the daily care, may be able to perform self-monitoring, recognizes the need to eat, begin to rely on others to provide care, and they may feel different from peers

New cards
7

What are nursing priority goals for a child with consideration to HIV?

Avoiding infection, compliance with med regimen, promoting nutrition, provide pain management, comfort measures, educating, providing ongoing psychosocial support

New cards
8

Name complications of lead poisoning in children?

Behavioral problems, learning difficulties with higher lead levels encephalopathy, seizures, and brain damage

New cards
9

Which is the most common type of cerebral palsy ?

Spastic cerebral palsy

New cards
10

Name some recommendation to prevent acne for adolescents?

Cleanse daily with mild soap, avoid picking, avoid touching , only used water based cosmetics

New cards
11

What is the physiologic cause of precious puberty ?

Premature activation of the pituitary to produce LH and FSH. Release of estrogen and testosterone

New cards
12

What are items you should ask in the health history with a child exhibiting a contact dermatitis?

New foods, meds, changes in environment, and stressors

New cards
13

Highest incidence of spina bifida location ?

Lumbosacral region

New cards
14

Name nursing goals for child receiving chemo

Preventing infection, preventing hemorrhage, prevent anemia, managing N/V, and prevent anorexia

New cards
15

What is the difference of HIV infection in infants an adolescents?

Infants its through HIV positive mothers, adolescents through sexual contact or IV drug use

New cards
16

What are some contributors to atopic dermatitis?

Allergens, skin irritants, and stress

New cards
17

Name some physical exam findings you would see in a child with an endocrine disorder ?

Fatigues appearance poor muscle tone, confusion, extreme hunger or thirst

New cards
18

Rapid muscle growth in adolescents leads to

Clumsiness, greater likelihood for injury

New cards
19

Name four assessment for cancer ?

Pallor, bruising, flushing, fatigue, pain, recurrent fever, early morning H/A

New cards
20

Identify primary immunodeficiencies to children

a. Failure to thrive, persistent oral thrush, history of infections requiring IV antibiotics

New cards
21

Bacterial skin infections are most often caused by ?

Staph aureus or MRSA

New cards
22

True or false- Healthy infant should demonstrate normal muscle tone at birth ?

True

New cards
23

What types of cancer are most common in infants and children?

Leukemias

New cards
24

Identify 3 immune autoimmune or allergic disorders common in children?

Type 1 diabetes, juvenile arthritis, and lupus

New cards
25

Why is it important to diagnose and treat endocrine disorders?

delays in growth and development and cognitive impairment may develop

New cards
26

What is Osgood Schlatter disease?

Repetitive use injury that causes a painful lump below the kneecap

New cards
27

The child who has torticollis should have passive exercises how many times a day?

Holding the stretch for 10-30 seconds, 10-15 times per session, several times a day

New cards
28

What is a child with a Spica cast at risk for?

Skin breakdown due to cast location

New cards
29

When a child has osteogenesis imperfecta (fragile bones), which 3 things do you want to teach the parent about handling?

Not lifting the child by the ankles to change their diaper, not lifting the child under the armpits, and provide supported positioning

New cards
30

Where does bone growth occur?

Epiphysis

New cards
31

Common triggers for urticaria (hives)?

Food, animal stings, infections, stress

New cards
32

What is the overall goal when treating skin allergies?

Decrease edema and relieve itching

New cards
33

What lab test is done to DX atopic dermatitis (eczema)?

Serum IgE

New cards
34

Education for children with tinea pedis

Keep feet clean/dry, wearing cotton socks and dry the areas between the toes

New cards
35

Why do we never palpate a tumor?

The tumor could rupture if encapsulated, and metastasize to other organs/tissues

New cards
36

Prompt TX of sickle cell crisis involves what 3 interventions?

Pain management, O2, and hydration with IV fluids

New cards
37

3 nursing interventions for a child on iron?

Stool softener, increase fluid and fiber, and give liquid iron behind the teeth so they don’t stain

New cards
38

List 3 nursing interventions for a child on chemo?

Reverse isolation, restrict visitors, and assess for S/S of infection (VS Q4H)

New cards
39

What is the first lab test to be done on a child with suspected cancer?

CBC

New cards
40

Treatment for severe combined immunodeficiency deficiency is what?

Bone Marrow Transplant

New cards
41

A child with primary immunodeficiency can exhibit what 3 SXM ?

Persistent thrush, 4 or more ear infections in 1 year, failure to thrive (poor growth)

New cards
42

What childhood allergies persist into adulthood?

Peanuts, tree nuts, fish/shellfish

New cards
43

What rash is typical for systemic lupus erythematosus?

Butterfly rash on the cheeks

New cards
44

Complications of congenital adrenal hyperplasia ?

Decrease in Na+, high potassium, hypotension, hypoglycemia, and shock

New cards
45

The nurse treating a child with vasopressin for diabetes insipidus will need to watch for what S/S?

S/S of SIADH: decreased serum Na+, muscle cramping, and N/V

New cards
46

The infant who is diagnosed with congenital hypothyroidism will exhibit what SXM?

Sleeping all the time

New cards
47

Risk of DI?

Dehydration

New cards
48

What is the TXM for growth hormone deficiency?

Promote growth—at least 3-5 inches of growth in the first year of TXM

New cards
49

What is the focus of palliative care?

Comfort the child

New cards
50

The first focus of care for the child with failure to thrive would be?

Adequate nutrition and weight gain

New cards
51

Behaviors of vulnerable child syndrome would include?

Parents taking the child to the pediatrician frequently for concerns, the over protective parent, not letting the child have a “normal” childhood

New cards
52

The toddler who is a special needs child may be delayed developmentally in what areas?

Motor and language skills

New cards
53

Premature infants will need to be placed into what program to ensure minimal developmental delays?

Early Intervention Programs

New cards
54
New cards

Explore top notes

note Note
studied byStudied by 47 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 30 people
Updated ... ago
4.5 Stars(2)
note Note
studied byStudied by 4 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 3 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 9 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 6 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 63 people
Updated ... ago
5.0 Stars(2)
note Note
studied byStudied by 7080 people
Updated ... ago
4.8 Stars(37)

Explore top flashcards

flashcards Flashcard52 terms
studied byStudied by 6 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard50 terms
studied byStudied by 5 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard160 terms
studied byStudied by 13 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard104 terms
studied byStudied by 9 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard49 terms
studied byStudied by 7 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard20 terms
studied byStudied by 1 person
Updated ... ago
5.0 Stars(1)
flashcards Flashcard39 terms
studied byStudied by 7 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard70 terms
studied byStudied by 24 people
Updated ... ago
5.0 Stars(2)