Comprehensive Pediatric & Adult Nursing Review

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Vocabulary flashcards summarizing key terms, disorders, medications, and nursing concepts spanning pediatric development, systems review, and pharmacology to aid exam preparation.

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118 Terms

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Fine Motor Skills (School Age)

Refined abilities such as improved handwriting, tying shoelaces, and manipulating small objects with precision.

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Gross Motor Skills (School Age)

Enhanced coordination, balance, and stamina that support activities like skipping, jump-rope, and organized sports.

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Bullying—Physical

Hitting, pushing, or damaging belongings to harm or intimidate another child.

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Bullying—Verbal

Name-calling, insults, or threats aimed at humiliating or intimidating a peer.

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Bullying—Social

Exclusion or rumor-spreading designed to damage a child’s social standing.

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Cyber-Bullying

Use of technology (texts, social media, gaming) to harass, threaten, or embarrass peers.

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Trusted Adult

Teacher, counselor, or parent identified for immediate reporting of bullying incidents.

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Negative Body Image

Subjective dissatisfaction with one’s body influenced by media, peers, and culture.

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Positive Self-Talk

Affirmations used to build self-esteem and combat negative thoughts about body image.

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Balanced Diet (School Age)

Daily intake of fruits, vegetables, whole grains, lean proteins, and low-fat dairy to support growth.

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Portion Control

Using visual cues or smaller plates to match serving size with hunger and fullness cues.

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Healthy Snack Example

Apple slices with peanut butter—nutritious option that balances fiber and protein.

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Substance Use Prevention

Age-appropriate education on drugs plus refusal skills to resist peer pressure.

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Refusal Technique

Assertive strategies such as saying “No, thanks” and suggesting an alternative activity.

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Encopresis

Chronic stool soiling in children, managed with bowel retraining, diet changes, and positive reinforcement.

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Regular Toileting Routine

Scheduled bathroom sits 10–15 minutes after meals to establish bowel habits.

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Inguinal Hernia (Peds)

Protrusion of abdominal contents through the inguinal canal; often repaired surgically.

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Intussusception

Telescoping of intestine causing pain and currant-jelly stools; often reduced by air enema.

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Cleft Lip/Palate

Congenital facial defect corrected surgically; requires speech therapy and feeding support.

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Appendicitis (Child)

Inflamed appendix causing RLQ pain and risk of perforation within 48 hours.

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Celiac Disease

Autoimmune disorder requiring lifelong gluten-free diet and growth monitoring.

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Body Dissatisfaction

Negative evaluation of one’s body shape or weight—key eating-disorder risk factor.

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Anorexia Nervosa

Restrictive eating, intense fear of weight gain, managed with psychological support and refeeding.

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Pyloric Stenosis

Hypertrophy of pylorus in infants causing projectile vomiting; treated with pyloromyotomy.

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Monthly Testicular Self-Exam

Adolescent practice of palpating testicles to detect lumps for early cancer detection.

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Cystitis

Lower UTI presenting with dysuria and urgency; prevented by proper perineal hygiene.

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Suprapubic Aspiration

Sterile needle collection of infant urine through abdominal wall into bladder.

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Foreskin Care—Infant

Do not forcibly retract; cleanse only visible penile areas with mild soap and water.

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Chronic Kidney Disease Diet

Low protein, sodium, potassium, and phosphorus with calorie adequacy to slow progression.

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Nephrotic Syndrome

Kidney disorder causing edema and proteinuria; managed with sodium restriction and steroids.

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Clubfoot (Ponseti Method)

Serial casting and possible heel-cord tenotomy soon after birth to correct foot deformity.

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Juvenile Idiopathic Arthritis

Chronic joint inflammation in children treated with NSAIDs, methotrexate, and physical therapy.

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Rhabdomyosarcoma

Malignant soft-tissue tumor treated with chemo, radiation, and surgery.

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Osteosarcoma

Primary bone cancer often requiring limb-sparing surgery plus chemotherapy.

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Below-Knee Amputation (BKA)

Amputation preserving knee joint, allowing easier prosthetic use and gait training.

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Phantom Limb Pain

Painful sensations perceived in amputated limb; managed with meds, mirror therapy, CBT.

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Prosthetic Gait Training

Stepwise rehab teaching weight-shifting, balance, and ambulation with a new artificial limb.

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Duchenne Muscular Dystrophy

X-linked progressive muscle weakness requiring PT and eventual respiratory support.

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Systemic Lupus Erythematosus

Autoimmune disease managed with NSAIDs, steroids, antimalarials, and strict med adherence.

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Osteogenesis Imperfecta

Brittle-bone disorder necessitating fracture prevention and mobility aids.

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Burn Wound Care

Clean, apply antimicrobial ointment, and cover with sterile dressing—changed twice daily.

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Poison Ivy Rash

Allergic dermatitis relieved by calamine or hydrocortisone and prevented by plant avoidance.

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Psoriasis

Chronic autoimmune skin plaques managed with moisturizers, topical steroids, and trigger control.

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Cellulitis

Bacterial skin infection requiring antibiotics and limb elevation to reduce swelling.

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Insect-Bite Prevention

Use DEET repellent, wear long sleeves, and avoid peak biting times to decrease exposure.

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Diaper Dermatitis

Irritant rash prevented by frequent diaper changes and zinc-oxide barrier creams.

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Atopic Dermatitis

Eczema treated with regular moisturizing, trigger avoidance, and topical corticosteroids.

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Thermal Injury First Aid

Cool burn with water 10–20 min, cover with dry dressing, seek care for severe burns.

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Mosquito-Borne Disease Prevention

Repellent, long clothing, eliminating standing water, and bed nets in endemic areas.

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Acne—Topical Retinoid

Tretinoin used nightly to normalize follicular keratinization and reduce comedones.

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Seizure Precautions

Padded rails, low bed, oxygen/suction ready, side-lying position, and timed observation.

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Ischemic Stroke

Brain infarct from arterial blockage; treated with tPA within 3–4.5 hours.

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Hemorrhagic Stroke

Intracranial bleeding managed by BP control, aneurysm repair, and ICP monitoring.

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Migraine—Abortive Therapy

Triptans or NSAIDs taken at onset to stop migraine progression.

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Parkinson’s Disease (TRAP)

Tremor, Rigidity, Akinesia/bradykinesia, Postural instability due to dopamine loss.

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Peripheral Neuropathy

Glove-and-stocking numbness/tingling often treated with gabapentin and safety teaching.

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Transient Ischemic Attack

Temporary neurologic deficit resolving <24 h; warning sign for future stroke.

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GERD Lifestyle Modifications

Weight loss, head-of-bed elevation, small meals, and trigger avoidance.

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Ulcerative Colitis

IBD of colon causing bloody diarrhea; treated with mesalamine, steroids, or colectomy.

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Colon Cancer Screening—FIT

Annual fecal immunochemical test beginning at age 45 for average-risk adults.

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Peptic Ulcer—H. pylori Triple Therapy

PPI + clarithromycin + amoxicillin for 14 days to eradicate infection.

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Celiac Disease Diet

Strict avoidance of wheat, barley, and rye; focus on gluten-free grains.

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NG Tube—Salem Sump

Double-lumen tube allowing gastric suction with air vent to prevent mucosal adherence.

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Hiatal Hernia—Nissen Fundoplication

Surgical wrapping of stomach around esophagus to prevent reflux in severe cases.

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Stoma Assessment

Healthy colostomy should appear pink/red, moist, and protrude slightly from skin.

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Oral Cancer Risk Factor

Tobacco and alcohol use significantly increase likelihood of malignant oral lesions.

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RUQ Abdominal Contents

Liver, gallbladder, duodenum, and head of pancreas located in right upper quadrant.

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Hemodialysis

Thrice-weekly extracorporeal blood filtration using AV fistula or graft for access.

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Peritoneal Dialysis

Home-based dialysis using peritoneum as semipermeable membrane for waste exchange.

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Polycystic Kidney Disease

Genetic renal cyst formation causing flank pain, HTN, and progressive failure.

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Acute Pancreatitis

Sudden inflammation causing severe epigastric pain relieved by leaning forward; managed NPO and IV fluids.

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Nephrotoxic Medication—Gentamicin

Aminoglycoside antibiotic requiring renal monitoring due to potential kidney damage.

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Hepatitis B Transmission

Spread through blood and body fluids; preventable with vaccination.

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BUN Normal Range

7–20 mg/dL—elevated levels may indicate impaired renal function or dehydration.

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UTI Classic Triad

Dysuria, frequency, and urgency indicative of lower urinary tract infection.

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Calcium Oxalate Stone

Most common kidney stone type; prevented with hydration and limiting oxalate foods.

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Normal Sinus Rhythm

Regular 60–100 bpm rhythm with P wave before each QRS complex.

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Atrial Fibrillation

Irregularly irregular rhythm without P waves, requiring anticoagulation to prevent clots.

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Ventricular Tachycardia (Pulseless)

Life-threatening rhythm treated with immediate CPR and defibrillation.

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Left-Sided Heart Failure

Pulmonary congestion symptoms like dyspnea and crackles due to poor LV output.

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Right-Sided Heart Failure

Systemic venous congestion causing peripheral edema and jugular venous distension.

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Systolic Murmur—Aortic Stenosis

Harsh crescendo-decrescendo sound heard during systole at right second intercostal space.

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Troponin

Cardiac biomarker rising 3–6 h after MI, peaks at 24 h, indicates myocardial damage.

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MONA-B

MI treatment mnemonic: Morphine, Oxygen, Nitroglycerin, Aspirin, Beta-blocker.

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Hyperlipidemia

Elevated LDL/triglycerides managed with statins, diet, and exercise.

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Pericarditis—Friction Rub

Scratchy heart sound heard with inflamed pericardium; pain relieved by leaning forward.

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Peripheral Artery Disease

Atherosclerotic leg ischemia causing intermittent claudication and weak pulses.

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Cardiac Cath Post-Care

Monitor site for bleeding, check distal pulses, keep femoral leg straight.

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Type 1 Diabetes

Autoimmune β-cell destruction leading to absolute insulin deficiency.

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Type 2 Diabetes

Insulin resistance with relative deficiency; managed with lifestyle and oral meds.

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Target A1C

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Hypothyroidism (High TSH)

Underactive thyroid treated with daily levothyroxine on empty stomach.

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Hyperthyroidism (Low TSH)

Overactive thyroid managed with methimazole, β-blockers, radioactive iodine, or surgery.

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Addison’s Disease

Adrenal insufficiency marked by bronze skin and hypotension; treated with steroids.

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Cushing’s Syndrome

Excess cortisol causing moon face, truncal obesity, and hyperglycemia.

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Deep Vein Thrombosis

Clot in deep vein treated with heparin bridging to warfarin; risk factors include immobility.

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Iron-Deficiency Anemia

Microcytic anemia corrected with iron supplements taken with vitamin C.

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Acute Hemolytic Transfusion Reaction

Fever, back pain, hypotension requiring immediate transfusion stop and NS infusion.

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Radiation Therapy Side Effect—Mucositis

Painful inflammation of mouth/GI mucosa necessitating oral care and soft diet.

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Tamoxifen

Estrogen receptor modulator for ER+ breast cancer; increases DVT and endometrial cancer risk.