NSG 3600 Exam 3 – Questions With Step By Step
Solutions
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Terms in this set (182)
Meningitis Therapeutic Management Give immunizations, assess neuro status & response
to therapy with every 2 hours if stable and every hour
if not stable. Make sure we have a stable a calm
environment. If bacterial give antibiotics and make
sure they take all of them. Make sure the child is in
seizure precautions, give NSAIDs for pain. Need to
teach parents about early detection of complications
and how to prevent it along with medical follow-up if
on sz meds.
Steps that should always be used First step should be to inspect the child.
when assessing a child GI system Second we are going to auscultation.
Third is percuss.
Fourth is palpate the area through the clothing due
to the child being ticklish.
What do we need to worry about then Liver and pancreas do not mature until about 6
it comes to children and medication? months of age so we need to be concern about
toxicity.
Why should we not give children The pancreatic lipase dose not get adequately
under 1 cows milk? secreted until age 1, which means the body can't
absorb fats such as those present in cow's milk.
What kind of stool does an infant have The infant will have watery stool.
who is breast feeding?
What kind of stool does an infant have The infant will have soft or seedy stools.
who is formula feeding?
,What do pre-schoolers go through The pre-schoolers woll fluctuations where they have
when eating? periods of overeating or refusal to eat. Very normal
but the parents can get upset.
Dehydration Occurs whenever total output of fluid exceeds intake.
Dehydration Clinical Manifestations Tachycardia, hypotension, decreased tears specific in
and Therapeutic Management children, weight loss (monitor daily), thirst, irritability,
sunken eyes and fontanels.
Fluid replacement, electrolyte monitoring &
replacement, and safety considerations.
What will be elevated in a child who is The sodium, potassium, and creatinine
dehydrated?
Blood Urea Nitrogen (BUN) range for 5-18 mg/dL
child
Sodium (Na) range for child 135-145 mEq/L
Potassium (K) range for child 3.4-4.7 mEq/L
Creatinine range for child 0.3-0.7 mg/dL
What do we need to look out for with Diarrhea, skin break down, falls risk, dizziness, failure
kids with dehydration? to thrive and grow.
Cyclic Vomiting Syndrome Intense nausea and vomiting 4 times an hour. 5
attacks total or 3 attacks in over 6 months. Could be
caused by infection, psychological stress, dietary
changes, menstruation, migraines. These individuals
will vomit then be okay for the rest of the day then
vomit again during later in day.
Cyclic Vomiting Syndrome: Clinical Vomiting for 24-48 hr, occurs at night or early
Manifestations morning hours, severe abdominal pain, retching
throwing up where there is nothing put clear fluid
coming up, nausea, diarrhea, headache, vertigo
, Cyclic Vomiting Syndrome- Diagnosis Rule out other condition and lab studies. Need to get
a good history and ask if they are asymptomatic and
is eat episode the same and do you have at least 3 of
them.
Cyclic Vomiting Syndrome- Balanced nutrition (no cheese, cured meat, and
Prevention chocolate), get a lot of sleep and rest, and void
triggers, and do stress management.
Cyclic Vomiting Syndrome- Supportive management (meeting with a therapist),
Therapeutic Management fluid replacement (IV fluids), rest, pharmacotherapy
(Zofran)
Cyclic Vomiting Syndrome- Increase exercise, balanced diet, good hydration,
Patient/Family Education sleep routines, avoid triggers (need to keep a health
food diary along with sleep and food cycles).
Acute Diarrhea Increased frequency of bowel along with vomiting,
fever, pain. Occurs from diet, toxic substances,
infections(viral infection, eye infection), and
medications that may be used.
Acute Diarrhea Diagnosis Need to get a history on the patient and see if they
have traveled anytime in the past, do a physical exam
on the abdomen and look for skin breakdown around
the perineum.
Acute Diarrhea Prevention Good hand hygiene, good and clean food handing,
making sure the diapers are changed right away and
clothes are clean properly. Give Metronidazole
(Flagyl) if it caused by bacteria, give Lactobacillus
probiotics, monitor strict I & O, monitor electrolytes
can give PEDOLIGHT, give IV and PO fluids risk for
dehydration, daily weight needs to be taken naked or
with the least amount of clothes on with the same
scale and first thing in the morning.
How can we tell that child is improving When they withhold a stable weight and have stable
from acute diarrhea? fluid intake.
Solutions
Save Groups
Terms in this set (182)
Meningitis Therapeutic Management Give immunizations, assess neuro status & response
to therapy with every 2 hours if stable and every hour
if not stable. Make sure we have a stable a calm
environment. If bacterial give antibiotics and make
sure they take all of them. Make sure the child is in
seizure precautions, give NSAIDs for pain. Need to
teach parents about early detection of complications
and how to prevent it along with medical follow-up if
on sz meds.
Steps that should always be used First step should be to inspect the child.
when assessing a child GI system Second we are going to auscultation.
Third is percuss.
Fourth is palpate the area through the clothing due
to the child being ticklish.
What do we need to worry about then Liver and pancreas do not mature until about 6
it comes to children and medication? months of age so we need to be concern about
toxicity.
Why should we not give children The pancreatic lipase dose not get adequately
under 1 cows milk? secreted until age 1, which means the body can't
absorb fats such as those present in cow's milk.
What kind of stool does an infant have The infant will have watery stool.
who is breast feeding?
What kind of stool does an infant have The infant will have soft or seedy stools.
who is formula feeding?
,What do pre-schoolers go through The pre-schoolers woll fluctuations where they have
when eating? periods of overeating or refusal to eat. Very normal
but the parents can get upset.
Dehydration Occurs whenever total output of fluid exceeds intake.
Dehydration Clinical Manifestations Tachycardia, hypotension, decreased tears specific in
and Therapeutic Management children, weight loss (monitor daily), thirst, irritability,
sunken eyes and fontanels.
Fluid replacement, electrolyte monitoring &
replacement, and safety considerations.
What will be elevated in a child who is The sodium, potassium, and creatinine
dehydrated?
Blood Urea Nitrogen (BUN) range for 5-18 mg/dL
child
Sodium (Na) range for child 135-145 mEq/L
Potassium (K) range for child 3.4-4.7 mEq/L
Creatinine range for child 0.3-0.7 mg/dL
What do we need to look out for with Diarrhea, skin break down, falls risk, dizziness, failure
kids with dehydration? to thrive and grow.
Cyclic Vomiting Syndrome Intense nausea and vomiting 4 times an hour. 5
attacks total or 3 attacks in over 6 months. Could be
caused by infection, psychological stress, dietary
changes, menstruation, migraines. These individuals
will vomit then be okay for the rest of the day then
vomit again during later in day.
Cyclic Vomiting Syndrome: Clinical Vomiting for 24-48 hr, occurs at night or early
Manifestations morning hours, severe abdominal pain, retching
throwing up where there is nothing put clear fluid
coming up, nausea, diarrhea, headache, vertigo
, Cyclic Vomiting Syndrome- Diagnosis Rule out other condition and lab studies. Need to get
a good history and ask if they are asymptomatic and
is eat episode the same and do you have at least 3 of
them.
Cyclic Vomiting Syndrome- Balanced nutrition (no cheese, cured meat, and
Prevention chocolate), get a lot of sleep and rest, and void
triggers, and do stress management.
Cyclic Vomiting Syndrome- Supportive management (meeting with a therapist),
Therapeutic Management fluid replacement (IV fluids), rest, pharmacotherapy
(Zofran)
Cyclic Vomiting Syndrome- Increase exercise, balanced diet, good hydration,
Patient/Family Education sleep routines, avoid triggers (need to keep a health
food diary along with sleep and food cycles).
Acute Diarrhea Increased frequency of bowel along with vomiting,
fever, pain. Occurs from diet, toxic substances,
infections(viral infection, eye infection), and
medications that may be used.
Acute Diarrhea Diagnosis Need to get a history on the patient and see if they
have traveled anytime in the past, do a physical exam
on the abdomen and look for skin breakdown around
the perineum.
Acute Diarrhea Prevention Good hand hygiene, good and clean food handing,
making sure the diapers are changed right away and
clothes are clean properly. Give Metronidazole
(Flagyl) if it caused by bacteria, give Lactobacillus
probiotics, monitor strict I & O, monitor electrolytes
can give PEDOLIGHT, give IV and PO fluids risk for
dehydration, daily weight needs to be taken naked or
with the least amount of clothes on with the same
scale and first thing in the morning.
How can we tell that child is improving When they withhold a stable weight and have stable
from acute diarrhea? fluid intake.
