VATI RN Nursing Care of Children

VATI RN Nursing Care of Children 2016 Post-assignment Review Questions 1. A nurse is caring for a child admitted with an acute exacerbation of asthma. Discuss the nursing care needs of this child. 2. A nurse is providing home safety education to the parents of a 1-year-old child. What information regarding prevention of poisoning should be included in this education? 3. What information regarding strategies to decrease the spread of infection should the nurse provide to the parents of a child with Respiratory Syncytial Virus (RSV)? 4. A nurse is performing a developmental screening on a 4-month-old infant. Identify two (2) physical and motor skills the nurse should expect to see from the infant. 5. A nurse is caring for a client with osteosarcoma requiring a below-the-knee amputation. What referrals should be made for this client? 6. A nurse is providing discharge education to the parents of a child prescribed phenytoin for a seizure disorder. What information regarding adverse effects should the nurse provide? 7. A nurse is caring for a client following a pylorotomy for the treatment of pyloric stenosis. What post-operative care will be required? 8. A nurse is preparing to administer ear drops to a 2-year-old child. How should the client be positioned and how should the nurse position the ear? 9. A nurse is obtaining a rectal temperature. When should rectal temperatures be avoided? 10. A nurse is caring for a 12-year-old anorexia nervosa. What are common laboratory and diagnostic testing results commonly associated with anorexia nervosa? 11. Discuss care of the client following a cleft lip and palate repair. • Standard postop care • Pain assess sites for crusting/infection • Avoid sucking • Avoid hard toys • Monitor I/Os • Observe family interaction • Coping and support • Monitor integrity of postop protective device for positioning • Upright on back or side immediately post op • Elbow restraints • Saline sterile swab to clean site • Apply antibiotic ointment prn • Aspirate secretions to prevent respiratory complications • Change position frequently to facilitate breathing • Place on abdomen immediately postop • IV fluids • Monitor packing • Remove packing 2-3 days • No objects in mouth 12. A nurse has obtained a blood sample from a child with hemophilia. What action should the nurse take to prevent bleeding? • Administer factor replacement (Factor VIII for Hemophilia A) by IV infusion • Once a blood sample has been obtained - Apply pressure for five minutes - Avoid taking rectal temperature - Avoid unnecessary skin punctures • Educate the client to avoid - Sharp edges - Falls - Contact sports - Rough play 13. A nurse is teaching a child who has type 2 diabetes mellitus about nutrition. Provide two (2) client actions to prevent hypoglycemic episodes. • Teach the client manifestations of hyperglycemia (hot, dry skin and fruity breath) and measures to take in response to hyperglycemia. • Encourage oral fluid intake of sugar-free fluids to prevent dehydration. • Administer insulin as prescribed. • Restrict exercise when blood glucose levels are greater than 250 mg/dL. • Test urine for ketones and report if outside of expected reference range. • Consult the provider if manifestations progress. 14. A nurse is providing education to the parents of a child with HIV regarding disease management. What information should the nurse include in this education? • Increase in calories and protein and supplements • TPN • Good oral care • Skin clean and dry • Nonpharmacological methods for pain • Live immunizations are recommended to protect against opportunistic infections • Trimethoprim – sulfamethoxazole ATB given to all babies born to infected mother until HIV ruled out • IV gamma globulin to prevent recurrent or serious bacterial infections • Will need lifelong medication • Call HCP with S&S that need medical care - HA - Fever - Lethargy - Warmth - Tenderness - Redness at joints - Neck stiffness • Complications - Failure to thrive - PCP – pneumocystis carinii pneumonia • Mildly symptomatic manifestations - Dermatitis - Hepatomegaly - Lymphadenopathy • Severe symptomatic manifestations - Kaposi’s sarcoma - Wasting syndrome - Pulmonary candidiasis 15. A child has ingested turpentine. To address the situation should vomiting be induced? • Do not induce vomiting 16. What is Tetralogy of Fallot and what is a "Tet" spell? • A combination of four cardiac defects: ventricular septal defect (VSD); right ventricular outflow tract obstruction (pulmonary stenosis); right ventricular hypertrophy; and dextroposition of the aorta, with overriding of the VSD (see The four defects of tetralogy) • Tet Spell - Hypercyanotic spells ("tet spells") - Diminished exercise tolerance - Increasing dyspnea on exertion - Growth retardation or delayed development - Eating difficulties - Clubbing - Cyanosis if severe right ventricular outflow tract obstruction is present (otherwise acyanotic) - Squatting position after exertion or during tet spells - Single S2 heart sound - Loud, harsh, crescendo-decrescendo systolic heart murmur (best heard along the left sternal border), which may diminish or obscure the pulmonic component of S2 - Cardiac thrill at the left sternal border and an obvious right ventricular impulse - Early systolic ejection sound - Crescendo-decrescendo systolic ejection murmur (due to flow across the narrowed right ventricular outflow tract) - Prominent inferior sternum * Complete the pre-test, tutorial and post-test for the Physical Assessment -- Child Skills Module * Complete the following Practice assessments and Focused Review and send a detailed summary (2-3 sentences each) of 4 concepts that you learned from the focused review to me in the messaging system. RN Nursing Care of Children 2016 A 66A4976R56 RN Nursing Care of Children 2016 B 56A5265R52 * Complete Nursing Care of Children Case Study