o Parents do not need to give consent for adolescents to get tested for STD
Nutrition Across the Lifespan: Indications of Protein Deficiency
During times of rapid growth, additional calcium, iron, protein, and zinc are needed.
Yearly assessments of height, weight, and BMI for age are needed in order to identify
nutritional issues and intervene early. Physical symptoms of protein deficiency
include altered loss of muscle mass, skin pigmentation, diarrhea, changes in the color
or texture of hair, protruding belly, rashes and swelling. People with protein
Yourlethargy,
deficiency also experience fatigue, text here 1
irritability and apathy. Children with
protein deficiency fail to meet benchmarks for weight and growth, giving them a
wasted appearance.
Immunizations: Schedule for Infant Immunizations (chapter 35)
Birth: Hep. B 4months: DR HIP
2 months: DR Harry HIP 6 months: DR Harry HIP
DTAP 6-12 months: seasonal flu vaccine
Rotavirus
Hep. B
Hib
Inactivated Polio Virus (IPV)
Pneumococcal
Death and Dying: Age- appropriate response to death (Chapter 11)
INFANTS/TODDLERS BIRTH TO 3 YEARS
o Have little to no concept of death
o Egocentric thinking prevents their understanding of death (toddler)
o Mirror parental emotions (sadness, anger, depression, anxiety).
o Can regress to an earlier stage of behavior.
PRESCHOOL CHILDREN (3 TO 6 YEARS)
o Egocentric Thinking
o Magical thinking allows for the belief that thoughts can cause an
event such as death (as a result, child can feel guilt and shame).
o View dying as temporary because of the lack of a concept of time
and because the dead person can still have attributes of living
(sleeping, eating, breathing).
SCHOOL- AGE CHILDREN (6 TO 12 YEARS)
o Begin to have an adult concept of death (inevitable, irreversible,
universal), which generally applies to older school-age children (9
to 12 years).
o Experience death process, the unknown, and loss of control.
o Fear often displayed through uncooperative behavior.
, o Can be curios about funeral services and what happens to the body
after death.
ADOLESCENTS (12 TO 20 YEARS)
o Can have an adult-like concept of death
o Can have difficulty accepting death because they are discovering
who they are, establishing an identity, and dealing with issues of
puberty.
o Can become increasingly stressed by the prospect of death.
Fractures: Caring for a Child Who Is in 90°/90° Skeletal Traction (Chapter 27)
Nursing Actions:
o Maintain body alignment
o Provide pharmacological and nonpharmacological interventions for the
management of pain and muscle spasms.
o Notify provider if the client experiences severe pain from muscle spasms that is
unrelieved by medications or repositioning.
o Assess and monitor neurovascular status.
o Routinely monitor skin integrity and document findings.
o Assess pin sites for pain, redness, swelling, drainage, or odor. Provide pin care per
protocol.
o Assess for changes in elimination and maintain usual patterns of elimination.
o Ensure that all hardware is tight and that the bed is in the correct position.
o Assess and maintain weights so that they hang freely, and the knots do not touch
the pulley. Do not lift or remove weights unless prescribed and supervised by the
provider.
o Consult with the provider for an overbed trapeze to assist the client to move in
bed.
o Provide range of motion and encourage activity of nonimmobilized extremities to
maintain mobility and prevent contractures.
o Encourage deep breathing and use if the incentive spirometry.
o Promote frequent position changes within restriction of traction.
o Remove sheets from the head of the bed to the foot of the bed and remake the bed
in the same manner.
Antibiotics Affecting Protein Synthesis: Administering Aminoglycosides (Chapter 45 ATI
PHARM BOOK)
SELECT PROTOTYPE MEDICATION: Gentamicin
OTHER MEDICATIONS
Tobramycin
Neomycin
Streptomycin
Paromomycin