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Fifth Disease -CORRECT ANSWER "slapped face" - viral illness mainly affects school
children
Spread through secretions
Will recover in 7-10 days
Give ibuprofen for join pain
Cover mouth during coughing or sneezing
Naproxen
-NSAID -CORRECT ANSWER Take with food
Notify Dr of tarry stools
Increased bleeding risk
GTPAL -CORRECT ANSWER Gravida - # of pregnancies
Term - # of term (37 weeks)
Preterm - #of 20 - 36 weeks
Abortion - # of abortion
Living - # living
Teens with illness.. -CORRECT ANSWER engage in risk taking behavrios and want to
be like their peers. They may have difficulty managing their illness or have a false sense
ofsecurity
Pseudomenstration -CORRECT ANSWER Small amount of bleeding that may happen
in newborns; this is normal and just continue to monitor
Nocturnal Enuresis teaching -CORRECT ANSWER Enuresis alarm attached to
underwear
Encourage fluids during the day but restrict at night
void before bed
,positive reinforcement (calendar)
avoid diapers
awaken at night to void
Anorexia Nervosa s/s -CORRECT ANSWER Amenorrhea
Fluid Electrolyte imbalance
Lanugo
weight loss of 25% below normal
excessive exercise
cold intolerance
Cyclobenzaprine -CORRECT ANSWER muscle relaxant
metabolized by the liver, avoid with pts with liver disease
Acetylcystein -CORRECT ANSWER loosen and liquefy respiratory secretions
could worsen bronchospasms
school phobia -CORRECT ANSWER return to school immediately starting with only a
few hours a day and gradually increasing
preparation to remove a chest tube -CORRECT ANSWER 1. Premedicate patient with
analgesic
2. Provide PCP w/ sterile sutur removal tools
3. Instruct pt to breath in, hold it, and bear down
4. Apply sterile airtight gauze
5. Perform x-ray
note: pt should be in semi-fowlers or on the unaffected side
Prevention of CAUTI -CORRECT ANSWER -Perform routine peri care with soap &
water at each shift & after bowel movements
- keep drainage system off the floor
- sterile technique
-enourage fluids
-avoid kinks
-Ensure pt has a separate clean container to empty collection bag
Carotid Andarterectomy -CORRECT ANSWER removal of atherosclerotic plaque from
the carotid artery
at risk for hematoma - htn may cause hemorrhage
,When assesing toddlers and children assess what last -CORRECT ANSWER most
invasive procedures
never have caregiver restrain, make another person do it
check years, down and back <3
Methylphenidate -CORRECT ANSWER ADHD med
very important to check weight/height measurements of kids
also BP! it can cause increased BP
approritate distractions for school age children -CORRECT ANSWER (6-12) puzzles
appropriate distractions for toddler -CORRECT ANSWER (1-3) stacking blocks
what to monitor for during a thorocentesis -CORRECT ANSWER worried about oxygen
-level of alertness (no oxygen to the brain
-RR
-o2 sat
-lung sounds
Hirschsprung Disease -CORRECT ANSWER no peristalsis and stool is not passed.
-distended abdomen
-difficulty feeding
-vomiting green bile
-do not pass meconium w/in 24-28 hours
Ectopic Pregnancy -CORRECT ANSWER emergency if ruptured - sudden onset of
abdominal or pelvic pain. May also have shoulder pain.
Molar Pregnancy -CORRECT ANSWER not a viable pregnancy
-dark brown discharge
-cannot become pregnant within one year and have frequent checks for cancer
-sartan
-pril
cannot be given to..... -CORRECT ANSWER pregnant women
normal platelet count -CORRECT ANSWER 150,000 - 400,000
, vancomycin & -myacin drugs -CORRECT ANSWER can cause nephrotoxicity and
ototoxicity
be alert for increased BUN & creatinine levels
Erythropoietin -CORRECT ANSWER -Initiated when hemoglobin <10
-d/c >11
-HTN major side effect, BP should be checked
-given IV
Paracentesis -CORRECT ANSWER -removes excess fluid from abdominal cavity
-obtain baseline vitals & girth
-void to prevent bladder puncture
-high fowlers
-after reassess vitals/girth
-monitor site for bleeding
NPO NOT required
Informed consent is obtained from the PCP - not nurse
how to apply suppository to children <3 -CORRECT ANSWER -supine w/ knees & feet
raised
-guide against rectal wall
-fifth finger
-hold buttocks together
-must be past the external and internal sphincter
During a panic attack, what is priority.. -CORRECT ANSWER -stay with the patient,
offer support and reassurance
-calm enviroment
-speak calmly using simple clear words
C-Diff care -CORRECT ANSWER -Private room (isolation)
-hand washing
-disposable gown & gloves
-all surfaces w/in 3 feet considered contaminated
-dedicated equipment
contact diesease -CORRECT ANSWER -draining abscess
-c-diff
-head lice, scabies
-pink eye
-diarrhea (in young child)
-herpes (open lesions)