Pediatric Exam 4 Review 2022/2023 | NURS102 Pediatric Exam 4 Review_Graded A+

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NURS 102 _Pediatric_Exam_4_Review_Spring_2022 Assessment of circulation motion and sensation after casting a fracture (think the 6 P’s) • Fingers will be warm, no pain, no pallor able to mov... e his fingers, no numbness or tingling and good strong pulse ( pain , poikilothermia , paresthesia, paralysis, pallor, pulselessness) What nursing intervention if impaired circulation • Call the doctor because they have to cut the cast to loosen it (bivalve it) cutting down the side loosen it then put together but loosely Picture of fractured extremity. Hot Spot. Put an X where you would check the pulse. • **Ms wanda will insert picture** Always check below the break ( the distal pulse) Symptoms of infection in a client with a casted extremity • Foul odor, hot spot, drainage, fever What nursing intervention if signs of infection noted • Call the doctor for antibiotic How to relieve correctly relieve itching in a client with a cast • Cool blow dryer, ice on the cast, give them antihistamines as prescribed (Benadryl) What would need intervention when trying to relieve itching under a cast • Stop them from doing it Positioning of client in Bryant traction • Butt and hips off bed, you wanna be able to slide your hand between the butt and the bed Positioning of client in Buck traction, what would need intervention • Pull him up in bed b/c you don’t want his feet touching the headboard ; you have to reposition him What would need intervention in client with any traction • Adjust it so it hangs freely if it touches anything or gets tangled in the covers Maintaining skin integrity in client with skin traction • Unwrap, check it, then re wrap again Signs of infection in client with skeletal traction • Fever, odor, redness, swelling, discharge; Call the doctor if you see any of those symptoms probably going to need antibiotics Preventing infection in client with skeletal traction • Clean the pin site once a shift ( pin care) Cast that promotes mobility in toddler or preschooler • Fiberglass Promoting skin integrity of client in a cast • Use tape (petals) padding the cast ( padding/ peddling the cast) Assessment of rheumatoid arthritis • Jones criteria joints heart failure symptoms (tachycardia) fever. Connective tissue all over your body ; can have eye symptoms LABS: wbc, esr NSAID side effects to watch for • Irritates your stomach lining, causes gi bleeding; if you see dark tarry stools call doctor DMARD side effects to watch for • Metarsate; messes up bone marrow can have bleeding and infection Preventing DMARD side effects • Safety precautions: soft toothbrush, padding the furniture, no cords to trip over, don’t dim lights leave them bright, watch for blood in stool. Preventing infection wash hands get proper rest , proper diet, stay away from sick people , stay out of crowds. Goal of ROM, PT, and meds in rheumatoid arthritis • To prevent joint deformity, to prevent contractions ,to prevent contractors and [Show More]

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