NURSING PEDIATRIC RN VATI NURSING CARE OF CHILDREN/;COMPLETE SOLUTION 1. Tetralogy fallout clinical manifestations include systolic heart murmur, cyanotic spells, seizures and loss of consciousness, ... clubbing, SOB with squatting, thrill at the left sternal border. Infants who have Tetralogy of Fallot experience anoxic spells when the infants oxygen requirements exceed the oxygen available in the blood supply, like when the infant is crying, or following a feeding. 2. Manifestations of a brain tumor include vomiting, clumsiness, irritability, persistent headaches. Information that should be provided to patients includes that benign brain tumors develop from the meninges or cranial nerves and do not metastasize. 3. Interventions for a child who has hemophilia A include administering factor VIII, and assessing for changes in LOC. Hemophilia A accounts for 80% of cases and it caused by a deficiency in factor VIII. 4. When caring for a child who has had a submersion injury the nurse should inform the parents that the child needs observations because the child is still at risk for complications from the submersion injury such as cerebral swelling. Complications can include respiratory compromise and cerebral edema during the first 24 hours after submersion. Questions 1. A nurse is caring for a child admitted with an acute exacerbation of asthma. Discuss the nursing care needs of this child. o Assess airway for patency o Assess breath sounds (monitor for SOB) o Take vital signs and O2 stats o Position patient high fowlers to maximize ventilation o Administer O2 & meds as ordered 2. A nurse is providing information on injury prevention to the parents of a toddler. What information should be discussed? o Toys that are age appropriate o Emergency procedures for choking o Child should not be left unattended with animals o Stranger safety danger o Wear sunscreen whenever outside o Supervise closely when near pools (swimming lessons are encouraged for safety) o Doors and windows should be kept locked 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)? o Proper way to perform hand hygiene o Educate on the importance to cover your nose & mouth with a tissue when sneezing or coughing o Ways to properly dispose of used tissues o Do not share cups, utensils or towels o Keep infected child away from children who are well until child no longer has virus 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. o Gross Motor skills: infant rolls from back to side o Fine motor skills: grasps objects with both hands o Gain 1.5lb per month the first five months of life o Gain 1 inch per month the first six months of life o Head circumference increase of 1cm per month from four to six months 5. A nurse is caring for a terminally ill child. What manifestations would indicate approaching death? o Temperature changes o Skin & nails may turn pale or cyanotic o Breathing changes such as air hunger o Uneven heart rate o Food & fluid needs decrease, no appetite or thirst o Confusion o Restless o Agitated o Sleepy o Moaning o Facial signs of pain 6. A nurse is providing dietary counseling to the mother of a child with acute glomerulonephritis. What information should the nurse provide? o Restriction of sodium fluids if ordered o Restrict foods high in potassium during periods of oliguria o Avoid salt and salty foods, EX: chips 7. 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? o Position client on unaffected side to allow access to affected ear and for ear to [Show More]
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