• crackles
• harsh cough
• elevated temperature
• thick secretions
What is an expected assessment finding for bacterial pneumonia?
▪ remain with the patient for the first 15 minutes of the infusion
Safe practice in administration of blood products
00:19
01:14
• ...
▪ Monitor for s/s of bleeding (clearing throat)
▪ Give clear, cool liquid or ice chips
▪ No red, citrus/acidic, carbonated or milk products
▪ Clear fluids are best
▪ No straws, forks
▪ Position for drainage - Answer Nursing Care: *Post Tonsillectomy*
▪ inflammation of the pulmonary alveoli
▪ fever, cough, fine crackles
▪ viral - supportive care
▪ bacterial - antibiotics and supportive care - Answer S/S: *Pneumonia*
upright - Answer Epiglottitis position
echocardiogram - Answer Noninvasive diagnostic testing for the heart to see its
structure and function. Should be ordered first to evaluate a murmur.
Legg-Calve-Perthes Disease - Answer • This is an avascular necrosis (lack of blood
resulting in destruction) of the proximal femoral epiphysis
,• Child normally look well but may have a limp, guarding of hip while moving it
• Less than 6 - NSAIDs and containment device to keep head of femur in place
• Older than 6 - reconstructive surgery followed by cast application - Answer Treatment:
*Legg-Calve-Perthes Disease*
▪ Machine like murmur heard at the *left sub clavicular margin*
▪ They may be asymptomatic or show signs of HF
▪ A widened pulse pressure and bounding pulses may be present - Answer Symptoms:
*Patent Ductus Arteriosus*
▪ Indomethacin, a prostaglandin inhibitor
▪ Closed during cardiac catherization or surgical management - Answer Treatment:
*Patent Ductus Arteriosus*
patent ductus arteriosus - Answer a failure of the fetal ductus arteriosus to close within
the first weeks of life
▪ BP higher in the upper extremities than in the lower extremities
▪ Signs of HF may occur in infants
▪ Bounding pulses in the arms and weak or absent femoral pulses and cool extremities
may be present
**be sure to assess the femoral and radial pulses simultaneously** - Answer S/S:
*Coarctation of the Aorta*
▪ balloon angioplasty
▪ surgical repair - Answer Treatment: *Coarctation of the Aorta*
coarctation of the aorta - Answer a localized narrowing near the insertion of the ductus
arteriosus
Place in a knee-chest position - Answer If your patient has Tetralogy of Fallot and they
become cyanotic and dyspneic, what is your intervention?
▪ IV fluids (LR) - Answer Tx: *Severe Dehydration*
dehydration - Answer Sickle-cell anemia safety precautions are to prevent ______.
risk takers and think nothing bad will happen to them - Answer Adolescents are at a
greater risk for contracting STIs because they are ___________________
the nurse would insert a foley catheter for instillation of contrast - Answer If a patient is
scheduled for a voiding cystourethrogram, what does the nurse need to do?
reduce socialization for infection control precautions - Answer Kidney transplant post op
care would include
▪ bacterial - antibiotics
▪ viral - normally it is viral so treat symptoms
▪ cold air
▪ shower steam
▪ dexamethasone (Decadron)
▪ NO cough medications - it dries out and thickens secretions - Answer Treatment:
*Croup*
Racemic Epinephrine (MicroNEFRIN) - Answer If a patient has croup and a stridor at
rest, what medication do you give?
Croup is a bark sound
Pertussis is a whoop cough - Answer Croup vs. Pertussis
sunken fontanels - Answer S/S: *Dehydration in an infant*
Group A beta-hemolytic streptococci - Answer Acute glomerulonephritis and Rheumatic
fever are frequently caused by?
Somatropin is injected into a muscle or under the skin - Answer Growth hormone
deficiency is treated with?
dehydration - Answer What are we most concerned about for a newborn with a salt-
losing form of congenital adrenal hyperplasia?
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