-Immature immune system responses makes infants and young children more susceptible to
infection
-Newborns have a decreased inflammatory response to invading organisms, which
contributes to their risk for infection
-Infants have limited exposure to disease and start losing the passive immunity ...
NSG 320 Exam 2-Questions with Correct Answers/ Verified/ Latest Update
2024/2025
-Immature immune system responses makes infants and young children more susceptible to
infection
-Newborns have a decreased inflammatory response to invading organisms, which
contributes to their risk for infection
-Infants have limited exposure to disease and start losing the passive immunity acquired
from maternal antibodies, which places them at risk for infection
-Disease protection from immunization is incomplete - ✔️✔️What are the 4 main reasons
pediatrics are susceptible to infectious disease?
Spinal fluid and culture - ✔️✔️Common Laboratory Assessment for Infectious Conditions:
-Venipuncture
-Atraumatic care- pain control
-Capillary puncture (Heel or finger stick)
-Venous access devices
-Be sure to discard waste - ✔️✔️Common Laboratory Collection for Infectious Conditions-
Blood:
-differential aids in diagnosis
-detects inflammation/infection
-measures protein produced in liver during inflammation; rise with bacterial infection -
✔️✔️Common Laboratory Collection for Infectious Conditions- Blood:
-White Blood Count-
"Bagged" - ✔️✔️Common Laboratory Collection for Infectious Conditions- Urine:
lab collecting? When/if antibiotics administered? Last void? Hydration status? -
✔️✔️Considerations when taking a urine sample:
-Lumbar puncture
-Increased WBC and decrease glucose
-atraumatic care - ✔️✔️Common Laboratory Collection for Infectious Conditions- spinal
fluid:
When/if antibiotics administered? Number of sticks? Is it necessary? - ✔️✔️Considerations
for spinal fluid collection:
antibiotics - ✔️✔️Blood culture:
-Obtain before starting _______________
intestines - ✔️✔️Stool:
-determine if bacteria or parasite has infected the ______________
tonsillar area and posterior pharynx - ✔️✔️Throat culture:
-Vigorous swabbing of the ________________________ and ________________________
to detect the presence of invasive organisms
nasopharynx - ✔️✔️Nasal swab:
,-Insertion of swabs into the nose until reaching the __________________ to detect the
presence of invasive organisms
specific - ✔️✔️Wound culture:
-Allows for microbial growth and identification of _____________ organism
-hydration
-fever reduction
-isolation - ✔️✔️Common Medical Treatments for Infectious Conditions include:
-loss
-encourage PO fluids, IV fluids, strict I & O - ✔️✔️Hydration:
-Fever increases fluid _________
-Interventions:
-increases
-only if uncomfortable or can't maintain metabolic demand; Administer antipyretics
-NO aspirin
-Acetaminophen 10-15 mg/kg/dose; every 4 hours
-Ibuprofen 5-10 mg/kg/dose; every 6 hours; > 6 months of age; in children without risk for
bleeding - ✔️✔️Fever Reduction:
-Fever makes child uncomfortable and _______________ metabolic demand
-Interventions:
-Antipyretics:
-all patients - ✔️✔️Isolation- Standard:
-Reduce risk of transmission by airborne droplet
-Measles, varicella, TB
-Reduce risk of transmitting by contact with conjunctiva or mucous membrane
-Pertussis, strep, influenza, mumps, rubella, and scarlet fever
-Private room preferred (may cohort with same disease) - ✔️✔️Isolation- Droplet:
-Reduce risk of transmission by direct or indirect contact
-Lice, scabies, MRSA
-Private room preferred (may cohort with same disease) - ✔️✔️Isolation- Contact:
-Give as prescribed for the length of time prescribed
-Check for allergies. - ✔️✔️Antibiotics:
-Kill and prevent the growth of viruses
-Used for treatment of viral infections such as herpes simplex type 2 - ✔️✔️Antivirals:
-Ensure proper dosing, concentration, and dosing interval
-Inhibits prostaglandins, causing vasodilation and sweating, causing heat loss -
✔️✔️Antipyretics:
May cause drowsiness or craziness - ✔️✔️Antipruritics (antihistamines):
infection stimulates release of endogenous pyrogens→ hypothalamus triggers prostaglandin
production →increases body's temperature set point→ triggers "cold response" (shivering,
vasoconstriction, decrease peripheral perfusion) to help decrease heat loss and rise to new
set point - ✔️✔️Etiology of a fever:
Temperature greater than 38 C or 100.4 F - ✔️✔️Fever is considered:
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