N414 Exam 2 questions with correct answers
Three year old Colin is getting ready for surgery and has a preop order
for maintenance IV fluids. Colin weighs 33 pounds. The nurse expects
his hourly IV rate to be:
a) 31 mls/hour
b. 14 mls/hour
c. 52 mls/hour
d. 48 mls/hour Correct Answer-Answer: 1000+ 50x5
1250/24
C. 52 mls/hour
Know degrees of dehydration, maintenance, etc for the test.
What are some good sources of calcium? Correct Answer-Nuts, chicken,
juice, milk, cheese, beans
Describe the use of calcium Correct Answer-It affects muscle and nerve
function, hormone secretion, bone growth, and clotting. However, there
are lots of ways to become deficient. It's hard to detect low calcium
levels because s+s are non-specific. Most common is neuro excitibility.
What are some good sources of potassium? Correct Answer-Bananas,
orange juice, tomato juice
Strawberries and cherries
Dates, figs, raisins and prunes
Peaches and apricots
,Don't give choke foods to infants
What are some scenarios that might cause fluid volume overload?
Correct Answer-Congestive heart failure because they can't pump fluid
to the right spots, nephrosis/ kidney issue, adrenal tumors because extra
aldosterone retains sodium, renal issues or failure, improper or rapid IV
infusion
How do we replace fluids? Correct Answer-The first bet is to do oral
fluid replacement for mild or moderate dehydration. This is also good
because it keeps them out of the hospital and is equally as effective as an
IV would be
Use solutions like pedialyte or hydralyte.
Be weary of carbonated pops or homeade replacements, we should avoid
these because they aren't always accurate.
Be careful with the concentration of sugar too, it can create an osmotic
effect and worsen the dehydration.
Start with as little as 3 to 5 ml every few minutes
Name some myths of pain management in children: Correct Answer-If
you subject a child to pain enough, they won't be bothered by it. False,
they can actually begin to overreact to pain if you do that
2. They recover more quickly
3. The child will tell you if they are in pain
,What DO we know about infants and pain? Correct Answer-Allowing
them to be in pain drains their energy and cause them to become
unstable.
Poor respiratory effort, Increased ICP, poor eating habits
What was found from the study on fractured femurs? Correct Answer-
People are more apt to medicate the older children but not the ones from
6 to 24 month olds
We have to think about pain meds for kids!!! They DO have pain
What is a good imagery to describe pain to children? Correct Answer-
How loud is your pain?
Sometimes pain is diffuse and unlocalized in little kids. And you can't
dial it down unless you treat it
What is the number one fear of children? Correct Answer-Needles
What is the number one fear for parents? Correct Answer-Not being able
to protect their children or comfort them in painful experiences. Good
family centered care should plan around this
How does anxiety compare to pain? Correct Answer-Anxiety is as
powerful as the pain response. Especially when we are inflicting the pain
on them. Kids don't understand why we are doing that to them, it makes
us seem untrustworthy
, What is our role as nurses? Correct Answer-Advocate for holistic,
interdisciplinary and family centered pain management.
What are the goals of pain management? Correct Answer-Work in teams
and with the family for best practice
Provide maximum state of comfort and safety for you patient
Ensure a positive and productive hospital and recovery stay
Maximize each individual's function
What is the first step of the nursing process? Correct Answer-
Assessment
What is the heirarchy of pain intensity? Correct Answer-Believe their
self report as they describe it
Look at the pathological condition or procedure: the context of where
their pain is
Behavior- especially if they are too young to self report
Collateral report- how the parents describe changes in the kid
Physiologic measures- Kids can compensate well so their vitals aren't
always as reliable so this is the least reliable
What are the basics of assessing? Correct Answer-Location-
Description- how loud or intense is it?
Onset
Three year old Colin is getting ready for surgery and has a preop order
for maintenance IV fluids. Colin weighs 33 pounds. The nurse expects
his hourly IV rate to be:
a) 31 mls/hour
b. 14 mls/hour
c. 52 mls/hour
d. 48 mls/hour Correct Answer-Answer: 1000+ 50x5
1250/24
C. 52 mls/hour
Know degrees of dehydration, maintenance, etc for the test.
What are some good sources of calcium? Correct Answer-Nuts, chicken,
juice, milk, cheese, beans
Describe the use of calcium Correct Answer-It affects muscle and nerve
function, hormone secretion, bone growth, and clotting. However, there
are lots of ways to become deficient. It's hard to detect low calcium
levels because s+s are non-specific. Most common is neuro excitibility.
What are some good sources of potassium? Correct Answer-Bananas,
orange juice, tomato juice
Strawberries and cherries
Dates, figs, raisins and prunes
Peaches and apricots
,Don't give choke foods to infants
What are some scenarios that might cause fluid volume overload?
Correct Answer-Congestive heart failure because they can't pump fluid
to the right spots, nephrosis/ kidney issue, adrenal tumors because extra
aldosterone retains sodium, renal issues or failure, improper or rapid IV
infusion
How do we replace fluids? Correct Answer-The first bet is to do oral
fluid replacement for mild or moderate dehydration. This is also good
because it keeps them out of the hospital and is equally as effective as an
IV would be
Use solutions like pedialyte or hydralyte.
Be weary of carbonated pops or homeade replacements, we should avoid
these because they aren't always accurate.
Be careful with the concentration of sugar too, it can create an osmotic
effect and worsen the dehydration.
Start with as little as 3 to 5 ml every few minutes
Name some myths of pain management in children: Correct Answer-If
you subject a child to pain enough, they won't be bothered by it. False,
they can actually begin to overreact to pain if you do that
2. They recover more quickly
3. The child will tell you if they are in pain
,What DO we know about infants and pain? Correct Answer-Allowing
them to be in pain drains their energy and cause them to become
unstable.
Poor respiratory effort, Increased ICP, poor eating habits
What was found from the study on fractured femurs? Correct Answer-
People are more apt to medicate the older children but not the ones from
6 to 24 month olds
We have to think about pain meds for kids!!! They DO have pain
What is a good imagery to describe pain to children? Correct Answer-
How loud is your pain?
Sometimes pain is diffuse and unlocalized in little kids. And you can't
dial it down unless you treat it
What is the number one fear of children? Correct Answer-Needles
What is the number one fear for parents? Correct Answer-Not being able
to protect their children or comfort them in painful experiences. Good
family centered care should plan around this
How does anxiety compare to pain? Correct Answer-Anxiety is as
powerful as the pain response. Especially when we are inflicting the pain
on them. Kids don't understand why we are doing that to them, it makes
us seem untrustworthy
, What is our role as nurses? Correct Answer-Advocate for holistic,
interdisciplinary and family centered pain management.
What are the goals of pain management? Correct Answer-Work in teams
and with the family for best practice
Provide maximum state of comfort and safety for you patient
Ensure a positive and productive hospital and recovery stay
Maximize each individual's function
What is the first step of the nursing process? Correct Answer-
Assessment
What is the heirarchy of pain intensity? Correct Answer-Believe their
self report as they describe it
Look at the pathological condition or procedure: the context of where
their pain is
Behavior- especially if they are too young to self report
Collateral report- how the parents describe changes in the kid
Physiologic measures- Kids can compensate well so their vitals aren't
always as reliable so this is the least reliable
What are the basics of assessing? Correct Answer-Location-
Description- how loud or intense is it?
Onset
