NU 308 Test 1 Miss Bushey Questions And Answers With Latest Solutions
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Course
NU 308
Institution
NU 308
NU 308 Test 1 Miss Bushey Questions And Answers With Latest Solutions
What should a nurse not delegate? ANS Assessment, Teaching, Evaluation or Judgement, Unstable or High-risk Pt.
Prioritizing ANS Unstable vs. Stable
Unexpected vs. Expected
ABCs: airway/cervical spine, breathing, circulati...
NU 308 Test 1 Miss Bushey Questions And Answers
With Latest Solutions
What should a nurse not delegate? ANS Assessment, Teaching, Evaluation or Judgement,
Unstable or High-risk Pt.
Prioritizing ANS Unstable vs. Stable
Unexpected vs. Expected
ABCs: airway/cervical spine, breathing, circulation (bleeding)- 1s in cpr
Acute vs. Chronic
Actual vs. Potential
Assessment of Child and Family ANS establish setting for effective communication
open-ended questions
be careful with direct, intense eye contact
use language appropriate to development
Other term for fever ANS Pyrexia or Febrile
What is considered a fever? ANS > 100.4 F
in small kids may be up to 105.8 (41 C)
-not dangerous until 106 F
-if child is under 4-6 months or chronic illness temp will be evaluated at lower levels (ie. >100.4)
What to avoid ANS parents should avoid OTC cold/cough remedies in kids less than 2-4 yrs.
(some say up to 6 yrs.)
comfort measures ANS -tepid compresses (sponging)
-light cover to avoid shivering
,-acetaminophen (Max=50-75 mg/kg/day)
-alternate w/ Ibuprofen (if >6 mo.)- GI irritant
No ASA= increased Reye's risk
Why should kids not take ASA? ANS increased risk of Reye's Syndrome
occurs w/ varicella & Flu (w/ disease&live vaccine)
Effects of Reye's ANS Brain= increased ICP, confusion, vomiting, coma (cerebral edema)-
deadly
Liver= monitor LFTs 7 watch for hypoglycemia
Febrile Seizures (tonic-clonic type) ANS -happens in kids < 3yrs most often
-usually benign
-concerning when >15 min.
-take to ED/HCP for eval
-video EEG or CT scan
-seldom use long-term anticon. meds.
-use clonazepam
-don't forget seizure measures
-IV lorazepam in ED
Face ANS ck. expression
skin on face
-color, Temp.
Eyes ANS -edema, sucken, tears, fixate?
-Periorbital infection (ck. for meningitis S&S)
, Ears ANS otoscope-pull ear what direction?
-pull down for younger than 3; pull up for 3 and oldere
-does pneumatic bulb-drum move?
Signs of hearing loss in infant/child ANS
Hearing Tests ANS Tympanometry- movement of TM
ABR=auditory brain response
Otoacoustic-returning sound waves
Audiometer-headphones
Rinne&Weer tuning fork
Drugs toxic to the ear ANS -aminoglycosides (gentamycin & tobramycin)
ck. trough 30 min before dose
-Loop diuretics (Lasix-furosemide)
White patches in mouth? ANS Candida Albicans/Thrush
-Nystatin swish & swallow
Ulcerations in mouth ANS -from chemo?
-use mouthwash: antifungal or Chlorhexidine (swish & spit)
-avoid commercial mw (drying)
Gum Hyperplsia ANS -caused by Dilantin/Phenytoin
-need good dental care
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