100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Peds Final Exam nurs 4115 Dr. Bates questions with correct answers $16.99   Add to cart

Exam (elaborations)

Peds Final Exam nurs 4115 Dr. Bates questions with correct answers

 0 view  0 purchase
  • Course
  • RN- Nursing
  • Institution
  • RN- Nursing

Vital signs Correct Answer-age HR RR Systolic BP Newborn (0-1mo) -70 Infant (1mo-12mo) -100 Toddler (1-3) -110 Preschool (3-6) -110 School age (6-12) -120 Adolescent (12+) -120 ABC prioritization for assessment & nursing interventions, next nursing action to take? ⦁ A-I Correct Answer-�...

[Show more]

Preview 4 out of 36  pages

  • November 7, 2024
  • 36
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • RN- Nursing
  • RN- Nursing
avatar-seller
cracker
Peds Final Exam nurs 4115 Dr. Bates questions with
correct answers
Vital signs Correct Answer-age HR RR Systolic BP
Newborn (0-1mo) 80-180 30-55 60-70
Infant (1mo-12mo) 80-150 25-40 70-100
Toddler (1-3) 80-140 20-30 80-110
Preschool (3-6) 70-120 18-27 80-110
School age (6-12) 70-110 14-22 80-120
Adolescent (12+) 60-110 14-22 110-120


ABC prioritization for assessment & nursing interventions, next nursing
action to take?
⦁ A-I Correct Answer-⦁ A- Airway- i
⦁ B- breathing
⦁ C- circulation
⦁ D- disability- neuro assesment
⦁ E- exposure/ environment
⦁ F- Full set of vitals and family presence
⦁ G- Give comfort measures
⦁ H- Head to toe
⦁ I- Inspect posterior surfaces


many details removed

,⦁ What p/t to see first: Correct Answer-⦁ ABC, age (younger first),
stable vs unstable, acute vs chronic (ussually acute), scheduled for
surgery or post op, VS, complications, discharge date (lowest priority)


⦁ When to contact provider? Correct Answer-⦁ Contact the provider for
any abn labs, worsening s/s, something new to tell them, need an order
before you can do something, side effects or adverse reactions


When to use the FLACC scale & what is assessed on it. Correct Answer-
⦁ FLACC- Nurses looks and grades, low score is better (0-10), each
worth 2 points
⦁ F- face: smile vs cry
⦁ L- legs: relaxed, kicking, fetal position, flexed
⦁ A- activity: normal to squirming
⦁ C- cry: crying or not crying
⦁ C- consolibility: can the child be calmed down, relaxed to difficult to
comfort
⦁ Always use the same pain rating scale, FLACC is used for patients
who cant use the FACES scale yet developmentally, mainly infants,
toddlers, and preschoolers


Asthma manifestations Correct Answer-⦁ Clinical manifestations-
wheeze, if in respiratory distress presenting with wheezing and cyanosis
give rescue med aka corticosteroid, Productive cough, can give
Leukotriene receptor antagonists (allergies), Respiratory distress,

,Increased respiratory effort, Anxiety, and Stridor, can give Beta-2
adrenergic agonists (bronchodilator)
⦁ Getting better if when compared in assessment they get better, like
were retracting and now they arent
⦁ not better if going from wheezing to no sounds at all!


Cystic fibrosis management and why Correct Answer-⦁ Therapeutic
management-
⦁ 1. Pancreatic enzymes before, with or within 30 minutes after meals
⦁ They receive them due to decreased absorbtion, because enzymes have
a hard time reaching the GI tract
⦁ 2. High calorie, high protein diet, avoid fatty/greasy foods
⦁ 3. Vitamin supplements for A, D, E, & K (adek)
⦁ 4. Add extra salt to food during hot weather
⦁ They sweat out all their salt already so don't want them to loose more
⦁ 5. Breast feeding with supplemental formula
⦁ 6. Need IV access for antibiotics (pulmonary infections)
⦁ 7. Nebulizer treatments or aerosol therapy with chest PT, 3-4x/day.
⦁ Due to secretions and difficulty breathing
⦁ 8. Change diapers ASAP after BMs (high fat content is irritating to
skin)
⦁ -teach they can play sports they enjoy
⦁ -postural drainage, suction would need to be before meals so that they
can enjoy their meal

, Larynotracheobronchitis- (croup) treatment and why Correct Answer-⦁
Therapeutic management-
⦁ teach parent to sit in a steamy bathroom with the child, or get cold air
outside or from freezer, use a cool mist humidifier in the hospital, then
corticosteroid, racemic epinephrine by nebulizer (rescue), IVF, mist tent
(make ure to change sheets because they et wet and will make the baby
cold)


Epiglottitis manifestations and interventions Correct Answer-⦁
Assessment & findings
⦁ enlarged epiglotis, drooling, increased respiratory distress, sitting
forward with neck extended, anxious, no cough
⦁ On assessment never use tongue blade, because it will close of throat
completely


Trach care post op Correct Answer-⦁ Assessment & interventions after
placement of tracheostomy in OR
⦁ After they get one in the OR everything is sterile, so do sterile
cleaning with sterile gloves, new kit, use new suction catheters
⦁ may not have inner cannula because they have narrower airways,
always do sterile suction (you suction when you can hear secretions,
crackles, rales, wheeze, see secretions) always have a smaller and same
size trach, suction, lube, ties, and ambu bag at bedside, may need suction
if decreased breath sounds, or can't get cough out, may need O2 prn
⦁ Should be clear, clean and free of secretions
⦁ Stoma should be pale pink

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller cracker. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $16.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

82871 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$16.99
  • (0)
  Add to cart