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Exam (elaborations)

RN VATI NURSING CARE OF CHILDREN (2020)

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RN VATI NURSING CARE OF CHILDREN 1. Tetralogy fallout clinical manifestations include systolic heart murmur, cyanotic spells, seizures and loss of consciousness, clubbing, SOB with squatting, thrill at the left sternal border. Infants who have Tetralogy of Fallot experience anoxic spells when the...

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  • January 5, 2023
  • 4
  • 2022/2023
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RN VATI NURSING CARE OF CHILDREN
1. Tetralogy fallout clinical manifestations include systolic heart murmur, cyanotic

spells, seizures and loss of consciousness, clubbing, SOB with squatting, thrill at the

left sternal border. Infants who have Tetralogy of Fallot experience anoxic spells

when the infants oxygen requirements exceed the oxygen available in the blood

supply, like when the infant is crying, or following a feeding.



2. Manifestations of a brain tumor include vomiting, clumsiness, irritability, persistent

headaches. Information that should be provided to patients includes that benign

brain tumors develop from the meninges or cranial nerves and do not metastasize.



3. Interventions for a child who has hemophilia A include administering factor VIII, and

assessing for changes in LOC. Hemophilia A accounts for 80% of cases and it caused

by a deficiency in factor VIII.



4. When caring for a child who has had a submersion injury the nurse should inform the

parents that the child needs observations because the child is still at risk for

complications from the submersion injury such as cerebral swelling. Complications can

include respiratory compromise and cerebral edema during the first 24 hours after

submersion.



Questions



1. A nurse is caring for a child admitted with an acute exacerbation of asthma.

Discuss the nursing care needs of this child.

o Assess airway for patency o Assess breath sounds (monitor for

SOB) o Take vital signs and O2 stats

o Position patient high fowlers to maximize ventilation

o Administer O2 & meds as ordered

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