NUR 416 Exam 2 Blueprint: Essentials of Pediatric Nursing Chapters 12-20
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NUR 416
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NUR 416
NUR 416 Exam 2 Blueprint: Essentials of Pediatric Nursing Chapters 12-20
Chapter 12: Nursing Care of the Special needs Child
- Additional stress can be felt by the child with a chronic illness and their family during times of transition. What is an example of a transition?
o Initial diagnosi...
▪ neuropathic pain due to the malfunctioning of the peripheral or central nervous system it may be continuo
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NUR 416 Exam 2 Blueprint: Essentials of
Pediatric Nursing Chapters 12-20
Chapter 12: Nursing Care of the Special needs Child
- Additional stress can be felt by the child with a chronic illness and their family during times
of transition. What is an example of a transition?
o Initial diagnosis or change in prognosis
o Increased symptoms
o When the child moves to a new setting (hospital, school)
o During a parent’s absence
o During periods of developmental change
o Arrival of new family members.
- What is vulnerable child syndrome?
o Vulnerable child syndrome is a clinical state in which the parents’ reactions to a
serious illness or event in the child’s past continue to have long term psychologically
harmful effects on the child and parents for many years.
o Parents can exhibit excessive unwarranted concerns and seek health care for their
child frequently.
o Risk factors of vulnerable child syndrome
▪ Preterm birth
▪ A congenital anomaly
▪ Newborn jaundice
▪ A handicapping condition
▪ An accident or illness that the child is not expected to recover from
▪ Crying/feeding problems within the first 5 years of life.
o The parent has difficulty separating from the child, and the child senses that anxiety
nd then develops symptoms that reinforce the parents’ fears.
o The parents’ may try to retain control, especially at times of increasing
independence, and fear disciplining their child as they do not want to “upset” the
child.
Chapter 13: Medication Administration
- Calculate the low and high safe dose range for a 44 lb child obtaining a drug with a range of
10- 20mg/kg/day
o 44/2.2 = 20 kg
o Low 20 x 10 mg/kg/day = 200 mg/day
o High 20 x 20 mg/kg/day = 400 mg/day
- What is the proper way to administer ear drops in a different ages?
o When administering pediatric ear drops, pull the pinna down and back is correct if
the child is younger than 3 years of age.
o To administer ear drops to a child who is 4 years old and older, the nurse should pull
the pinna up and back.
, o Have the patient in a side lying position with the affected ear exposed. Have them
maintain this position for a few minutes to ensure that the medication stays in the
ear canal. Massage the area anterior to the affected ear to promote passage of the
medication into the ear canal.
o If necessary, place a piece of cotton or a cotton ball loosely in the ear canal to
prevent the medication from leaking.
- What are nursing instructions you may give a parent on giving medications at home?
o Ensure thorough instruction, including frequency of administration, when the next
dose is due, and the length of time the medication is to be given. Emphasize the
importance of completing the prescribed dose.
o Demonstrate use with an actual syringe if possible, encourage return demonstration
of medication administration, advise against the use of home-measuring devices, and
emphasize the importance of always using the calibrated dispensing device that was
given with the medication.
o If the medication is given via injection, parents and caregivers need to learn how
to administer the injection properly. Encourage questions or concerns from
parents or caregivers.
o Provide with tips for administration, such as mixing unpleasant tasting medicines
with apple sauce or yogurt or offering a favorite as a chaser.
o Also teach the parents how to properly measure the amount of drug to be given.
- Should you aspirate prior to giving an IM injection?
o Traditional technique insert the needle into the skin at a 90 degree angle. Aspirating
and, if no blood was present, injecting the medication was the traditional procedure.
o However, recent research has shown decreased discomfort and no associated
complications with rapid injection of IM immunizations without aspiration. SO
NOW YOU DO NOT NEED TO ASPIRATE WITH IM INJECTIONSSSSSS.
- Calculate IV fluid maintenance for an 8kg child.
o 100 ml per kg of weight = # mL for 24 hours
o example 8kg x 100 ml/kg = 800 ml per day. 800ml / 24 hr = 33.33333 ml/hr
- **** there are other equations for weight that’s over 10kg. this equation is only for those
who weigh less than 10 kg.
Chapter 14: Pain management
- How is pain classified?
o Pain is classified based on its duration, etiology, or source or location.
o Classification by Duration
▪ Acute pain pain that is associated with a rapid onset of varying intensity. It
usually indicates tissue damage and resolves with healing of the injury.
Acute pain reflects stimulation of nociceptors and serves a protective
function (i.e. alerting the patient to a problem).
▪ Chronic pain is defined as pain that continues past the expected point of
healing for injured tissue. It provides no protective function. May be continuous
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