MED-SURG NUR1211 NCLEX Review _ UWORLD

MED-SURG NUR1211 NCLEX Review _ UWORLD Pediatrics -Normal Vital Signs in Peds • 1 -12 months pulse: 100-160/min • 1-12 month resp : 30-60/min • Blood glucose for infant: 40-60 mg/dL within first 24 hours o Hypoglycemia in infant: ▪ Jitters ▪ Cyanosis ▪ Tremors ▪ Pallor ▪ Poor feeding ▪ Retractions ▪ Lethargic ▪ Low o2 sat ▪ seizures Appendicitis • Right lower quadrant pain • Nausea • Vomiting • High WBC • Requires emergency surgery to preventrupture • Once appendix ruptures, pain is relieved temporarily and will return with full blownperitonitis & sepsis Tooth Avulsion • Permanent teeth came out • Place in cold milk immediately to have an hour of time before tooth dies • Take to emergency room immediately to avoid loss of tooth Esophageal Atresia • Esophagus and trachea do not close properly • Must b corrected with surgery • Infant may have: o Frothy saliva o Coughing o Choking o Drooling o Distended abdomen o Apnea/cyanosis while feeding Hypertrophic Pyloric Stenosis • Apnea • Choking • Cyanosis due to aspiration of fluid while eating • Projectile vomiting is CLASSIC manifestation Retinoblastoma • Tumor in childhood • Intraocular malignancy occurring in kids less than 2 • Recognized when parentsreport white glow of pupil while taking photograph • Absent red reflex • Strabismus is another common sign • Visual impairment is late sign indicating advance disease • Tx: o Radiation o Enucleation (removal of eye) & fit for prosthesis o May be hereditary Neonatal Abstinence Syndrome • Born to opioid dependent mother • Experiences withdrawal 24-48 hrs after birth • Baby is irritiable, jittery, high pitch cry,sneezes, diarrhea, vomit, poorfeeding • Place baby in side lying position while swaddled to minimize stimulation • Use pacifier between feedings • Place in quiet, dim lit part of nursery • Tx with opioid therapy Chicken Pox • Airborne spread of secretions and direct contact of open lesions • Most contagious 1-2 before rash and after onset but before crusted lesions • Negative air flow room • Antihistamine for itchy and acetaminophen for fever…no aspirin! Strabismus • Disorder of misalignment of eye from birth defect or acquired weakness • Crosseyed • Common treatment is to wear patch overstrong eye;surgery may be required if this isnot successful