Peds Capstone Review Complete Questions & Answers(RATED A+)

cleft palate post op care - ANSWER post surgery: -avoid having baby suck on nipple or pacifier -place baby laterally or on stomach to help prevent aspiration and facilitate drainage -apply restraints to prevent baby from disturbing operative site -Keep the infant pain-free to decrease crying and stress on repair -Feed w/ cups, Avoid sucking on nipple or pacifier -monitor I/O's daily -Change position frequently to facilitate breathing & place on abdomen in immediate post-op period -Maintain IV fluids until infant able to eat & drink meningitis care - ANSWER -implement droplet precautions right away -maintain for at least 24 hours following initiation of abx -keep pt npo if there is a decreased LOC (r/f aspiration) -dark quiet environment (photophobia) -admx medications (abx, corticosteroids) -mx for signs of increased ICP -Position the client without a pillow, and slightly elevate the head of the bed. The client can also be positioned side-lying to reduce neck discomfort. -keep room cool -Presence of petechial or purpuric-type rash requires immediate medical attention A nurse is caring for a child with a closed head injury. What clinical manifestations would suggest deterioration in this client's condition? - ANSWER -changes in vital signs -altered mental status -increased intracranial pressure -alterations of pupillary response -posturing -bradycardia -decreased motor response -decreased sensory response -Cheyne-Stokes respirations -coma A child has been admitted to the emergency department with a closed head injury. Identify the lab and diagnostic tests that will be ordered. - ANSWER -ABGs, -blood alcohol and toxicology screening, -CBC with differential -liver function tests; -cervical spine x-rays to rule out cervical spine injury,