Nurs 3340 Peds Test 1 Questions with complete solutions
Why is nursing of children different? slide 5 Correct Answer-Children are NOT "little adults". They have developmental and physiological differences, body is still developing. Have more nutritional needs, metabolism reacts differently w/ meds
KNOW the chart on page 114, slide 6 Correct Answer-What is normal &
what is pathological? Normal for ant. font. to be open until 18mos. Post. font. cloes btw 2 & 3mos. Dynamic diagphramic breathers until 5yo.
KNOW vital signs- slide 7 (BP goes up & HR/RR go down with age) Correct Answer-Newborn- 30-55; 100-170, One yr- 25-40; 90-140, Three yrs- 20-30; 80-120, Six yrs- 16-22; 70-120, Ten yrs- 16-20; 60-110, > than ten yrs same as adult. BP (estimate<10 yrs): systolic 80 + (2x age); diastolic 2/3s systolic
Principles of pediatric physical examination- slides 8, 9, 11, 12 Correct Answer-Communicate at eye level, use honest open communication(pain), understand normal stages of development. Perform exam on parents lap if possible, most distressing to least distressing Age-Specific Approaches to Exam Correct Answer-Infant: auscultate heart, lungs first Toddler: inspect body area through play, intro equipment slowly
Preschool: if cooperative: proceed head-to-toe; if not, same as toddler
School age: head-to-toe, genitals last, respect privacy
Adolescent: same as school age
Impact on medications- slide 15 Correct Answer-Immature liver/kidney, Decreased Gastric function(oral drugs slower), plasma protein concen, fat (cant store fat soluble drugs) and water comp.
Box 1-3 "System Strategies to Reduce Peds Med Errors- pg 12 Correct Answer-Lower doses based on weight in mg/kg/dose, proper calculations are important. Monitor closely for s/sx of toxicity.
Review Question 1: In order to administer a medication safely to a pediatric client, what drug information must the nurse be aware of that is
not always essential when administering a medication to an adult? Correct Answer-Recommended dose per kg of body weight
JCAHO "Do not use" med abbrev. list Correct Answer-
ISMP List of Error-Prone Abbrevations Correct Answer-
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