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Exam (elaborations)

Pediatrics Nursing Exam 2

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  • Course
  • Nursing Pediatrics
  • Institution
  • Nursing Pediatrics

Pediatrics Nursing Exam 2 Study Guide

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  • January 13, 2023
  • 13
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
  • Nursing Pediatrics
  • Nursing Pediatrics

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By: dekumidoria • 1 year ago

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lexioleniczak
Exam 2 Pediatric Blueprint

 Growth Chart Interpretation

o Make sure that kids continue to follow on their growth pattern. Little variations here

and there are OK.

 Toddler-Adolescence Appropriate Exam Techniques

o Starts with your approach in communicating with the child and parents/caregivers.

o Head to toe, least to most invasive

o Cluster cares

o Be prepared and gather all your supplies

o Inspection, auscultation, percussion, palpation

o Nurse in most settings will not be assessing the breasts, genitalia, or eyes or ears in

detail

o General appearance, vital signs, body measurements, pain, ROM of the ROS (head, neck,

eyes, mouth & throat, skin, thorax & lungs, breasts, heart & perfusion, abdomen,

genitalia, MSK, neuro)

o Ask parent to leave the exam room if kids want them too when they are over age 14

 Prioritization of actions in a pediatric emergency

o ABCs!!!! AIRWAY, BREATHING, CIRCULATION. ALWAYS CHECK AIRWAY PATENCY FIRST,

assign personnel to obtain AED, Open airway/assess breathing, check for a pulse.

(Brachial pulse in infant, radial is hard to feel and most times feel your own pulse, if

brachial is hard to find can check femoral).

o Examples of suctioning

 Oropharyngeal, nasopharyngeal, tracheal, and tracheostomy are some

examples

,  JAW THRUST with a cervical spine injury with CPR

 Emergency Rescue Medications (LEAN) delivered in a pediatric emergency

o Lidocaine – IV, IO (intraosseous), ET (endotracheal)

o Epinephrine – IV, IO (intraosseous), ET (endotracheal)

o Atropine – IV, IO (intraosseous), ET (endotracheal)

o Naloxone/Narcan – IV, IO (intraosseous), ET (endotracheal), SUBQ, NASAL

 Medications used in pediatric overdosing

o Narcan (opioids, respiratory)

o Activated charcoal (ingestion)

 Isolation Principles

o Handwashing is the most effective way to not spread infection

o Always need to wash your hands after using the bathroom, a patient with CDIF and if

your hands are visibly dirty

 Fever Management

o Keeping hydrated

o Keep comfortable

o Don’t treat a fever unless it’s over 100.5, fever is doing its job

o Teach parents that a fever is a natural mechanism to fight the infection

o Alternate Tylenol and Ibuprofen

o Follow dose on bottle

 Common skin disorders in children and adolescents

o Cat scratch -occurs after being bitten or scratched by a cat

 Swollen painful lymph nodes

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