Exam (elaborations)
Pediatrics Nursing Exam 2
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Pediatrics Nursing Exam 2 Study Guide
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By: dekumidoria • 1 year ago
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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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