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Exam 1 NR328 NR 328 Latest Pediatric Nursing Chamberlain $12.49   Add to cart

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Exam 1 NR328 NR 328 Latest Pediatric Nursing Chamberlain

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Exam 1 - NR328 / NR 328 (Latest 2023 / 2024) : Pediatric Nursing - Chamberlain Coining and Cupping Diaper Dermatitis Candida Albicans infection Candida Albicans Infection: Risk Factors Candida Albicans Infection: Nursing Interventions Zinc Oxide Children as Interpreters Sleep Position for I...

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  • March 19, 2024
  • 19
  • 2023/2024
  • Exam (elaborations)
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Exam 1 - NR328 / NR 328 (Latest ) :
Pediatric Nursing - Chamberlain

1). Coining and cupping

 Ans: - ancient cultural practices that can look like physical abuse
- tell parents it's a good idea for them to alert medical personnel about these practices
so they don't think the child is being abused


2). Diaper dermatitis

 Ans: caused by prolonged and repetitive contact with an irritant - urine, feces, soaps,
detergents, ointments and friction
- waking them up at night, it's probably infected


3). Candida albicans infection

 Ans: - produces bright red lesions with raised borders and often with satellite lesions
- the infected area usually includes the folds and is painful
- topical antifungals are used to treat this


4). Candida albicans infection: risk factors

 Ans: altered immune system and antibiotic therapy


5). Candida albicans infection: nursing interventions

 Ans: eliminating the three factors considered to produce dermatitis
- wetness (hydration)
- pH
- fecal irritants




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, 6). Zinc oxide

 Ans: - prevents skin injury and allows the skin to heal, apply when changing
- avoid rubbing/washing the skin frequently
- in the case of fungal dermatitis, a layer of antifungal powder (nystatin) or cream under
this can be used but don't mix them together


7). Children as interpreters

 Ans: - it is important to stress literal interpretation of parent's responses
- have children translate a few sentences at a time
- ask questions directed at specific answers


8). Sleep position for infants

 Ans: supine using a pacifier


9). Epiglottitis: signs and symptoms

 Ans: - mimics cold symptoms
- sore throat
- can rapidly progress to severe respiratory distress
- pain with swallowing
- fever
- sits in a tripod position
- drooling, irritability and extreme restlessness
- voice is thick and muffled with a froglike croaking sound on inspiration


10). Epiglottitis: assessment

 Ans: examination of the throat is contraindicated, DO NOT STICK ANYTHING IN THE
CHILD'S MOUTH


11). Epiglottitis: prevention

 Ans: H. Influenza type b vaccination beginning at 2 months of age


12). Epiglottitis: nursing interventions

 Ans: - making the child comfortable
- giving oxygen
- fluids



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, - antibiotics
- airway maintenance!


13). Protocol for munchausen's by proxy

 Ans: - medical child abuse from caregivers (usually mothers)
- exaggerate or fabricate histories and symptoms or induce symptoms for sympathy and
attention
- resolution of symptoms after being separated from the parents is usually the
confirmation of the diagnosis


14). Respiratory syncytial virus strains

 Ans: - A (more virulent, can cause bronchiolitis and pneumonia)
-B


15). Respiratory syncytial virus and bronchiolitis: transmission

 Ans: mostly through direct contact with infected respiratory secretions


16). Rsv and bronchiolitis: s/s

 Ans: - low grade fever
- otitis media
- conjunctivitis
- cough
- lethargy
- poor feeding
- irritability


17). Rsv: lower airway involvement

 Ans: - wheezing
- retractions
- crackles
- dyspnea
- tachypnea
- diminished breath sounds


18). Rsv: interventions




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