NU 308 Pediatric Nursing Variations Bushey Questions
With Complete Solutions
A capnography machine will change color if a pts levels are
dropping. If a pts EtCO2 starts dropping, it will turn
___________. Correct Answer Yellow
*the yellow range indicate the pt is retaining CO2 and not
ventilating
A nerve block is used to deliver what to where? Correct Answer
A local anesthetic to a specific nerve that near the site using a
pump
A Urine collection bag simply sticks over the... with adhesive so
try to keep clean prior to placing. Correct Answer Perineum
(BUT not the anal area - it will contaminate the collection)
-with little boys, it works best if you place the entire scrotum in
the bag as well
Addiction is a potential SE of narcotic use but not common
because we carefully monitor dosages. However, in what cases
is addiction to narcotics see the most? Correct Answer In
children that have been on ventilators for several days/weeks
After administering any type of pain med, it is important to do a
pain assessment. What are the various types of pain assessments
than can be done for children? Correct Answer -NIPS
-NPASS
-FLACC
After they grow out of ther infant car seat, they then use a
booster seat. How long should children remain in a booster seat?
Correct Answer Until 8-9 years old *or* 4ft 9"
All medications at home should have a safety ____ on them.
Correct Answer Cap
Also keep in mind that children with a GT button typically do
not have what when they are not on a feed? Correct Answer Do
not have the extension tubing/connection tubing
*this is because of risk for them pulling it out
Also keep in mind that if the child spits up after giving the
medication, you... Correct Answer Cannot re-administer
without an order
Also keep in mind to never use placebos with kids. What are
some examples? Correct Answer -Placebos as part of research
-Giving a treat (like m&ms)and sayin its medicine
Also take advantage of _______________ measure both before
and after the procedure. Correct Answer Distraction
,*but do not use the hospital playroom as distraction - this is a
medicine/hospital free zone
Always give older kids simple choices but never compare them
to... Correct Answer Other kids or their siblings
Always remember in children to check the safe dose of a
medication based on their _________. Correct Answer Weight
(mg/kg/day)
Always remind kids that an injection is *not a
_________________.* Correct Answer Punishment
*don't threaten, bride or make promises
And finally, in some cases you may only need to do a dipstick of
urine. This is a test only requires little urine these can be
collected by... if the child is incontinent. Correct Answer
Placing several cotton balls in the diaper
-once saturated, urine can be drawn up out of the cotton ball via
a syringe
And finally, the last specimen collecting that differ for children
is a Lumbar Puncture to obtain CSF.
Do you remember what you have to be mindful of when holding
kids in position for an LP? Correct Answer Their respirations
And finally, when considering NG tubes, remember that even if
they are not eating orally, they still need proper.... Correct
Answer Oral hygiene
, And for infants with NG tubes, they still have _________ needs
and should be given a __________ during feeds. Correct
Answer Sucking; pacifier
*this helps associate the sucking with getting full
Another form of variation of care that differs from child vs
adults is restraints.
What is the major principle in terms of using restraints? Correct
Answer Use the minimum amount needed to achieve the
purpose
Another method to help minimize pain for venous sticks in
children is a Iontophoresis. What is this? Correct Answer The
application of a numbing medication to the site and covered by a
dressing with electrodes applied to the top fo dressing
The weak electrical current will help the anesthetic to enter
through the skin more quickly
*this can also be used with other forms of topical medication,
not just for numbing
Another specimen that requires special collection in kids is
blood.
In infant we often only need to stick a capillary thus we typically
use their... Correct Answer Heel/toe
-but be mindful to stick the side, not the base/tip
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