Summary wong's nursing care of infants and children EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALE

Summary wong's nursing care of infants and children
EXAM QUESTIONS AND CORRECT ANSWERS
WITH RATIONALE

, Pediatrics Exam 1 lv lv




Physical Assessment/Pediatric Variations: 10 questions
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Physical Assessment— lv


see PowerPoint Central/Peripheral pulses
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Signed Consent lv l


Temperature
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Pain: 5 questions
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FLACC Scale: (0-10) for post-operative pain or for children who are developmentally unable to respond
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• Facial expression lv


• Leg movement lv


• Activity
• Cry
• Consolability

CRIES Scale—when working w/ premature or FT infants in NICU (0-10); A pain score greater than 4 is significant
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• Crying
• Requiring increased O2 lv lv


• Increased vital signs lv lv


• Expression
• Sleeplessness

Pharmacology
• Nonopioids
o For mild to moderate pain lv lv lv lv


o Antipyretic, anti-inflammatory, analgesic lv lv


o 1 hour to take effect lv lv lv lv


o Acetaminophen (Tylenol, Paracetamol), NSAIDS lv lv lv


• Opioids
o Moderate to severe pain lv lv lv


o Morphine = gold standard lv lv lv


o Others: hydromorphone (dilaudid) lv lv


▪ has a longer duration of action than morphine lv lv lv lv lv lv lv


▪ less associated w/ nausea and pruritus lv lv lv lv lv

o fentanyl (sublimaze) lv


▪ more potent than morphine lv lv lv


o Codeine = weak opioid; safety and efficacy problems lv lv lv lv lv lv lv




Illness Prevention/Communicable Diseases: 12 questions Vaccinatio
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n Schedule:
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