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 yc yc




Physical Assessment/Pediatric Variations: 10 questions
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Physical Assessment—
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see PowerPoint Central/Peripheral pulses
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Signed Consent yc


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 yc


• Leg movement yc


• 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 yc yc


• Increased vital signs yc yc


• Expression
• Sleeplessness

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


o Antipyretic, anti-inflammatory, analgesic yc yc


o 1 hour to take effect yc yc yc yc


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


• Opioids
o Moderate to severe pain yc yc yc


o Morphine = gold standard yc yc yc


o Others: hydromorphone (dilaudid) yc yc


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


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

o fentanyl (sublimaze) yc


▪ more potent than morphine yc yc yc


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




Illness Prevention/Communicable Diseases: 12 questions Vaccinati
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on Schedule:
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