NSG 3600 PEDS EXAM 3 |185 COMPLETE QUESTIONS WITH EXPERT
SOLUTIONS | 2026 LATEST UPDATED | GET A+
Meningitis Therapeutic Management - (Answer)Give immunizations, assess neuro status &
response to therapy with every 2 hours if stable and every hour if not stable. Make sure we have
a stable a calm environment. If bacterial give antibiotics and make sure they take all of them.
Make sure the child is in seizure precautions, give NSAIDs for pain. Need to teach parents about
early detection of complications and how to prevent it along with medical follow-up if on sz
meds.
Steps that should always be used when assessing a child GI system - (Answer)First step should
be to inspect the child.
Second we are going to auscultation.
Third is percuss.
Fourth is palpate the area through the clothing due to the child being ticklish.
What do we need to worry about then it comes to children and medication? - (Answer)Liver and
pancreas do not mature until about 6 months of age so we need to be concern about toxicity.
,Why should we not give children under 1 cows milk? - (Answer)The pancreatic lipase dose not
get adequately secreted until age 1, which means the body can't absorb fats such as those present
in cow's milk.
What kind of stool does an infant have who is breast feeding? - (Answer)The infant will have
watery stool.
What kind of stool does an infant have who is formula feeding? - (Answer)The infant will have
soft or seedy stools.
What do pre-schoolers go through when eating? - (Answer)The pre-schoolers woll fluctuations
where they have periods of overeating or refusal to eat. Very normal but the parents can get
upset.
Dehydration - (Answer)Occurs whenever total output of fluid exceeds intake.
Dehydration Clinical Manifestations and Therapeutic Management - (Answer)Tachycardia,
hypotension, decreased tears specific in children, weight loss (monitor daily), thirst, irritability,
sunken eyes and fontanels.
Fluid replacement, electrolyte monitoring & replacement, and safety considerations.
,What will be elevated in a child who is dehydrated? - (Answer)The sodium, potassium, and
creatinine
Blood Urea Nitrogen (BUN) range for child - (Answer)5-18 mg/dL
Sodium (Na) range for child - (Answer)135-145 mEq/L
Potassium (K) range for child - (Answer)3.4-4.7 mEq/L
Creatinine range for child - (Answer)0.3-0.7 mg/dL
What do we need to look out for with kids with dehydration? - (Answer)Diarrhea, skin break
down, falls risk, dizziness, failure to thrive and grow.
Cyclic Vomiting Syndrome - (Answer)Intense nausea and vomiting 4 times an hour. 5 attacks
total or 3 attacks in over 6 months. Could be caused by infection, psychological stress, dietary
changes, menstruation, migraines. These individuals will vomit then be okay for the rest of the
day then vomit again during later in day.
, Cyclic Vomiting Syndrome: Clinical Manifestations - (Answer)Vomiting for 24-48 hr, occurs at
night or early morning hours, severe abdominal pain, retching throwing up where there is
nothing put clear fluid coming up, nausea, diarrhea, headache, vertigo
Cyclic Vomiting Syndrome- Diagnosis - (Answer)Rule out other condition and lab studies. Need
to get a good history and ask if they are asymptomatic and is eat episode the same and do you
have at least 3 of them.
Cyclic Vomiting Syndrome- Prevention - (Answer)Balanced nutrition (no cheese, cured meat,
and chocolate), get a lot of sleep and rest, and void triggers, and do stress management.
Cyclic Vomiting Syndrome- Therapeutic Management - (Answer)Supportive management
(meeting with a therapist), fluid replacement (IV fluids), rest, pharmacotherapy (Zofran)
Cyclic Vomiting Syndrome- Patient/Family Education - (Answer)Increase exercise, balanced
diet, good hydration, sleep routines, avoid triggers (need to keep a health food diary along with
sleep and food cycles).
SOLUTIONS | 2026 LATEST UPDATED | GET A+
Meningitis Therapeutic Management - (Answer)Give immunizations, assess neuro status &
response to therapy with every 2 hours if stable and every hour if not stable. Make sure we have
a stable a calm environment. If bacterial give antibiotics and make sure they take all of them.
Make sure the child is in seizure precautions, give NSAIDs for pain. Need to teach parents about
early detection of complications and how to prevent it along with medical follow-up if on sz
meds.
Steps that should always be used when assessing a child GI system - (Answer)First step should
be to inspect the child.
Second we are going to auscultation.
Third is percuss.
Fourth is palpate the area through the clothing due to the child being ticklish.
What do we need to worry about then it comes to children and medication? - (Answer)Liver and
pancreas do not mature until about 6 months of age so we need to be concern about toxicity.
,Why should we not give children under 1 cows milk? - (Answer)The pancreatic lipase dose not
get adequately secreted until age 1, which means the body can't absorb fats such as those present
in cow's milk.
What kind of stool does an infant have who is breast feeding? - (Answer)The infant will have
watery stool.
What kind of stool does an infant have who is formula feeding? - (Answer)The infant will have
soft or seedy stools.
What do pre-schoolers go through when eating? - (Answer)The pre-schoolers woll fluctuations
where they have periods of overeating or refusal to eat. Very normal but the parents can get
upset.
Dehydration - (Answer)Occurs whenever total output of fluid exceeds intake.
Dehydration Clinical Manifestations and Therapeutic Management - (Answer)Tachycardia,
hypotension, decreased tears specific in children, weight loss (monitor daily), thirst, irritability,
sunken eyes and fontanels.
Fluid replacement, electrolyte monitoring & replacement, and safety considerations.
,What will be elevated in a child who is dehydrated? - (Answer)The sodium, potassium, and
creatinine
Blood Urea Nitrogen (BUN) range for child - (Answer)5-18 mg/dL
Sodium (Na) range for child - (Answer)135-145 mEq/L
Potassium (K) range for child - (Answer)3.4-4.7 mEq/L
Creatinine range for child - (Answer)0.3-0.7 mg/dL
What do we need to look out for with kids with dehydration? - (Answer)Diarrhea, skin break
down, falls risk, dizziness, failure to thrive and grow.
Cyclic Vomiting Syndrome - (Answer)Intense nausea and vomiting 4 times an hour. 5 attacks
total or 3 attacks in over 6 months. Could be caused by infection, psychological stress, dietary
changes, menstruation, migraines. These individuals will vomit then be okay for the rest of the
day then vomit again during later in day.
, Cyclic Vomiting Syndrome: Clinical Manifestations - (Answer)Vomiting for 24-48 hr, occurs at
night or early morning hours, severe abdominal pain, retching throwing up where there is
nothing put clear fluid coming up, nausea, diarrhea, headache, vertigo
Cyclic Vomiting Syndrome- Diagnosis - (Answer)Rule out other condition and lab studies. Need
to get a good history and ask if they are asymptomatic and is eat episode the same and do you
have at least 3 of them.
Cyclic Vomiting Syndrome- Prevention - (Answer)Balanced nutrition (no cheese, cured meat,
and chocolate), get a lot of sleep and rest, and void triggers, and do stress management.
Cyclic Vomiting Syndrome- Therapeutic Management - (Answer)Supportive management
(meeting with a therapist), fluid replacement (IV fluids), rest, pharmacotherapy (Zofran)
Cyclic Vomiting Syndrome- Patient/Family Education - (Answer)Increase exercise, balanced
diet, good hydration, sleep routines, avoid triggers (need to keep a health food diary along with
sleep and food cycles).
