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 nx nx




Physical Assessment/Pediatric Variations: 10 question
nx nx nx nx


s Physical Assessment—
nx nx


see PowerPoint Central/Peripheral pulses
nx nx nx


Signed Consent nx


Temperature
nx




Pain: 5 questions
nx nx

FLACC Scale: (0-10) for post-operative pain or for children who are developmentally unable to respond
nx nx nx nx nx nx nx nx nx nx nx nx nx nx


• Facial expression nx


• Leg movement nx


• Activity
• Cry
• Consolability

CRIES Scale—when working w/ premature or FT infants in NICU (0-10); A pain score greater than 4 is significant
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx


• Crying
• Requiring increased O2 nx nx


• Increased vital signs nx nx


• Expression
• Sleeplessness

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


o Antipyretic, anti-inflammatory, analgesic nx nx


o 1 hour to take effect nx nx nx nx


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


• Opioids
o Moderate to severe pain nx nx nx


o Morphine = gold standard nx nx nx


o Others: hydromorphone (dilaudid) nx nx


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


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

o fentanyl (sublimaze) nx


▪ more potent than morphine nx nx nx


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




Illness Prevention/Communicable Diseases: 12 questions Vaccinati
nx nx nx nx nx


on Schedule:
nx