NUR 283 Exams Questions and Answers Multiple Updates Complete and Accurate 100 Correct Answers Verified A Graded
NUR 283 Exams Multiple Update Package | Test-Ready Solutions Pack Pediatric cardiac arrest leading cause is... - answer - respiratory distress Vitals for Newborns - answer - HR: 110-160 RR: 30-60 KNOW: Maintenance IV Fluid 100, 50, 20 rule & 4, 2, 1 rule - answer - Vitals for Toddlers - answer - HR: 65-110 RR: 20-25 Vitals for School-age - answer - HR: 60-100 RR: 14-26 Vitals for Adolescents - answer - HR: 55-95 RR: 12-20 Concerning Vitals for Peds: 3 months - 1 yr - answer - - Hypotension Risk: SBP Below 71 - Temperature Concern: 36 & Lower or 38 & Higher Vitals for Infants - answer - HR: 80-150 RR: 25-55 Minimum Urine Output for Peds - answer - 1 ml/kg/hr - Calculate by taking the total urine from the time frame you are evaluating, suchas within a 12 hr shift - ex: client weighs 20 kg with U/O of 300 ml forthe past 12 hours -- 300 mL//kgs/12hrs = 1.25 ml/kg/hr Bolus for Hypotension - answer - **20 ml/kg IV Fluid Bolus of NS usually over 30 minutes** - Sometimes hand push to over 1 hr - **For cardiac heart conditions = 10 ml/kg IV Fluid Bolus of NS** - **KNOW the difference between how much bolus between cardiac and normal** Assessment for Kids :DDD - answer - - Ease into assessment - **Do not ask "Can I...?" - You can give a choice - Let them touch equipment - Respect privacy - **Listen to heart and respiratory first, sneak in while they are sleeping/swaddled** Weight in Peds - answer - 1. Explain procedure to kid and family 2. Hand Hygiene 3. Place paper on scale 4. Balance or "Tare" scale to "0", place dry diaper on scale 5. Weigh kid with no clothing - use same scale - always have hand within 1 inch of infant - weight in kg Length in Peds - answer - - 2 people to help - Measuring boards are helpful - Use the paper table covering - Hard surface to head and mark - Extend legs and make heel position Head Circumference in Peds - answer - - We measure the head circumference till kid is 2 to 3 years old - Repeat the measurement 3 times - 1-2 fingers widths above the eyebrow (or just above the eyebrows) - Tape across the most prominent part in the back of the head - Head exceeds chest by 1 to 2 inches Boy Peds normal Weight/Head Circumference/Length - answer - 18 months 32 inches 28 lbs Temperature for Peds - answer - Hospital and policy driven - **Avoid rectal temperature on a child that has a bleeding issue, immunosuppressed, rectal or lower spinal surgery, 1 month or less (age), hx of diarrhea, spina bifida, chemo** - Method used is set by policy - usually in Celsius - Temporal or Tympanic Temperature are common - **Axillary temperature in newborn - proper technique** Measuring Tympanic Temperature - answer - 1. Pull earlobe back and down if younger than 3 years 2. Insert probe gently into ear canal towards the tympanic membrane, not the sides of the ear canal 3. Push the button to take the temperature and hold until a reading is obtained. The length of time required for the temperature to register varies per manufacturer but is only a few seconds at most. I/O's for Peds - answer - Bottles - 1 ounce = 30 mls Diapers - 1 gram = 1 ml - I/O's are documented in mls Data Collection/Interview - answer - - Child may sit on caregiver's lap - Include child if appropriate with developmentally appropriate conversation - Use of a stuffed animal/toy can help - Caregiver information like legal guardian/custody - Allergies (including adverse reactions to medications) - Feeding habits - Food likes/dislikes - Sleeping - Toilet-training (and words they use) - Immunization history - Medication history (med rec) - Smoking in household? - Pool? - Guns? - Childproof Data Collection for Peds - answer - - Chief Complaint: The caregiver's primary concern is his or her reason for seeking health care for the child - History of symptoms for chief complaint, what has helped, what treatment they tried at home - Other health history: surgeries, previous hospitalization, birth history - Family history - Developmental - Adolesc
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