RN VATI NURSING CARE OF CHILDREN
1. Tetralogy fallout clinical manifestations include systolic heart murmur, cyanotic
spells, seizures and loss of consciousness, clubbing, SOB with squatting, thrill at the
left sternal border. Infants who have Tetralogy of Fallot experience anoxic spells
when the infants oxygen requirements exceed the oxygen available in the blood
supply, like when the infant is crying, or following a feeding.
2. Manifestations of a brain tumor include vomiting, clumsiness, irritability, persistent
headaches. Information that should be provided to patients includes that benign
brain tumors develop from the meninges or cranial nerves and do not metastasize.
3. Interventions for a child who has hemophilia A include administering factor VIII, and
assessing for changes in LOC. Hemophilia A accounts for 80% of cases and it caused
by a deficiency in factor VIII.
4. When caring for a child who has had a submersion injury the nurse should inform the
parents that the child needs observations because the child is still at risk for
complications from the submersion injury such as cerebral swelling. Complications can
include respiratory compromise and cerebral edema during the first 24 hours after
submersion.
Questions
1. A nurse is caring for a child admitted with an acute exacerbation of asthma.
Discuss the nursing care needs of this child.
o Assess airway for patency o Assess breath sounds (monitor for
SOB) o Take vital signs and O2 stats
o Position patient high fowlers to maximize ventilation
o Administer O2 & meds as ordered
1. Tetralogy fallout clinical manifestations include systolic heart murmur, cyanotic
spells, seizures and loss of consciousness, clubbing, SOB with squatting, thrill at the
left sternal border. Infants who have Tetralogy of Fallot experience anoxic spells
when the infants oxygen requirements exceed the oxygen available in the blood
supply, like when the infant is crying, or following a feeding.
2. Manifestations of a brain tumor include vomiting, clumsiness, irritability, persistent
headaches. Information that should be provided to patients includes that benign
brain tumors develop from the meninges or cranial nerves and do not metastasize.
3. Interventions for a child who has hemophilia A include administering factor VIII, and
assessing for changes in LOC. Hemophilia A accounts for 80% of cases and it caused
by a deficiency in factor VIII.
4. When caring for a child who has had a submersion injury the nurse should inform the
parents that the child needs observations because the child is still at risk for
complications from the submersion injury such as cerebral swelling. Complications can
include respiratory compromise and cerebral edema during the first 24 hours after
submersion.
Questions
1. A nurse is caring for a child admitted with an acute exacerbation of asthma.
Discuss the nursing care needs of this child.
o Assess airway for patency o Assess breath sounds (monitor for
SOB) o Take vital signs and O2 stats
o Position patient high fowlers to maximize ventilation
o Administer O2 & meds as ordered
