NUFT 433 Exam 1 Questions and
Correct Answers the Latest Update and
Recommended Version
Acetaminophen (Tylenol) Poisoning s/s
✓ -n/v
✓ -sweating
✓ -may see improvement in 24-36 hours
✓ -antidote: n-acetylcysteine
Acetylsalicyclate Acid Poisoning (Aspirin) s/s
✓ -acute: n/v, disorientation, sweating, seizures
✓ -antidote: activated charcoal, gastric lavage
Iron Poisoning s/s
✓ -vomiting, blood in vomit/stools
✓ -4-24 hours: hyperglycemia, bleeding, shock, death
✓ -TX: emesis/lavage, chelation therapy
Corrosives poisoning s/s
✓ -edematous lips/pain, burins in mouth
✓ -TX: do not induce vomiting!!! airway maintenance & analgesics
Lead Poisoning poisoning s/s
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✓ -low dose: distractible, hyperactive, mild intellectual diff, hearing impairment, impaired
calcium functioning
✓ -high dose: cognitive delay, blindness, paralysis, seizures
✓ -TX: chelation using calcium EDTA
Nursing Management of Lead Poisoning
✓ -screening at 1,2,3 years of age
✓ -diet: increase foods high in iron & calcium
Family history includes
✓ parents, grandparents, siblings
fontanels close when?
✓ -posterior closes by 2-3 months
✓ -anterior closes by 12-18 months
Exam of Infants
✓ -auscultate when sleeping
✓ -praise parental presence
✓ -distract with colorful toys
✓ -procedures that provoke crying at end
Exam of Toddlers
✓ -security objects
✓ -demonstrate on parents first
✓ -examine eyes, ears, mouth last
Exam of Preschoolers
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✓ -allow children to touch/play with equipment
✓ -use games to reduce anxiety
For children and adolescents you should...
✓ -ask if they want to be examined without the parent
✓ -explain things with correct medical terminology
Head circumference
✓ -measure up to 2 years of age
✓ -around supraorbital and occipital prominences
assessment of eyes in pediatrics
✓ -visual acuity > 3 years old
✓ -newborns may not have symmetric EOM
✓ -corneal light reflex symmetrical;
✓ -red reflex should be present in infants
hearing loss suspected when
✓ -doesn't turn to sound by 4 months of age
✓ -doesn't speak by 2 years of age
✓ -doesn't follow commands
Light reflex in ear canal
✓ should be at 5/7 o clock position
respiratory distress
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