CEN Review
4 Hallmark signs of a bowel obstruction - ANS-1) abdominal pain 2) Abdominal distention 3)
vomiting 4) Marked constipation. *Note: bowel sounds assessment is not completely reliable
Abdominal Vessels - ANS-Mesentary, Descending Abdominal Aorta, Inferior Vena Cava, Iliac
artery, Renal Artery
Acute gastroenteritis is considered more serious in what patient population - ANS-Infants (due
to less tolerate of changes in body fluids - elderly second)
Apneustic Respirations - ANS-Prolonged, gasping inspirations followed by short expirations.
AVPU (mneumonic to assess level of consciousness) - ANS-Alert, Voice - responds to, Pain -
responds to painful stimuli, Unresponsive
Cheyne-Stokes respirations - ANS-Respirations gradually become faster and deeper - then
become slower followed by periods of apnea.
CIAMPEDS (mneumonic for pediatric triage) - ANS-Chief complaint, Immunizations/Isolation,
Allergies, Medications/Medical history, Parent's impression of the situation, Events surrounding,
Diet/Diapers, Symptoms associated with illness/injury
Eupnea Respirations - ANS-Desciption of normal respiratory rate and rhythm
Factors that provoke gastritis - ANS-smoking, ASA, and parents with gastritis. Note: meditation
and exercise would decrease patient stress and decrease the risk of developing gastritis
Five minutes after a patient complaining of RLQ abdominal pain arrives in the ER, what initial
nursing action would be inappropriate? - ANS-Giving parental analgesics due to masking the
symptoms. Some clinicians recently disagree with this rule and recommend medicating the
patient early on and then giving a narcotic antagonist if pain assessment is required
Left Lower Quadrant Organs - ANS-sigmoid colon, section of the descending colon, lower pole
of (L) kidney, (L) ureter, (L) ovary, (L) spermatic cord
Left Upper Quadrant Organs - ANS-(L) lobe of liver, Stomach, Spleen, Body of pancreas,
portion of (L) kidney and adrenal gland, Section of the transverse and descending colon
Most common cause of peptic ulcer disease - ANS-Helicobacter Pylori
Pediatric assessment triangle - ANS-Appearance --> breathing --> circulation -->
PQRST (mneumonic to obtain Pt historyA) - ANS-Provocation, Quality, Region / Radiation,
Severity, Timing
Right Lower Quadrant Organs - ANS-Appendix, cecum, lower pole of kidney, (R) ureter, (R)
ovary, (R) spermatic cord
Right Upper Quadrant organs - ANS-Liver, Gallbladder, Pylorus, Duodenum, Head of
Panacreas, (R) kidney and adrenal gland, Hepatic flexure of the colon, Section of the ascending
and transverse colon
The child who is mildly dehydrated should initially be treated with: - ANS-A balanced electrolyte
solution by mouth (as long as the child can tolerate oral fluids)
The emergency physician orders a barium enema for a child with intussusception. The nurse
knows that - ANS-A barium enema is diagnostic for intussusception and may even reduce it and
eliminate the need for surgery.
4 Hallmark signs of a bowel obstruction - ANS-1) abdominal pain 2) Abdominal distention 3)
vomiting 4) Marked constipation. *Note: bowel sounds assessment is not completely reliable
Abdominal Vessels - ANS-Mesentary, Descending Abdominal Aorta, Inferior Vena Cava, Iliac
artery, Renal Artery
Acute gastroenteritis is considered more serious in what patient population - ANS-Infants (due
to less tolerate of changes in body fluids - elderly second)
Apneustic Respirations - ANS-Prolonged, gasping inspirations followed by short expirations.
AVPU (mneumonic to assess level of consciousness) - ANS-Alert, Voice - responds to, Pain -
responds to painful stimuli, Unresponsive
Cheyne-Stokes respirations - ANS-Respirations gradually become faster and deeper - then
become slower followed by periods of apnea.
CIAMPEDS (mneumonic for pediatric triage) - ANS-Chief complaint, Immunizations/Isolation,
Allergies, Medications/Medical history, Parent's impression of the situation, Events surrounding,
Diet/Diapers, Symptoms associated with illness/injury
Eupnea Respirations - ANS-Desciption of normal respiratory rate and rhythm
Factors that provoke gastritis - ANS-smoking, ASA, and parents with gastritis. Note: meditation
and exercise would decrease patient stress and decrease the risk of developing gastritis
Five minutes after a patient complaining of RLQ abdominal pain arrives in the ER, what initial
nursing action would be inappropriate? - ANS-Giving parental analgesics due to masking the
symptoms. Some clinicians recently disagree with this rule and recommend medicating the
patient early on and then giving a narcotic antagonist if pain assessment is required
Left Lower Quadrant Organs - ANS-sigmoid colon, section of the descending colon, lower pole
of (L) kidney, (L) ureter, (L) ovary, (L) spermatic cord
Left Upper Quadrant Organs - ANS-(L) lobe of liver, Stomach, Spleen, Body of pancreas,
portion of (L) kidney and adrenal gland, Section of the transverse and descending colon
Most common cause of peptic ulcer disease - ANS-Helicobacter Pylori
Pediatric assessment triangle - ANS-Appearance --> breathing --> circulation -->
PQRST (mneumonic to obtain Pt historyA) - ANS-Provocation, Quality, Region / Radiation,
Severity, Timing
Right Lower Quadrant Organs - ANS-Appendix, cecum, lower pole of kidney, (R) ureter, (R)
ovary, (R) spermatic cord
Right Upper Quadrant organs - ANS-Liver, Gallbladder, Pylorus, Duodenum, Head of
Panacreas, (R) kidney and adrenal gland, Hepatic flexure of the colon, Section of the ascending
and transverse colon
The child who is mildly dehydrated should initially be treated with: - ANS-A balanced electrolyte
solution by mouth (as long as the child can tolerate oral fluids)
The emergency physician orders a barium enema for a child with intussusception. The nurse
knows that - ANS-A barium enema is diagnostic for intussusception and may even reduce it and
eliminate the need for surgery.
