Nursing interventions for Reye's syndrome - Answers Rest
Reduced stimuli
Assess LOC (Early recognition of ↑ ICP)
Monitor hepatic function
Evaluate for S/S of bleeding (Physical assessment & Laboratory evaluation)
Monitor I&O
Tonic-clonic seizures are - Answers Phases of tonic and clonic spasm
Absence seizures are - Answers Motionless, blank staring, automatisms
Myoclonic seizures are - Answers Brief contractions of muscles or muscle groups
Variety of seizure episodes
Atonic/akinetic seizures are - Answers "drop attacks"
They will need a helmet for safety
Muscle tone is lost for a couple seconds, which often causes a fall
A seizure is a - Answers Abnormal, involuntary, excessive electrical discharges of neurons within the
brain
Epilepsy is - Answers Chronic brain disorder characterized by recurrent seizure activity
What should a nurse keep at bedside for seizure precautions - Answers Suction
Rail padding
Mats on the floor
Risk factors for visual impairments include - Answers Prenatal or postnatal conditions
Perinatal infections
Chronic illness
What are the clinical manifestations of strabismus - Answers Inward or outward deviation of the eye
Difficulty seeing print clearly
One eye closed to enable better vision
, Head tilted to one side
Headache
Dizziness
Diplopia
Photophobia
Crossed eyes
What is intussusception - Answers Portion of the bowel "telescopes" into another portion of the bowel
Prevents normal passage of stool
Intussusception clinical manifestations would include - Answers Colic & abdominal pain (Draws knees to
chest)
Vomiting with fecal-stained emesis
Mucousy-bloody stools
Hypo/Hyperactive bowel sounds
Abdominal tenderness
Bowel loops (RUQ)
How would you take care for a child with an intussusception? - Answers NPO
IVF
NG suction
Antibiotics
Monitor stools
Monitor for S&S of perforation and Shock (Fever, increased HR & RR, decreased BP & LOC)
What is appendicitis - Answers Inflammation of the appendix
Typically caused by infection or obstruction
Appendicitis clinical manifestations appear as - Answers Rebound tenderness
Abdominal rigidity
Abdominal guarding (legs flexed)