GUARANTEED PASS
Nursing Role & Concerns when working with Adolescents 1. Highly unpredictable
2. Inconsistent with their need for independence
3. Very sensitive feelings; phrase words carefully
4. Think friends are extremely important
5. Want to belong
Areas of Concern for Adolescents 1. Violence
2. Substance Abuse
3. Depression/ Suicide
4. Bullying
5. STI's
6. Teen Pregnancy
Most Common Childhood Disorders Conjunctivis (Pink Eye) & Otitis Media (Ear Infection)
Refractive Error Light does not bend properly on retina ex. nearsighted and farsighted
Care: eyeglasses/ contacts, continual reassessment
S & S: blurred vision, squinting, eye fatigue, straining, squinting, difficulty concentrating,
headache
* No laser surgery until 18 yrs old
Strabismus Eye muscle imbalance
S & S: fail cover uncover test, eyes face opposite direction, absent corneal light reflex
,Care: patch stronger eye, eye muscle surgery
Amblyopia Abnormal cortical response causing unilateral vision loss "lazy eye" leads to
vision loss if not treated
* Eye & brain don't work together
S & S: asymmetry of corneal light reflex, poor eye contact, no tracking (infants)
Care: patching, atropine drops, eye muscle excercises
Astigmatism Cornea is a football shape causing light to focus on two points not just one
(double vision)
S & S: blurred vision, reading, headache
Care: Corrective lens
Skin differences in Dark skin - More pronounced cutaneous reactions
- hypo/ hyper pigmentation after healing
- Higher risk of keloid formation
Non-bulbous Impetigo Bacterial Infection
S & S: papules then vesicles then painless pustules with narrow red border. Honey-colored
exudate when ruptures forms crust.
Care: Cool compresses, cream, antibiotic
Bulbous Impetigo Bacterial Infection
S & S: Red macules & bulleux eruptions on red base
Care: antibiotics, good hygiene
Folliculitis Bacterial Infection
, S & S: Red, raised hair follicles
Care: good hygiene, mupirocin cream
Cellulitis Bacterial Infection
S & S: Localized red, pain, warmth, edema
Care: Cephalexin antibiotic for mild, IV cephalosporins for severe
Staphylococcal Scaled Skin Syndrome Bacterial Infection
S & S: flatfish bull rupture within hours into red, weeping sores
Care: antibiotics for mild, IV fluid/ antibiotics for severe
Tinea Corpis (Ringworm) Fungal Infection
S & S: annular lesion with raised scaling
Care: Anti-fungal cream for 4 wks
Tinea Capitis Fungal Infection
S & S: head scaling with central hair loss
Care: Anti-fungal shampoo; no school x 1 wk
Tinea Versicolor Fungal Infection
S & S: Hypo-pigmented oval scaly lesions on back & arms
Care: Anti-fungal cream
Tinea Pedis (Athlete's Foot) Fungal Infection
S & S: Red scaling on soles of feet & b/t toes
Care: Anti-fungal cream/ powder & hygiene