If you have a fracture, what are you going to assess? - Answerscolor and pulse
You have a child who had pain, from the ER to the unit who has a history asthma and parents say he had
a bad attack, comes in with a runny nose and cough, restless, thick secretions, nasal fluid, severe
substernal retractions, wheezing on inspiration and expiration. Now he's on the PEDS unit and he's
admitted for exacerbation of asthma, he is asleep but arouses readily, no nasal flaring, expiratory
wheeze still there with decrease in bases, no cough, retractions are mild, he is on 2 L oxygen by nasal
cannula, oxygen saturation is currently 95, HR started at 148 now is 150, RR started at 42 is now 28, BP
was 87/44 now is 86/40, what would tell you treatment plan has been effective? - Answersretractions
decreased, respirations decreased to more normal rate, no cough, oxygen saturation has improved, no
more nasal flaring
You have a 13 year old diagnosed with Ewing sarcoma of the femur who has had radiation and
chemotherapy, they decided they needed to amputate the leg but now the child is very frightened
because aching and cramping she is feeling in the missing limb, what would be an appropriate response
for you as the nurse? What kind of response would you want to give this pt who is having phantom
pain? - Answerstell this is normal after surgery and nurses will teach ways to deal with it,
nonpharmological positioning, some distraction
Taking care of a toddler in an acute setting who has history from home of noisy breathing and a cough
with upper respiratory infections, fever tachypneac, hypoxic, a strider and cough, repeated laryngeal
tracheal bronchial infections, who has a nebulizer treatment, oral steroids and oxygen, the 12 o clock
assessment showed temp of 100.6, the 2 o clock assessment showed 100.8, HR was 104 to 152, RR was
42 to 68, oxygen saturation went from 97 to 95 on room air, is fussy, coughing, has inspiratory and
expiratory retractions and nasal flaring, what would be your actions with this pt? - Answerschange
oxygen, repeat the racemic epi (nebulizer treatment), go to blow by with a cool mist, make sure parents
not to offer anything by mouth because high respiratory rate, can hold for comfort, make sure have
intubation supplies accessible
Have a 3 year old being seen in pediatrics wellness clinic, what would be the least concerning of the
following? - Answersstands with knees together and ankles apart (knock kneed stance)
How would you describe a diagnosis of scoliosis? - Answerslateral curvature of the spine, diagnosed
primarily during adolescence
What kind of intervention would a child with scoliosis need? - Answersbrace first, surgery for long term
10 year old with crushing injury to right lower leg and complaining of numbness and tingling, what do
you do? - Answersassess color and pulse
What category of children are at greater risk for under treatment of pain? - Answerscognitive impaired
(inability to express they are not feeling good or are in pain)