NUR1025 Final Exam
Label
Wash hands/teach hand washing
After a dressing change the nurse Document
should do what? - Pt response
-expected outcomes
-Unexpected outcomes
Inflammation
Size of the wound
Assessment of wound
Drainage
Redness/warmth
Increased erythema, especially beyond the wound margin
Edema
Signs of wound infection Purulent exudate
Pain
Increased temp
What age are children with cognitive As soon as possible
impairments referred for treatment As young as possible
Mental difficult/deficiency
Cognitive Impairment
IQ < 70-75
, NUR1025 Final Exam
Intellectual disability intellectual functioning, functional strengths and weakness, and age <18yo
2/10
-Communication
-Leisure
-Academics
-Self-care
Categories to determine cognitive -Health
impairment -Work
-Home living
-Self-direction
-Community
-Social skills
-Safety
-Delayed/unable to meet developmental milestones or educational goals
-Not responsive to contact or lack of interest in environment
S/S of Cognitive Impairment -Decreased alertness to voice/movement
-Irritable
-Poor eye contact
, NUR1025 Final Exam
-Infection
-Inadequate Nutrition
-Gestational Disorders
-Intoxication
Causes of Cognitive Impairment -Brain Disease
-Chromosome abnormalities
-Trauma
-Psychiatric
-Environmental
-Dysmorphic features- Down syndrome, fragile X
-Irritability/unresponsiveness to contact
-Abnormal eye contact
Early Suggestive Signs of Cognitive
-Gross motor delay
Impairment
-Decreased alertness to voice/movement
-Language difficulties/delay
-feeding difficulties
-Promote child's optimal development- establishing acceptable social
behaviors, personal feelings of self-esteem, worth, and security- loving
Cognitive Impairment- goals
family members
-Promote normal development- feeding, dressing, and grooming
, NUR1025 Final Exam
Sensorimotor play- expose child to different sounds, sights, sensations-
musical mobiles, stuffed toys, water play, rocking chairs, swing, bells,
rattles
-take child to shopping centers; other people should be encouraged to
visit in the home
-Cuddling, holding, rocking, talking face-to-face
Toys
Encouraging play for CI child
-Inflatable beach ball-encourages interactive play and cause motor skills-
balance, rocking, kicking, throwing
-Doll with removable parts- learn to dress
-Musical toys- social phrases, animal sounds, encouraging speech
Physical activity- child's size, coordination, physical fitness, maturity,
motivation and health
-Safety is major consideration
Focus on self-care, assistance devices, effective measures of limit setting,
usual/favorite routines
-encourage to be as independent as possible
CI Care during Hospitalization
-procedures are explained in ways that are appropriate for cognitive
level-simple, short, concrete
-focus on growth- promoting experience
Improving maternal health- smoking, poor nutrition, drug/ETOH abuse
-folic acid supplementation
Measures to prevent CI -new born screenings
-early appropriate therapies
-Rehab services
Label
Wash hands/teach hand washing
After a dressing change the nurse Document
should do what? - Pt response
-expected outcomes
-Unexpected outcomes
Inflammation
Size of the wound
Assessment of wound
Drainage
Redness/warmth
Increased erythema, especially beyond the wound margin
Edema
Signs of wound infection Purulent exudate
Pain
Increased temp
What age are children with cognitive As soon as possible
impairments referred for treatment As young as possible
Mental difficult/deficiency
Cognitive Impairment
IQ < 70-75
, NUR1025 Final Exam
Intellectual disability intellectual functioning, functional strengths and weakness, and age <18yo
2/10
-Communication
-Leisure
-Academics
-Self-care
Categories to determine cognitive -Health
impairment -Work
-Home living
-Self-direction
-Community
-Social skills
-Safety
-Delayed/unable to meet developmental milestones or educational goals
-Not responsive to contact or lack of interest in environment
S/S of Cognitive Impairment -Decreased alertness to voice/movement
-Irritable
-Poor eye contact
, NUR1025 Final Exam
-Infection
-Inadequate Nutrition
-Gestational Disorders
-Intoxication
Causes of Cognitive Impairment -Brain Disease
-Chromosome abnormalities
-Trauma
-Psychiatric
-Environmental
-Dysmorphic features- Down syndrome, fragile X
-Irritability/unresponsiveness to contact
-Abnormal eye contact
Early Suggestive Signs of Cognitive
-Gross motor delay
Impairment
-Decreased alertness to voice/movement
-Language difficulties/delay
-feeding difficulties
-Promote child's optimal development- establishing acceptable social
behaviors, personal feelings of self-esteem, worth, and security- loving
Cognitive Impairment- goals
family members
-Promote normal development- feeding, dressing, and grooming
, NUR1025 Final Exam
Sensorimotor play- expose child to different sounds, sights, sensations-
musical mobiles, stuffed toys, water play, rocking chairs, swing, bells,
rattles
-take child to shopping centers; other people should be encouraged to
visit in the home
-Cuddling, holding, rocking, talking face-to-face
Toys
Encouraging play for CI child
-Inflatable beach ball-encourages interactive play and cause motor skills-
balance, rocking, kicking, throwing
-Doll with removable parts- learn to dress
-Musical toys- social phrases, animal sounds, encouraging speech
Physical activity- child's size, coordination, physical fitness, maturity,
motivation and health
-Safety is major consideration
Focus on self-care, assistance devices, effective measures of limit setting,
usual/favorite routines
-encourage to be as independent as possible
CI Care during Hospitalization
-procedures are explained in ways that are appropriate for cognitive
level-simple, short, concrete
-focus on growth- promoting experience
Improving maternal health- smoking, poor nutrition, drug/ETOH abuse
-folic acid supplementation
Measures to prevent CI -new born screenings
-early appropriate therapies
-Rehab services
