NUR 2513 Exam Blueprint Final Study Guide 2021/2022 | Modules: 7, 8, 9 & 10

NUR 2513 Final Study Guide 2021 - Rasmussen Exam Blueprint Modules: 7, 8, 9 & 10 Dosage Calc – 3 problems • What are techniques for administration of ear drops (less than 2 versus older than 2) • What are tips for helping a child take oral medication?  Hold infant in semi-reclining position.  Stroke infant under chin while holding cheeks together to promote swallowing.  Hold small child upright to prevent aspiration  Administer medication in small amts on side of cheek to allow and promote swallowing  Mix med in small amount of sweet non-essential food (i.e. apple sauce).  Add flavoring if able  Reward small child with prize • What are teaching tips for use of a metered-dose inhaler? SATA • What’s important to know about the newborn/infant nose and breathing? What assessments are important? p. 932 - Newborns / infants are OBLIGATORY nose breathers - DO NOT do anything to occlude the nares. What are post-tonsillectomy nursing cares?  Positioning: Facilitate drainage. Elevate HOB when awake.  S/sx of bleeding: Frequent swallowing, clearing throat, bright red emesis, tachycardia, pallor.  Liquid analgesics (on a reg schedule)  Teracaine pops as prescribed  Ice collar  Ice chips, small sips water, initiate clear liquid diet as tolerated.  Discourage dairy products, red colored products, and citrus products.  Discourage coughing, throat clearing, and nose blowing. AVOID STRAWS. What are therapeutic interventions to manage croup (bronchiolitis)? - Supplemental O2 to keep O2 sat ≥ 90% - Encourage fluid intake if able to tolerate PO intake - Maintain airway - Meds: DO NOT GIVE BRONCHODILATORS. CORTICOSTEROIDS controversial. ATBX if infxn present. - DO NOT perform CPT - Suction PRN - Encourage breastfeeding What are symptoms of streptococcal pharyngitis and complications/risks? - S/sx:  Pharyngitis  H/A  Fever  ABD Pain  Inflammation of pharynx, covered with exudate (be 2nd day of illness). - Complications / Risks:  Rheumatic fever • What are head injury assessments?  LOC •  Minor injury - Loss of LOC / drowsiness - Period of confusion - Vomiting - Pallor - Irritability - Lethargy  Progression of injury: - Changes in VS - AMS - Focal neurologic deficits - Increased agitation  Severe Injury: - Increased intracranial pressure in INFANTS * Bulging fontanel, distended scalp veins * Separation of cranial sutures * Irritability * Restlessness * Increased sleeping * High pitched cry * Poor feeding * Sun-setting sign - Increased intracranial pressure in CHILDREN * Nausea * Forceful vomiting * H/A * Blurred vision * Increased sleeping * Inability to follow simple commands * Decline in school performance * Seizures