Peds exam 1.13.14.15

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Author:
lrnino
ID:
239471
Filename:
Peds exam 1.13.14.15
Updated:
2013-10-08 07:17:57
Tags:
fall 13
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Description:
nursing care of children
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  1. how old child has to be to get assent?
    7
  2. what is a fever?
    38C (100.4 F)
  3. you can use antipyretics to tx a fever, but not this med ______
    aspirin
  4. you're checking placement of tube feeding and you get a pH level of 6. where are you?
    lungs (5 or lower is stomach)
  5. what is the cut-off for "normal" on the pulse ox?
    95
  6. does meds circulate longer or shorter in children?
    longer
  7. child is under age 3, where can you give a shot?
    vastus lateralis
  8. what is the max amt of liquid you can put in a shot for a young child?
    1.5ml
  9. when is an appropriate time to give a suppository?
    child has N/V
  10. eardrops - adult is up and back. what is procedure for child?
    down and back
  11. what is first in tx of asthma? 

    A) albuterol
    B) corticosteroid
    A
  12. what is most serious complication from IV meds?
    circulatory overload
  13. child in pain - eyes _____

    A) dilated
    B) contricted
    A
  14. child in pain - BP & pulse _____

    A) elevated
    B) decreased
    C) elevated BP, decreased pulse
    D) decreased BP, elevated pulse
    A
  15. what do you tx repiratory depression from opiods with?
    narcan
  16. fentanyl's onset is ____. lasts for ____ hrs. how old does the child at least have to be?
    12-24hrs. lasts 72hrs. 12yo.
  17. children have a ______ protein binding capacity leading to a high concentration of free drugs.

    A) limited
    B) unlimited
    A
  18. The FLACC pain scale is used for what ages?
    2mo - 7y
  19. you child is 3yo and older. what pain scale do you use?
    FACES
  20. what does a tylenol OD look like?
    • N/V
    • sweating
    • pallor
  21. what does an aspirin OD look like?
    • N/V
    • vomiting
    • diaphoresis
    • tinnitus
  22. what does an iron OD look like?
    • bloody stools
    • diarrhea
    • gastric pain
  23. what does hydrocarbon (paint thinner, lighter fluid, kerosene) ingestion look like?
    • gagging
    • choking
    • lethargy
    • weakness
    • tachy
    • cyanosis
  24. what does the child look like after ingesting corrosives?
    • pain burning at mouth
    • edematous lips, tongue, pharanx
    • drooling
  25. what can you get from high dose of lead?
    • mental retard
    • blindness
    • paralysis
  26. what is a diagnostic test you do after a child nearly drowned?
    chest radiographs. status of lungs.
  27. which OD is the only one that calls for emesis intervention?

    A) aspirin
    B) iron
    C) gasoline
    D) lead
    B
  28. what is med to counter tylenol OD?
    mucomyst
  29. what vitamin do you give to counter aspirin OD?

    A) Vit. A
    B) Vit. K
    C) Vit. B
    D) Vit. C
    B) Vit. K
    (this multiple choice question has been scrambled)

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