RN VATI NURSING CARE OF CHILDREN
1. Tetralogy fallout clinical manifestations include systolic heart murmur, cyanotic spells, seizures and
loss of
... [Show More] consciousness, clubbing, SOB with squatting, thrill at the left sternal border.
Infants who have Tetralogy of Fallot experience anoxic spells when the infants oxygen
requirements exceed the oxygen available in the blood supply, like when the infant is crying, or
following a feeding.
2. Manifestations of a brain tumor include vomiting, clumsiness, irritability, persistent headaches.
Information that should be provided to patients includes that benign brain tumors develop from
the meninges or cranial nerves and do not metastasize.
3. Interventions for a child who has hemophilia A include administering factor VIII, and assessing for
changes in LOC. Hemophilia A accounts for 80% of cases and it caused by a deficiency in factor VIII.
4. When caring for a child who has had a submersion injury the nurse should inform the parents that
the child needs observations because the child is still at risk for complications from the submersion
injury such as cerebral swelling. Complications can include respiratory compromise and cerebral
edema during the first 24 hours after submersion.
Questions
1. A nurse is caring for a child admitted with an acute exacerbation of asthma. Discuss the nursing
care needs of this child.
o Assess airway for patency
o Assess breath sounds (monitor for SOB)
o Take vital signs and O2 stats
o Position patient high fowlers to maximize ventilation
o Administer O2 & meds as ordered
2. A nurse is providing information on injury prevention to the parents of a toddler. What
information should be discussed?
o Toys that are age appropriate
o Emergency procedures for choking
o Child should not be left unattended with animals
o Stranger safety danger
o Wear sunscreen whenever outside
o Supervise closely when near pools (swimming lessons are encouraged for safety)
o Doors and windows should be kept locked
3. What information regarding strategies to decrease the spread of infection should the nurse
provide to the parents of a child with Respiratory Syncytial Virus (RSV)?
o Proper way to perform hand hygiene
o Educate on the importance to cover your nose & mouth with a tissue when sneezing or
coughing
o Ways to properly dispose of used tissues
o Do not share cups, utensils or towels
o Keep infected child away from children who are well until child no longer has virus [Show Less]