1. Safety concerns for a pre-school age

1. Safety concerns for a pre-school age child might be (provide on your separate document paper the rationale for your answer in terms of at least one: social, cognitive or physical development) A. Poisons/ingestions B. Bike/helmet safety C. peer pressure/bullying D. All of the above 2. A nurse might expect to find a child in a tripod position for which condition? In your separate rationale note paper, provide a brief explanation what this positioning is providing for the child? A. Atrial septal defect B. Tetralogy of Fallot C. Epiglottis D. Compression of vena cava 3. Blood level examples- match with condition, provide details for why PH and HCO3 (bicarb) and other levels are affected (what is happening to cause lower, lower higher to whatever the case may be) 1. Normal blood gas, K+, Na+ levels A. PH 7.55, HCO3 55, K+ 2.8 Na+ 135 2. Pneumonia B. PH 7.30 HCO3 22, PaO2 90, PaCO2: 50 3. Diabetic keto acidosis (DKA). C. PH 7.4 HCO3 34 K 4.0 Na 138 4. Pyloric stenosis D. PH 7.08 HCO3 12 K+ 2.9 4. What does LTB stand for and why would you expect stridorous breath sounds versus wheezing? 5. An infant is ordered 0.9mg of Digoxin BID. The infant weights 7kg. Determine how much digoxin the child is receiving per kg of body weight in one dose (Round to nearest 100th decimal or two decimal points to the right) 6. Define iron deficient anemia and name two infant or child age groups at higher risk for deficiency & why. 7. List 2 methods to convert a supraventrical tachycardia (SVT) rhythm. Are these similar methods that might be used for an adult with SVT? What special considerations might you have for a child and famly versus an adult when proceeding to convert rhythm? 8. For a child who has been living with Sickle cell Disease, which lab values would you exepct to be affected, and which would you not expect to be affected? Give a range for each of the following lab values: Na+, K+. Hgb, HCT, platelets; and make comments like, “expect a little high or low, expect normal range” 9. A general purpose of chemotherapy is to slow the rapid cancer cell reproduction; and also elicit an immunosuppressive effect. Which affected labs would cause the most cause for concern and why. A. Hgb 9; K 5.5 B. ANC 1000, Platelets 70,000 C. ANC 400; Platelets 7000 D. A&B 10. The nurse and medical providers suspect sepsis in a 3-week-old infant that parents brought to the ED with a fever of unknown origin. What initial lab tests would need to be obtained? Provide rationale for each of the labs in the choice you selected. A. BMP, CBC, urine analysis B. Urine & blood cultures, comprehensive chem profile (CMP), CBC C. Cultures for CSF, urine & blood. Also CBC & BMP D. None of these 11. A 6-month old weights 40Ibs and has had a total of 320 ml of urine output recorded in in the past 24 hours. Based upon this data, provide your analysis of the patients’ urine output 12. A nurse is reviewing data for four children. Which of the following children should be seen first? A. A 7-year old who has diabetes insipidus and urine specific gravity of 1.016 B. A 3-week old, history of prematurity with 2 days vomiting and diarrhea, HR 130, RR 26, T 36.5 BP 75/50. Parent just changed a diaper with urine in it. C. A 1-year-old who has reseola and T 39 (102.2 F) D. A 10-year-old who has sickle cell anemia, who reports 10/10 severe chest pain 13. VP shunt- List at least 3 things a nurse would educate a child and family to watch for signs/symptoms of VP shunt malfunction 14. List one example for each type of the four listed types (live attenuated, inactivated, mRNA & Conjugate). Give a general rationale for why it is required for children to receive MMR and DTaP immunizations in order to attend school. 15. Types of shock are hypovolemic, distributive, and cardiogenic. Match the example with each type 1. Hypovolemic shock 2. Distributive shock 3. distributive shock 4. Cardiogenic A. Analyphlaxia B. significant blood loss from trauma C. neurogenic shock from spinal cord injury D. Dysrhythmias that result in decreased cardia output such as SVT or ventricular fibrilation SCIENCE HEALTH SCIENCE NURSING NURS 412

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