Exam 4 (Pedi - disorders: renal, sensory, MS, psych, oncology
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show | Peak between 2& 6 years of age, females at higher risk. Escherichia coli ( E Coli) organism responsible 80% of the time.
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show | Inflamation of kidneys in response to group A B-hemolyitic streptococcus (strep throat). Most common non-infectious disease of child hood. S/S Dysuria, H/A, vomiting, hematuria and proteinuria. Monitor BP.
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show | When kidney are suddenly unable to regulate volume of urine in response to intake. S/S oliguria or anuria, lethargy, pallor. Most common cause of acute renal failure is DEHYDRATION.
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Chronic Renal Failure (ERSD) | show 🗑
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show | Clinical syndrome in which presence of excessive amounts of urea in the blood. (a sign of chronic kidney disease or failure.)
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show | Massive urinary protein loss and edema. Mostly between ages of 2 & 7, twice as likely to be males. Unkown cause. Prednisone is drug of choice.
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Vesicoureteral reflux | show 🗑
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Hypospadias | show 🗑
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show | Failure of one or both testes to descend into the scrotum. Can cause malignant tumor formation and infertility. Can give HCG to older children or surgery between 1st and 2nd year. (retractile= can be pushed back into the scrotum)
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The nurse suspecting a fever checks tympanic and oral temperatures on a 4 year old with a diagnosis of leukemia because | show 🗑
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A 4 year old child is admitted with the diagnosis of acute lymphoctic leukemic. Platelets are ordered and an iv is started. The nurse should | show 🗑
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show | Because the pills hellp the other medications get rid of the things that make you sick
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When caring for a 15 y/o client receiving chemo for leukemia the nurse should keeping mind that an adoslescent of this age will | show 🗑
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When a 5 year old is reciving dactinomycin and doxorubicin therapy following a nephrectomy for a wilms tumor nursing care should include | show 🗑
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show | Uric acid level is elevated
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show | Extent of hydration
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show | Reserpine and hydralazine
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When assessing a child with leukemia for the possible side effects of oncovin the nurse should be aware that a sign of toxicity | show 🗑
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The nurse teaches a teenager about the needs for special mouth care because of the potential for lesions from the chemotherapy being administered. The nurse evaluates that the instructions where understood when the teenager states I should | show 🗑
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show | Hypoxia
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a child with leukemia is to be sent home on a protocol that includes several antineoplastics after an intrathecal administration of methotrexate. Before the discharge the nurse instructs the child parent to | show 🗑
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When giving nursing care to a child with leukemia, the nurse noted blood on the pillow case and several bloody tissues. The nurse should check the childs laboratory report for the | show 🗑
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When obtaining a health Hx from the parents of a toddler who is admitted to the hospital with acute lymphocytic leukemia, the nurse would be surprised if the parents report that the first sign they observed was | show 🗑
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The nursing care plan for a newborn with hypospadias should include | show 🗑
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The nurse encourages a child with glomerulonephritis to choose combination of foods that included | show 🗑
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When a child with a history of hypospadias with chordee becomes an adult, he will be at increased risk for | show 🗑
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When assessing a child with glomerulonephritis the nurse should expect to find | show 🗑
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show | Keep the child properly immobilized with restraint
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show | A routine urinalysis a cbc, nasopharyngeal culture and ASO titer
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show | Sterility
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show | the infant joint is still cartilaginous and molding of the acetabulum is possible
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the priority of care in the immediate postoperative period for a youngster with a newly applied spica cast would be | show 🗑
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show | ensure that the traction weights are hanging unimpeded
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show | an apparent shortening of the leg
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during a newborn assessment a positive ortolani sign would be indicated by | show 🗑
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nursing care specific for a child in bucks extension traction should included | show 🗑
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show | the edges of the cast should be covered
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after giving a teenager d/c care regarding cast care the nurse evaluates that the instructions are understood when the teemager say when if I am itichy around the cast I will | show 🗑
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show | that it is important to raise the entire mattress or bed at the head of the bed
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show | pt has inability to move the toes
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a 12 y/ old is dx as having idiopathic scoliosis. Because exercise and avoidance of fatigue are essential components of care, the nurse is aware that the most therapeutic sports for this child would be | show 🗑
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show | cessation of bone growth occurs at the time of physical maturity
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