Peds HESI Study Guide
12/3/2014 8:30:00 AM
Head lice Nits hatch in 7 to 10 days Scratching may result in bacterial infection Examine with a bright light Pediculicide shampoo is used. Leave medication on hair ha ir for 10 minutes and then rinse off. Retreat in 7 to 10 days. If it is firmly attached, it is likely a nit, not dandruff. Check for ragweed allergies and asthma before applying permethrin shampoo Lyme disease Skin rash is circular with central clearing S/S: fever, headache, aching, and satellite rash. Later: arthritis, art hritis, neurological symptoms Tick removal: Use tweezers, use gloves. If remains in skin, soak skin, then remove the rest. Celiac diet Gluten-free (avoid wheat, barley, rye) Can eat oats, but need to be careful of cross-contamination from gluten containing products Kawasaki Disease Acute febrile inflammation of the vasculature Can lead to coronary artery aneurysm or MI Leading cause of acquired heart disease in children Not contagious S/S: bacterial conjunctivitis, red lips, strawberry tongue, measlesmeasles like rash, cardiac involvement Diagnosis is through exclusion High fever not resolved by antipyretics or antibiotics Salicylate (Aspirin) therapy Nursing care aimed at symptom relief Defer live immunizations (MMR, chicken pox) Educate about lifelong possibility of cardiac disease Precocious Puberty Early development Girls <8 o o Boys <9
Tanner stage 2 or greater, acne, café au lait spots, advanced bone age, mood swings Give GnRHa (Lupron), but be careful with rebound effect. It’s an IM
or SQ injection monthly GER
Infants should be frequently burped during feedings and placed upright for 30 minutes following feeding Can thicken formula or give AR formula Raise the head of the crib
ANC High risk of infection with an oncologic disorder (% Bands + % Segmented cells) x Total WBC count = ANC If less than 500, client is at high risk for infection. Erikson Stages Infant: Trust vs. Mistrust Toddler: Autonomy vs. shame and doubt Preschool: Initiative vs. guilt School age: industry vs. inferiority Adolescent: Identity vs. role confusion Early adulthood: Intimacy vs. Isolation Adulthood: Generativity vs. stagnation Old age: integrity vs. despair Cupping Device used on skin (usually back) believed to pull toxins out Child comes in to ER for different issue and you notice red uniform circular marks on back. Differentiate between abuse and cultural practice. Would need to ask parents about this. Hypospadias and the Jewish faith Cannot be circumcised until after naming ceremony Need to use foreskin when hypospadias repair is done Family would need teaching Extrophy of bladder Pre-op (cover with sterile moist dressing and keep wet and protected from infection) Field of gaze Strabismus
Inguinal hernia teaching Discourage heavy lifting after repair Watch for bleeding and drainage Notify physician of fever Brace when coughing or deep breathing Strangulation and incarceration can occur if it is not repaired
12/3/2014 8:30:00 AM
12/3/2014 8:30:00 AM
