Nursing Tips
Pediatric Nursing (78)
Pertussis
Pertussis (Whooping Cough) is a respiratory infection characterized by a cough with a "whoop" sound, frequently leading to post-tussive emesis (coughing to the point of vomiting). Initiate droplet precautions for...
Pertussis
Pertussis (Whooping Cough) is a respiratory infection characterized by a cough with a "whoop" sound, frequently leading to post-tussive emesis (coughing to the point of vomiting). Initiate droplet precautions for...
Screening for scoliosis
Screening for scoliosis is conducted with the Adam's forward bend test. A positive result is demonstrated by asymmetry of the ribs and flanks.
Screening for scoliosis
Screening for scoliosis is conducted with the Adam's forward bend test. A positive result is demonstrated by asymmetry of the ribs and flanks.
Otitis Externa
Otitis Externa (swimmer's ear) affects the ear canal, causing erythema and itching.
Otitis Externa
Otitis Externa (swimmer's ear) affects the ear canal, causing erythema and itching.
Mumps (Paramyxovirus)
Mumps (Paramyxovirus) may lead to swelling of the testes and parotid glands. Monitor for airway compromise.
Mumps (Paramyxovirus)
Mumps (Paramyxovirus) may lead to swelling of the testes and parotid glands. Monitor for airway compromise.
Measles (Rubeola)
Measles (Rubeola) is a highly contagious illness preventable through vaccination.
Measles (Rubeola)
Measles (Rubeola) is a highly contagious illness preventable through vaccination.
Intussusception
Intussusception is a condition marked by the small intestine "telescoping" in on itself and causing an obstruction.
Intussusception
Intussusception is a condition marked by the small intestine "telescoping" in on itself and causing an obstruction.
Negativism in Toddlers
It is normal for a toddler to have temper tantrums and display "negativism" (i.e., automatically saying "no" when asked a question).
Negativism in Toddlers
It is normal for a toddler to have temper tantrums and display "negativism" (i.e., automatically saying "no" when asked a question).
Hirschsprung Disease
If an infant has not passed meconium within the first 48 hours of life, they should be evaluated for Hirschsprung Disease. A colostomy may be needed in this case after...
Hirschsprung Disease
If an infant has not passed meconium within the first 48 hours of life, they should be evaluated for Hirschsprung Disease. A colostomy may be needed in this case after...
Poison Control: Patient Teaching
If a child ingests or is believed to have ingested a poison or other toxic substance, educate parents that the first step is to call poison control before doing anything...
Poison Control: Patient Teaching
If a child ingests or is believed to have ingested a poison or other toxic substance, educate parents that the first step is to call poison control before doing anything...
Mononucleosis in Children
If a child is diagnosed with Mononucleosis, educate the family that they should avoid contact sports due to the risk of splenic rupture!
Mononucleosis in Children
If a child is diagnosed with Mononucleosis, educate the family that they should avoid contact sports due to the risk of splenic rupture!
Hemolytic Uremic Syndrome: Family Teaching
Family teaching for a child experiencing Hemolytic Uremic Syndrome should include to thoroughly cook all food in the future in order to kill E. coli, the toxin responsible for the condition.
Hemolytic Uremic Syndrome: Family Teaching
Family teaching for a child experiencing Hemolytic Uremic Syndrome should include to thoroughly cook all food in the future in order to kill E. coli, the toxin responsible for the condition.
Fine Motor Skills for a Preschooler
Fine motor skills for a preschooler by age include: 3 years: draw a circle, 4 years: draw a square, 5 years: draw a diamond and triangle.
Fine Motor Skills for a Preschooler
Fine motor skills for a preschooler by age include: 3 years: draw a circle, 4 years: draw a square, 5 years: draw a diamond and triangle.
Exstrophy of the Bladder
Exstrophy of the Bladder is a condition marked by an infant's bladder being inside out and exposed through the abdominal wall.
Exstrophy of the Bladder
Exstrophy of the Bladder is a condition marked by an infant's bladder being inside out and exposed through the abdominal wall.
Epistaxis
Epistaxis, or nosebleed, is common in childhood. In a child with epistaxis, lean their head forward (not back!) to prevent swallowing of blood.
Epistaxis
Epistaxis, or nosebleed, is common in childhood. In a child with epistaxis, lean their head forward (not back!) to prevent swallowing of blood.
Enterobiasis (pinworm)
Enterobiasis (pinworm) is likely to cause a child intense perianal itching which is worse at night
Enterobiasis (pinworm)
Enterobiasis (pinworm) is likely to cause a child intense perianal itching which is worse at night
Cradle Cap: Family Teaching
Educate families that an emollient (e.g., baby oil) may be placed on areas of an infant's scalp affected by cradle cap.
Cradle Cap: Family Teaching
Educate families that an emollient (e.g., baby oil) may be placed on areas of an infant's scalp affected by cradle cap.
Lice: Family Teaching
Educate families of children diagnosed with lice (pediculosis capitis) that the whole family should be examined and treated.
Lice: Family Teaching
Educate families of children diagnosed with lice (pediculosis capitis) that the whole family should be examined and treated.
Pediatric Vaccine Administration
When administering vaccinations to a child less than 12 months of age, be sure to use the vastus lateralis muscle of the thigh. The deltoid should not be used until...
Pediatric Vaccine Administration
When administering vaccinations to a child less than 12 months of age, be sure to use the vastus lateralis muscle of the thigh. The deltoid should not be used until...
Dermatophytosis
Dermatophytosis is a fungi spread through human and animal contact, including tinea capitis (head) and tinea pedis (athlete's foot).
Dermatophytosis
Dermatophytosis is a fungi spread through human and animal contact, including tinea capitis (head) and tinea pedis (athlete's foot).
Wilms Tumor - Nursing Care
It is vital to avoid palpating the abdomen of a child with Wilms Tumor, as this may cause cancer to spread.
Wilms Tumor - Nursing Care
It is vital to avoid palpating the abdomen of a child with Wilms Tumor, as this may cause cancer to spread.
Candidiasis
If a breastfed child presents with oral thrush (candidiasis), the breastfeeding mother must also be treated in order to prevent passing the fungus back and forth.
Candidiasis
If a breastfed child presents with oral thrush (candidiasis), the breastfeeding mother must also be treated in order to prevent passing the fungus back and forth.
Pediatric Vaccinations
Between 4 - 6 years of age a child should receive Varicella, DTaP, IPV, and MMR vaccinations.
Pediatric Vaccinations
Between 4 - 6 years of age a child should receive Varicella, DTaP, IPV, and MMR vaccinations.
Seasonal Influenza Vaccine
Along with the normal vaccination schedule, children should receive their seasonal influenza vaccine beginning at 6 months of age.
Seasonal Influenza Vaccine
Along with the normal vaccination schedule, children should receive their seasonal influenza vaccine beginning at 6 months of age.
Post-vaccine Care for Children
Educate caregivers that after a vaccine it is normal for a child to have pain at the injection site, rash, or a fever. Instruct caregivers that while pain relievers may...
Post-vaccine Care for Children
Educate caregivers that after a vaccine it is normal for a child to have pain at the injection site, rash, or a fever. Instruct caregivers that while pain relievers may...
Fifth's Disease
Fifth's Disease (Parvovirus-B19) has a classic finding of a "slapped cheek" rash on the face.
Fifth's Disease
Fifth's Disease (Parvovirus-B19) has a classic finding of a "slapped cheek" rash on the face.
Hypospadias and Epispadias
If a child is born with Hypospadias or Epispadias (abnormal placement of the urethral meatus on the penis), circumcision should be delayed, as the foreskin may be needed for reconstructive...
Hypospadias and Epispadias
If a child is born with Hypospadias or Epispadias (abnormal placement of the urethral meatus on the penis), circumcision should be delayed, as the foreskin may be needed for reconstructive...
Family Systems Theory
Family systems theory states that the family is an interdependent unit. Any change or stressor experienced by one family member affects the entire family.
Family Systems Theory
Family systems theory states that the family is an interdependent unit. Any change or stressor experienced by one family member affects the entire family.
Hypoplastic Left Heart Syndrome
For Hypoplastic Left Heart Syndrome a surgery in three stages is required: First the Norwood procedure, then the Glenn Shunt, and finally the Fontan procedure.
Hypoplastic Left Heart Syndrome
For Hypoplastic Left Heart Syndrome a surgery in three stages is required: First the Norwood procedure, then the Glenn Shunt, and finally the Fontan procedure.
Failure to Thrive (FTT)
Failure to Thrive (FTT) is indicated by a child's weight being less than the fifth percentile. Assess for both organic causes and parental bonding/care of the child.
Failure to Thrive (FTT)
Failure to Thrive (FTT) is indicated by a child's weight being less than the fifth percentile. Assess for both organic causes and parental bonding/care of the child.
Positional Plagiocephaly
Positional plagiocephaly is cranial asymmetry caused by prolonged pressure on one side of the skull. A child with this diagnosis may require helmet therapy, where a custom-made helmet is worn...
Positional Plagiocephaly
Positional plagiocephaly is cranial asymmetry caused by prolonged pressure on one side of the skull. A child with this diagnosis may require helmet therapy, where a custom-made helmet is worn...
Febrile Seizures
The most common seizure disorder in children is febrile seizures.
Febrile Seizures
The most common seizure disorder in children is febrile seizures.
Authoritarian vs. Authoritative Parenting
Authoritarian parents are those who are strict and require high control but offer little warmth. Authoritative parents have moderate-high control, but offer high amounts of warmth.
Authoritarian vs. Authoritative Parenting
Authoritarian parents are those who are strict and require high control but offer little warmth. Authoritative parents have moderate-high control, but offer high amounts of warmth.
Performing a Snellen Exam
When performing a Snellen exam for visual acuity, an adult should stand 20 feet away from the chart, but a child should stand 10 feet from the chart.
Performing a Snellen Exam
When performing a Snellen exam for visual acuity, an adult should stand 20 feet away from the chart, but a child should stand 10 feet from the chart.
Appendicitis: Family Teaching
When caring for a child with appendicitis, report to the provider any sudden relief of pain. This may indicate that the appendix has perforated and requires emergency surgery!
Appendicitis: Family Teaching
When caring for a child with appendicitis, report to the provider any sudden relief of pain. This may indicate that the appendix has perforated and requires emergency surgery!
Pheochromocytoma in Children
When caring for a child with pheochromocytoma, be sure not to palpate the abdomen. Palpation can cause a sudden release of catecholamines, triggering severe hypertension!
Pheochromocytoma in Children
When caring for a child with pheochromocytoma, be sure not to palpate the abdomen. Palpation can cause a sudden release of catecholamines, triggering severe hypertension!
Holophrases
At approximately 1 year of age, a child should begin using "holophrases," which are one-word sentences. By age 2 the child should use more than 50 words and 2 -...
Holophrases
At approximately 1 year of age, a child should begin using "holophrases," which are one-word sentences. By age 2 the child should use more than 50 words and 2 -...
Scabies in Children
A child with scabies is likely to exhibit white lines in between fingers, toes, or skin folds. The whole family should be examined and treated!
Scabies in Children
A child with scabies is likely to exhibit white lines in between fingers, toes, or skin folds. The whole family should be examined and treated!
Osteogenesis in Children
A child with Osteogenesis Imperfecta may exhibit a blue color of the sclera. Be sure to report this finding to the provider for further evaluation.
Osteogenesis in Children
A child with Osteogenesis Imperfecta may exhibit a blue color of the sclera. Be sure to report this finding to the provider for further evaluation.
Meningocele and Myelomeningocele in Children
A child with meningocele or myelomeningocele is at risk for injury due to the exposed spinal cord. Cover the sac with sterile, saline-moistened, non-adherent dressing. Place infant prone with the...
Meningocele and Myelomeningocele in Children
A child with meningocele or myelomeningocele is at risk for injury due to the exposed spinal cord. Cover the sac with sterile, saline-moistened, non-adherent dressing. Place infant prone with the...
Meningitis in Children
A child with meningitis is likely to have a fever, headache, nausea, vomiting, irritability, nuchal (neck) rigidity, photophobia, and + Kernig's and Brudzinski's signs.
Meningitis in Children
A child with meningitis is likely to have a fever, headache, nausea, vomiting, irritability, nuchal (neck) rigidity, photophobia, and + Kernig's and Brudzinski's signs.
Sick Cell Anemia and Vaso-occlusive Crisis
A child with Sickle Cell Anemia experiencing vaso-occlusive crisis should be treated with scheduled opioid analgesia (non-opioid analgesia will not be sufficient!).
Sick Cell Anemia and Vaso-occlusive Crisis
A child with Sickle Cell Anemia experiencing vaso-occlusive crisis should be treated with scheduled opioid analgesia (non-opioid analgesia will not be sufficient!).
Meckel's Diverticulum
A child with Meckel's Diverticulum is likely to exhibit painless rectal bleeding and stool with the consistency and appearance of "currant jelly."
Meckel's Diverticulum
A child with Meckel's Diverticulum is likely to exhibit painless rectal bleeding and stool with the consistency and appearance of "currant jelly."
Infective Endocarditis in Children
A child with infective endocarditis will require IV antibiotics via PICC line for 2 - 6 weeks, and may require a valve repair or replacement.
Infective Endocarditis in Children
A child with infective endocarditis will require IV antibiotics via PICC line for 2 - 6 weeks, and may require a valve repair or replacement.
Hemophilia in Children: Signs and Treatment
A child with Hemophilia A is deficient in Factor VIII. In Hemophilia B the deficiency is with Factor IX. Treatment of these conditions will include replacement of the missing factor,...
Hemophilia in Children: Signs and Treatment
A child with Hemophilia A is deficient in Factor VIII. In Hemophilia B the deficiency is with Factor IX. Treatment of these conditions will include replacement of the missing factor,...
Growth Hormone Deficiency
A child with Growth Hormone Deficiency would have an average birth weight/length, but show delayed growth through childhood.
Growth Hormone Deficiency
A child with Growth Hormone Deficiency would have an average birth weight/length, but show delayed growth through childhood.
Intracranial Pressure (ICP); Nursing Care
A child with a head injury is at risk for elevated intracranial pressure (ICP). Nursing care to decrease ICP includes reducing hypercapnia by hyperventilating the patient, avoiding oral suctioning, keeping...
Intracranial Pressure (ICP); Nursing Care
A child with a head injury is at risk for elevated intracranial pressure (ICP). Nursing care to decrease ICP includes reducing hypercapnia by hyperventilating the patient, avoiding oral suctioning, keeping...
Chickenpox (Varicella)
A child with Chickenpox (Varicella) is contagious until all lesions have crusted over. Educate families to keep them at home and away from others until this time.
Chickenpox (Varicella)
A child with Chickenpox (Varicella) is contagious until all lesions have crusted over. Educate families to keep them at home and away from others until this time.
ADHD in Children: Treatment and Nursing Care
A child with ADHD may be treated with CNS stimulants such as amphetamine mixtures or methylphenidate.
ADHD in Children: Treatment and Nursing Care
A child with ADHD may be treated with CNS stimulants such as amphetamine mixtures or methylphenidate.
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