Week 3 Pediatrics

Let's get thinking...

You will be given a card with a description of a patient. You are responsible to give the patient their medication for the day...
1. What do you think would be the best way to give them their medications?
2. What techniques can you use to help the process go smoothly?
3. What considerations do you need to keep in mind when
administering medications to pediatric patients?

Multiple Choice

The nurse is administering amoxicillin orally to an infant with a bacterial infection. Which of the following physical factors might affect the absorption of this medication?

• Slower gastric emptying

• Vasomotor instability

• Decreased perfusion

• Lower percentage of body water

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The safe dose of a medication is 10 to 20 mg/kg. What would the nurse calculate as the low safe dose for a child who weighs 40 kg?

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A child weighs 18 pounds. The nurse is making sure the intravenous (IV) infusion is flowing at the correct rate. After determining fluid requirements for this child for a 24-hour period, the nurse should be sure that the IV is infusing at how many milliliters per hour?

Let's Practice:

Using your child from the beginning of class...

1. You need to administer acetaminophen to your patient due to pain.

2. Use the doctor's order below to determine how much medication you will be giving

3. In your group, one person will be the patient and one person will be the RN

4. Practice "administering" the medication using the 7 "rights," therapeutic communication, and proper nursing procedure

Medication	Dose	Route	Formulation	Frequency
Acetaminophen	10mg/kg	Oral (Po)	Liquid	PRN QID

Open Ended

How do we prevent the spread of infection?

Multiple Choice

The nurse is assessing a 8-month-old infant who has symptoms of poor feeding, a poor gag reflex, listlessness and a weak cry. What is the most important question the nurse should ask the parent about these symptoms?

• "Have you given your infant any honey?"

• "When did these symptoms begin?"

• "Has your infant had any unpasteurized milk to drink?"

• "What is the source of your family's water supply?"

Multiple Select

A child is diagnosed with varicella. The parent states the child is "just miserable" and wants to know how best to make the child feel more comfortable. Which instruction(s) would the nurse give this parent? Select all that apply.

• "You can administer acetaminophen to help with fever and pain."

• "Keep only light clothing on your child."

• "Keep your child's fingernails short so scratching will not disturb vesicles."

• "Administer prescribed topical steroid ointment to reduce inflammation."

• "Place the child in a soothing tepid bath."

Multiple Choice

The nurse is caring for a child with an infectious disorder and the following vital signs: temperature 103.1°F (39.5°C), pulse 106 bpm, respiratory rate 24 breath/minute, and oxygen saturation 93% on room air. The child reports pain 4/10 using the Wong-Baker FACES scale. Which nursing intervention is priority?

• Administer acetaminophen orally for fever.

• Provide ibuprofen orally as needed for pain.

• Apply oxygen via nasal cannula at 2 L/min.

• Don appropriate personal protective equipment (PPE).

Name that disease...

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Multiple Select

A child has been diagnosed with bacterial conjunctivitis. Which statement(s) by the child’s parent indicates the need for further education? Select all that apply.

• “I will continue to use eye drops until the redness is gone.”

• “All of us at home need to wash our hands really well.”

• “We should not use a towel that our child has used.”

• “Our child can go back to school in 4 hours, after that thick yellow drainage is gone.”

• “This is really contagious.”

Multiple Choice

During physical assessment of a 2-year-old child, the nurse becomes concerned that the child may have a cataract in one eye. Which sign or symptom suggests the child has a cataract?

• Sclera appears to be blue

• Excess watering of the eyes

• Absence of the red reflex

• Edema of the eyelids

Multiple Choice

The nurse is educating the parents of a premature newborn diagnosed with retinopathy of prematurity. Which comment will be part of the information provided?

• “This can be genetic or acquired.”

• “It's an overgrowth of retinal blood vessels.”

• “The liquid inside the eye can't drain.”

• “This is caused by silver nitrate.”

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