Focused Review Care of Children

FOCUSED REVIEW PN NURSING CARE OF CHILDREN 1) Priority Findings for Croup  Absence of cough, drooling and agitation  Dysphonia, dysphagia  Inspiratory stridor  Suprasternal and substernal retractions  Sore throat, high fever, restlessness 2) Age-Appropriate Activities to Help a Child Cope During a Procedure  Reinforce with the child and family about what to expect  Encourage family members to stay with the child  Maintain routine as much as possible  Explain treatments, procedures, and cares to child 3) Developmental Milestones for a 10-Month-Old Infant  Changes from a prone to a sitÝng position  Grasps rattle by its handle  Comprehends the word “no” by 9 to 10 months and obeys single commands accompanied by gestures 4) Planning Dietary Needs for a Toddler  Toddlers should consume 24 to 28 oz of milk per day, and can switch from drinking whole milk to drinking low fat milk after 2 years of age  Food serving size should be 1 tbsp for each year of age  Juice consumption should be limited to 4 to 6 oz per day 5) Obtaining a Peak Expiratory Flow Rate  Have the patient stand up  Blow as hard and as fast as possible into the meter  Do the process three times in a row. Use the highest score as the peak flow 6) Reinforcing Teaching About Rheumatic Fever  Promote rest during the acute phase  Provide information and reassurance related to the development of chorea and its self-limiting nature  Consume a diet of well-balanced meals  Seek medical care if infection recurrence is suspected  Child may need valve repair or replacement surgery  Follow up with cardiologist regularly 7) Priority Finding for a Toddler Following a Tonsillectomy  Check for evidence of bleeding, which includes frequent swallowing, clearing the throat, restlessness, bright red emesis, tachycardia, and/or pallor  Check the airway and vital signs  Monitor for difÏculty breathing related to oral secretions, edema, and/or bleeding