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