Vascular Cortico Reflex Diet Modification

1.​ Vascular cortico reflex diet modification -​ Fluid restriction -​ Avoid acidic foods -​ Avoid caffeine -​ Low sodium 2.​ Side effects of chemotherapy -​ Fatigue -​ Nausea -​ Hair loss -​ Neurtropenia -​ Infection- high temperatures (fevers) -​ Diarrhea 3.​ Peritoneal dialysis complication -​ Infection because of low wbc count -​ Hypotension 4.​ Intervention for glomerulonephritis -​ Low protein -​ Fluid restriction -​ Monitor blood pressure -​ Diuretics -​ Antihypertensives 5.​ Most appropriate diet for child with nephrotic syndrome -​ Low sodium diet 6.​ Child with acute kidney injury primary nursing goal -​ Maintain kidney function -​ Prevent complications- what we are trying to do -​ Ensure that there is not any further renal damage 7.​ Child with brain tumor- any interventions for brain tumor -​ Monitor ICP -​ Give corticosteroids, elevate head of bed 30 degrees 8.​ Acute lymphoblastic leukemia nursing intervention to reduce risk of infection -​ Screen visitors -​ Hand hygiene 9.​ Vascular cortico reflex on antibiotics most important nursing intervention -​ Finish full course of antibiotics -​ Take antibiotics at the same time daily- ensures effectiveness of medication 10. Intervention for retinoblastoma -​ Radiation chemotherapy 11. Osteosercoma intervention to address potential side effects -​ Side effects of chemotherapy -​ Monitor for signs of infection implement infection control policies 12. Cardiomyopathy intervention -​ Beta blockers -​ Ace inhibitors -​ Diuretics 13.Intervention for sickle cell anemia to prevent infections -​ Hand hygiene -​ Prophylactic antibiotics -​ Immunization -​ Make sure they all have their vaccines and prophylactic antibiotics 14. Iron definency anemia - SATA -​ Give iron as prescribed -​ Encourage vitamin rich foods -​ Monitor Hemoglobin 15. Immune Cytopenia, Thrombocytopenia( NOSE BLEEDS ) -​ Cold compress -​ Lay his forward and pinch -​ Never backwards 16. DIC (disseminated intravascular coagulation) intervention to prevent complication -​ Heparin good treatment (anticoaglant) -​ Platelets and Plasma 17. Septic shock -​ IV hydration 18. Intervention for rheumatic fever -​ Aspirin to reduce inflammation 19. Sickle cell for vaso-occlusive crisis -​ Oxygenate -​ Hydration (IV Fluids) -​ Pain management 20. Pre-op intervention for AV canal -​ NPO - 8 hours 21. Cystic fibrosis good assessment -​ Sweat chloride -​ Ausculate 22. Teterology of fallot- surgical intervention/ non-surgical -​ Knees to chest - hypercyanotic phase (non) -​ Complete intracardiac repair (surgery) 23. Hirschsprung’s disease -​ Enema - bowel cleansing -​ NPO 24. Acute lung injury priority intervention -​ Prevent VAP ( ventilator associated pneumonia) -​ Oral hygiene for 4 hours to prevent infection 25. How to reduce anxiety in young children -​ Play -​ Simple language -​ Keep parents by bedside -​ Use dolls during examination 26. Freud's psychosexual what intervention during anal stage -​ Toilet training 27. Piagets school age what intervention -​ Imagination play -​ Hands-on-experiences -​ Give opportunities for problem solving with concrete materials 28. Child that keeps interrupting during group activities what is good discipline action -​ Correcting -​ Reinforce positive behavior with praise -​ Explain importance of waiting for ones turn 29. Good nursing intervention to avoid media effect on child -​ Encourage parent to co view what they are watching -​ Help children interpret media messages 30. Child difficulty following directions what are some discipline interventions you would do -​ Positive praise -​ Give choices -​ Give short simple instruction -​ Set clear expectation- give constent follow up and reviews for compliance 31. Post divorce situations -​ Encourage expression of feelings -​ Talk about feelings -​ SOCIAL WORKERS Give education to parents and children so they know what to expect 32. What intervention is most appropriate to facilitate families adaption to developmental changes -​ Education- provide resources / support for the unexpected developmental milestones 33. Enhancing social skills- how can we integrate play into our children What does play do? Why is place important? -​ Social interactions -​ Encourages social interactions with peers 34. Eriksons- industry vs infertory- intervention to develop confidence -​ Chores -​ Give opportunities to complete tasks individually and praise them 35. Intervention for cleft lip -​ Speech therapy 36. Newborn reflects what is the bottom of the heel -​ Babinski 37. What is a way for you to help a child that is having difficulty expressing emotions -​ Drawing encourage child to draw pictures 38. Nonpharmalogical strategies for anxiety for medical procedures -​ Toys - give stuff to get mind off of it 39. Metabolics acidosis -​ Fludis 40. What are 3 things you need to consider when assessing pain -​ Age - using age appropriate pain scales -​ Severity -​ Scale -​ Involve caregiver in pain assessment 41. Intervention to minimize opioid use -​ Non pharmacological -​ Multiple module pain manage approach 42. What happens if your newborn has the atonic neck reflex -​ Monitor the reflex -​ Normal reflex in newborns - does not require any interventions 43. Case study on hypoglycemia Potential Complications -​ Hypoglycemia leads to tremors, temperature decrease, poor feeds, hypotnia (decreased muscle tone) -​ Abstinence = poor feeding, tremors, loose stool, -​ Sepsis = increased heart rate, temp decrease, tremors, loose stool, hypotonia, poor feedings -​ Spontaneous vaginal birth, ruptured uterus, cat 1 FHR, positive for type 1 diabetes drug screen positive for hypoglycemia -​ gestational age, maternal history, and birth weight What condition is the greatest risk for developing hypoglycemia? -​ Is the maternal history Note if the health teacching below are indicated, contra or non-essential Anticipated -​ obtain glucose, skin to skin Contraindicated -​ feed dextrose Screening for heart defect -​ non essential 2 actions -​ check serum glucose state, give glucose Newborn status is improving -​ No tremor, extremity well flexed, exhibits strong rooting reflex, cap glucose, temperature improved 44.Signs/symptoms of DKA -​ Fruity breath -​ Polyuria -​ Polydipsia -​ Polyphagia -​ Kussmal 45. Failure to thrive, what intervention to prioritize nutritional needs -​ high calorie nutrient-dense frequent feeding schedule -​ Introducing formula at the same time as pureed veggies, rice cereals and then meats 46.Palliative care interventions -​ pain management -​ massage low stimulus environment 47. Tonsillitis intervention for pain management pain med -​ tylenol 48. Viral pneumonia intervention to alleviate -​ deep breathing and coughing, oxygen therapy nasal cannula, humidified air 49. Otitis media intervention for managing pain -​ pain medication tylenol 50. How to improve oxygenation in ARDS? -​ Diuretic to get rid of fluid in alveoli 51. Terminally ill patient -​ encourage them to talk to them about their feelings 52. Best intervention for laryngeal bronchitis -​ Humidified oxygen 53. Viral pneumonia -​ antipyretic and cooling measures 54. Recurrent otitis media -​ take full course of antibiotics 55. You suspect Foreign body aspiration -​ get a chest x ray 56. Preventing dehydration tonsillitis -​ popsicles, ice chips 57. Laryngeal tracheal bronchiolitis immediate intervention, nasal flaring, stridor (signs of respiratory distress) -Small toy obstruction- monitor for signs of respiratory distress 58. Bowtie- down syndrome actions- encourage physical activity, speech therapy parameters to monitor - developmental milestones and communications 59. Bowtie- streptococcal pharyngitis -​ encourage fluid, throat lozenges, monitor temp and WBC 60. Asthma aggravating factor -​ keeping them outside when they are mowing the lawn 61. Med for transposition of great artery oxygenation -​ PGE (Prostaglandin E1) 62. Cystic fibrosis intervention -​ chest physiotherapy 63. IBD (inflammatory bowel disease) -​ give tylenol 64. Esophageal fistula -​ suction, NPO, 65. AV canal interventions -​ feed slow, frequent breaks 66. Dehydration intervention -​ oral rehydration solution 8x oz 67. IBS (diarrhea) dehydration -​ oral rehydration solution 68. Asthma -​ air fresheners trigger attacks 69. Cystic fibrosis follow up intervention -​ auscultate lungs respiratory assessment 70. Acute kidney injury intervention to address fluid balance -​ daily weight, monitor input and output 71. Osteosarcoma -​ priorities to manage pain, give analgesia before onset of pain 72. Chemotherapy for brain tumor, indicate need for further teaching -​ its normal for a child to have high temps during treatment