37.State the signs of drug toxicity with Theophylline (597).
Abdominal pain, tachycardia, diuresis, restlessness, tremor, headache, and hypotension.38. Review the postoperative nursing care of a child who has a tonsillectomy (p 592, 594 nursing tip).
Observe for frequent swallowing while the child is sleeping because is an early sign of bleeding after a tonsillectomy.
Small amounts of clear liquids are given as tolerated
Red-or-brown-colored juices are avoiding, because they make it difficult to evaluate the content of emesis and the presence of blood.
A popsicle may apply to the child
39.Review S/S of RSV and focus on symptomatic care (590)
An ineffective breathing pattern is the priority nursing diagnosis for an infant hospitalized with RSV infection.
S/S tachypnea, tachycardia, wheezing, rales, rhonchi.
A child who has been wheezing and suddenly has a “quiet chest” on auscultation may be a risk for respiratory arrest. antiviral medications should be administer 18-24 hours a day for a minimum of 3 days.
Routine immunizations may have to be postponed for 9 months if antiviral medication is prescribed.
40.Identify the care involved in respiratory therapy.(603)
For Cystic Fibrosis; Postural drainage and chest-clapping are done properly after nebulization before meals or snacks and/or should be schedule at least 2 hours after eating.
41. Review the nursing care plan for a child with Cystic Fibrosis with the nursing diagnosis of imbalanced nutrition (604).
Pancreatic enzymes are administer for digestive and absorption of nutrients
Fat-soluble vitamin supplements is necessary because the inability of the body to absorb fats
They both should be administer before meals and snacks.
42. Create a teaching plan for parents in preventing Sudden Infant death Syndrome (SIDS), (609).
The AAP recommends that all healthy infants be placed in the supine (back-laying) or sides to prevent SIDS.
Do NOT use soft pillow or fluffy blankets.
43. Create a teaching plan for use of a dry powder inhaler for the treatment of asthma (599).
The child should be taught to rinse the mouth after steroid inhalation to prevent the development of Candidiasis.
44. State an important nursing action prior to administering Digoxin (Lanoxin) to an infant. (618).
As a rule, if the pulse rate of an infant or child is below 100 beats/min the medication is withheld and the physician is notified.
45. Recognized a sign of Digoxin toxicity in an infant. (618).
Nausea, vomiting, anorexia, irregularity in rate and rhythm of pulse, and sudden change in pulse.46.identify the area(s) of the heart affected by carditis from rheumatic fever (620).
The heart muscle (myocardium)
The pericardium
The endocardium
The mitral valve
47. Discuss positioning an infant with Tetralogy of Fallot to promote oxygenation (616).
Place the child in a knee-chest position when a tet spell occurs.
48. Define clubbing of the fingertips and cause (617).
May be evident as a result of blood pooling in