Most common post op complication of tonsillectomy?Correct answer- hemorrhage
Risk time for hemorrhage after tonsillectomy?Correct answer- 10 days to 2 weeks post
op
Signs and symptoms of hemorrhage after tonsillectomy?Correct answer- restlessness,
swallowing frequently, low BP (late sign)
How should child lay post op to prevent hemorrhage from tonsillectomy?Correct
answer- side lying or on abdomen
What should the child avoid after a tonsillectomy post op?Correct answer- coughing or
blowing nose
How should xrays be taken to see the section of the lung behind the heart (lingual)?
Correct answer- Laterally
Why are lateral xrays needed to view the lingual area?Correct answer- a common site
for pneumonia
If a child is “barking” and has hoarseness and inspiratory stridor what might they have?
Correct answer- croup
What does inspiratory stridor sound like?Correct answer- a gasp
If stridor reduces in a child previously showing stridor, what can that mean?Correct
answer- blockage and imminent respiratory failure
Do not put anything in the __ of a child with acute epiglottitis.Correct answerMouth
Acute LTBCorrect answer- Croup symptoms, Inflammation mucosa lining larynx &
trachea causing narrowing airway-subglottic area narrowest part causes respiratory
acidosis
Diagnosis of Asthma isCorrect answer- peak expiratory flow (PEF)
Treatment of Asthma isCorrect answer- beta agonists such as albuterol to relieve
bronchospasms
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Preventing chronic problems with Asthma treatmentCorrect answer- anti-inflamatories
such as corticosteroids
treatment for an emergency with Asthma attackCorrect answer- repeat dose q15min
twice, on 3rd dose call ambulance
Parents need education about beta agonists, what should a nurse advise?Correct
answer- don’t give them around the clock, they should be prn, do not abuse
Common side effects of beta agonistsCorrect answer- nervousness, tachycardia
What is Cystic Fibrosis?Correct answer- Sludge, or increased viscosity of mucous, a
build up of thick, sticky mucus in the lungs
What diet should a patient with cystic fibrosis eat?Correct answer- high protein, high
calorie
Signs and symptoms of Increased Intracranial pressureCorrect answer- High pitched
cry, difficult to soothe, tense and bulging fontanels, cranial sutures separated, setting
sun eyes, distended scalp veins, headache, vomiting, seizures, diplopia,
irritability/restlessness, drowsiness, indifference, decrease in physical activity & motor
skills, complaints of fatigue, somnolence, weight loss
Late signs of increased ICPCorrect answer- decreased LOC, decreased motor
response to command, decreased sensory response to painful stimuli, loss of PERRLA,
palliledema
Decorticate positioningCorrect answer- all flexed
Decorticate positioning is a dysfunction of what?Correct answer- cerebral cortex
decerebrate positioningCorrect answer- all extended
Decerebrate positioning is a dysfunction of what?Correct answer- mid brain
Cushing’s reflexCorrect answer- Reflex due to cerebral ischemia that causes an
increase in blood pressure, decrease in pulse rate, and changes in breathing patterns.
What is Myelomeningocele?Correct answer- the most common form of spina bifida in
which the bones of the spine do not completely form, resulting in an incomplete spinal
canal, causing the spinal cord and meninges to stick out of the childs back
What should be done for Myelomeningocele?Correct answer- 4×4 soaked in normal
saline placed over “sac”, normal saline drip over 4×4 to prevent rupture until surgery