Primary dietary prescription for calcium nephrolithiasis (kidney stones) ? PG. 85
Low calcium diet<\/p>\n\n\n\n
For client with nephrolithiasis the diet should be _<\/em> ash If kidney stone is calcium phosphate the diet must be low in _<\/em> too Primary diet tx for uric acid nephrolithiasis is _ ___<\/em> Client with uric acid nephrolithiasis should have a diet low in __<\/em> What is methionine? 2 foods high in methionine? Clients with cystine nephrolithiasis should have an __<\/em> ash diet Inc. fluids over 3000 cc \/day is more effective in treating renal calculi than ANY dietary modification, T\/F? What is the common name for Laryngotracheobronchitis – LTB What is the typical temp elevation in croup? Are ATBs helpful for croup? For epiglottits? Is croup viral or bacterial? With which condition is croup most often confused? Can croup be managed at home? Can epiglottitis be managed at home? Are sedatives used for kids with croup? What causes epiglottitis? A virus or bacteria? What is the best tx for croup? What should never be done to a child with epiglottitis? What are the typical signs and symptoms of croup? What 3 signs tell you that the child has epiglottitis instead of croup? When is croup bad enough to be evaluated by a doc? What lead level needs intervention? With which class of drugs will a child with lead poisoning be treated? What do chelating drugs do? The most freq. cause of lead poisoning is\u2026 Name 3 common chelating agents for lead poisoning S&S of lead poisoning Sx of lead poisoning show up in the __<\/em> system Leukemia is cancer of the _<\/em> forming tissues The type of cell that is most common and problematic in leukemia is __<\/em> In leukemia the RBC count is \u2026 In leukemia, the platelet count is \u2026 Bc the RBCs are low, the pt will exhibit _ and _<\/strong> Bc of the immature WBCs, the pt is at risk for _<\/em> Bc of low platelets, the pt is at risk for , <\/em><\/strong>, and _<\/em> What causes lymph gland enlargement in leukemia? Should you take a rectal temp on a child with leukemia? Should you take an oral temp on a child with leukemia? Should the child with active leukemia use straws, forks, cups? RN’s priority in tx a child with newly diagnosed leukemia is\u2026 When the leukemia child’s platelets and WBC’s are low, his activities should be \u2026 When the platelet and WBCs are low the nurse should not insert a.. Are IM injections and IV sticks permitted on a child with leukemia? Why are kids on chemo also on allopurinol Why do some kids with leukemia have joint pain? Why is a child with leukemia at risk for neuro sx due to ICP What is alopecia? If the platelet count is low what drug should the child not take? Is the alopecia from chemo permanent? What does ANC mean? What is the ANC used for in leukemia? Which is used more commonly to decide if the pt should be on isolation: WBC or ANC By the end of the 1st 6 months of life an infants birthweight should __<\/em> By the end of the first year of life an infants birthweight should _<\/em> Ideal food for infants is _<\/em> Breast milk contains substances that increase immunities T\/F? Bottle-fed infants dont bond well with their moms T\/F? The 1 nutrient that commercial formulas are typically low in is _<\/em> Breast milk does not contain iron T\/F? At what age should the infant be fed cows\/goats milk? What is the major problem with feeding an infant skim milk? When should the infant be introduced to textured solid foods? What is the first food that an infant should be introduced to? When forced to eat, the preschool child will\u2026 Parents of preschool children should be taught that as long as the child eats _<\/em> good nutritious meal per day, they should not make eating food an issue Refusal to eat is common in preschoolers T\/F? Youngsters develop food preferences by.. School-age kids grow at a slower rate than infants, toddlers, or adolescents T\/F? What dietary strategy is most appropriate for the industrious school-age child? Girls in adolescence need more calories than adolescent boys T\/F? Adolescents should take vitamin supplements T\/F? PG. 90 Mastitis and breast engorgement are more likely to occur in\u2026 Where does the organism that causes mastitis come from? Which organism most commonly causes mastitis Prolonged intervals between breast-feeding (dec\/inc) the incidence of mastitis Cant too-tight bras lead to mastitis? Mastitis usually occurs at least _<\/em> days after delivery When mastitis is present the breasts are , <\/em><\/strong>, and ___<\/em> Mastitis is accompanied with a fever over _<\/em> If mastitis is caused by an organism , what causes breast engorgement If mastitis occurs 1+ weeks after delivery, when does breast engorgement occur? Does breast engorgement interfere with nursing? What class of drugs is used to treat mastitis? ATBs are used to treat breast engorgement (T\/F)? Application of (warm H2O compresses\/ice packs) is the preferred tx for breast engorgement The mother with mastitis should stop breast feeding (T\/F)? If the mother has an open abscess on her breast, she must not breastfeed (T\/F)? For breast engorgement, the non-breastfeeding mother should be told to express milk (T\/F) What is the best tx for breast engorgement? What is mastoiditis? What is the most common cause of mastoiditis? What are the 4 S&S of mastoiditis? What unusual post-op complication can result from mastoidectomy? What should you do to assess for facial nerve paralysis post-mastoidectomy? What is the medical tx of mastoiditis? What is the surgery for mastoiditis called? Will a simple mastoidectomy worsen hearing? Should the nurse change the post-mastoidectomy dressing?
Acid<\/p>\n\n\n\n
Phosphorus<\/p>\n\n\n\n
Low purine<\/p>\n\n\n\n
Methionine<\/p>\n\n\n\n
Precursor of the amino acid cystine<\/p>\n\n\n\n
Eggs, milk<\/p>\n\n\n\n
Alkaline<\/p>\n\n\n\n
True. Want to flush tract than worry about diet<\/p>\n\n\n\n
Croup<\/p>\n\n\n\n
Low grade, usually below 102, but can go up to 104.<\/p>\n\n\n\n
For croup, no. Epiglottitis, yes<\/p>\n\n\n\n
Viral<\/p>\n\n\n\n
Epiglottitis<\/p>\n\n\n\n
Yes. No, epiglottitis is a 911 emergency<\/p>\n\n\n\n
No, bc this would mask the signs of respiratory distress<\/p>\n\n\n\n
H. influenza BACTERIA<\/p>\n\n\n\n
Cool moist air<\/p>\n\n\n\n
Never put anything in the child’s mouth, ie, a tongue blade can lead to obstruction<\/p>\n\n\n\n
Barking cough, inspiratory stridor, labored resp. pattern<\/p>\n\n\n\n
Muffled voice, drooling, increased fever<\/p>\n\n\n\n
When retractions, and high pitched stridor are present<\/p>\n\n\n\n
50-60 micrograms\/ dl<\/p>\n\n\n\n
Chelating agents<\/p>\n\n\n\n
They increase the excretion of heavy metals<\/p>\n\n\n\n
Ingestion of lead-based paint chips<\/p>\n\n\n\n
EDTA, desferal, BAL in oil<\/p>\n\n\n\n
Drowsiness, clumsiness, ataxia, seizures, coma, resp. arrest<\/p>\n\n\n\n
Neuro<\/p>\n\n\n\n
Blood<\/p>\n\n\n\n
Immature WBC<\/p>\n\n\n\n
Low, bc the bone marrow is going “wild” producing all those immature WBC – no energy or nutrients to make platelets<\/p>\n\n\n\n
Low, bc the bone marrow is going “wild” producing all those immature WBC – no energy or nutrients to make platelets<\/p>\n\n\n\n
Pallor and fatigue<\/p>\n\n\n\n
Infection<\/p>\n\n\n\n
Bruising, ecchymosis, bleeding, petechiae<\/p>\n\n\n\n
All those small immature WBC clog the lymph system<\/p>\n\n\n\n
No<\/p>\n\n\n\n
Yes, as long as they are over 4 years old, in remission, and have no sores in their mouth<\/p>\n\n\n\n
NO straws, NO forks, YES cups<\/p>\n\n\n\n
Dec. risk of infection<\/p>\n\n\n\n
Limited<\/p>\n\n\n\n
Suppository<\/p>\n\n\n\n
When labs are low IMs avoided and IVs limited; only done when absolutely necessary (to give chemo or measure blood counts)<\/p>\n\n\n\n
To prevent uric acid kidney stones (remember when chemo kills cancer cells, purines and uric acid build up and could cause kidney stones<\/p>\n\n\n\n
The immature WBCs infiltrate the joint and cause inflammation<\/p>\n\n\n\n
The immature WBCs infiltrate the brain and cause inflammation<\/p>\n\n\n\n
Hair loss<\/p>\n\n\n\n
Aspirin<\/p>\n\n\n\n
No. It will grow back. (Alopecia of radiation therapy is permanent bc the follicle is destroyed)<\/p>\n\n\n\n
Absolute Neutrophil Count<\/p>\n\n\n\n
If ANC <500, then pt will be on protective isolation<\/p>\n\n\n\n
ANC is more reliable and valid<\/p>\n\n\n\n
Double<\/p>\n\n\n\n
Triple<\/p>\n\n\n\n
Breast milk<\/p>\n\n\n\n
True<\/p>\n\n\n\n
False<\/p>\n\n\n\n
Fe<\/p>\n\n\n\n
False. However, it does not contain enough iron- so they should be fed iron fortified cereal starting at 6 months<\/p>\n\n\n\n
Not before 12 months<\/p>\n\n\n\n
They dont get enough calories and dont grow. Dehydration from excessive solute load and inability to concentrate urine<\/p>\n\n\n\n
4-6 months<\/p>\n\n\n\n
Iron fortified rice cereal<\/p>\n\n\n\n
Rebel<\/p>\n\n\n\n
One<\/p>\n\n\n\n
True, but still offer a variety<\/p>\n\n\n\n
Observing significant ppl in their environ<\/p>\n\n\n\n
True<\/p>\n\n\n\n
Wholesome snacks, bc they are often too busy too eat<\/p>\n\n\n\n
False, boys need more cals<\/p>\n\n\n\n
True<\/p>\n\n\n\n
Primipara<\/p>\n\n\n\n
The INFANTS nose or mouth<\/p>\n\n\n\n
Staph<\/p>\n\n\n\n
Increase<\/p>\n\n\n\n
Yes, by preventing emptying of ducts<\/p>\n\n\n\n
10<\/p>\n\n\n\n
Hard, swollen, warm<\/p>\n\n\n\n
102<\/p>\n\n\n\n
Temporary increase in vascular & lymph supply to the breast in preparation for milk production<\/p>\n\n\n\n
2-5 days after delivery<\/p>\n\n\n\n
Yes, the infant has a difficult time latching on<\/p>\n\n\n\n
ATBs<\/p>\n\n\n\n
False<\/p>\n\n\n\n
Ice packs to dec swelling<\/p>\n\n\n\n
False. The mother must keep breast feeding. (Offer unaffected breast first).<\/p>\n\n\n\n
True<\/p>\n\n\n\n
No, that would increase milk production and would make the problem worse (warm compresses or a warm shower to let milk “leak” is okay – Ice is best<\/p>\n\n\n\n
Breast feeding – it will balance supply and demand<\/p>\n\n\n\n
Inflammation \/ infection of the mastoid process<\/p>\n\n\n\n
Chronic otitis media<\/p>\n\n\n\n
Drainage from ear, high fever, HA, and ear pain, tenderness over mastoid process<\/p>\n\n\n\n
Facial nerve paralysis d\/t accidental damage during surgery<\/p>\n\n\n\n
Have the patient smile and wrinkle forehead<\/p>\n\n\n\n
Systemic ATBs<\/p>\n\n\n\n
Simple or radical mastoidectomy<\/p>\n\n\n\n
No, a radical mastoidectomy may<\/p>\n\n\n\n
No, reinforce it. Physician changes first post-op dressing<\/p>\n\n\n\n