NCLEX PEDIA

1. Hydrocephalic child with myelomeningocele ; shunting done.
whats the best position post-op: on abdomen to keep the pressure off the spinal sac with legs abducted.

2.Hydrocephalic child: you know the shunting is functional if : there is a decrease in head circumference( csf is draining).

3. viral meningitis: s/s include fever, irritability, and stiffness of neck 9 nuchal rigidity.

4. Family of pt. of with meningitis: to promote successful coping, the nurse should: reinforce information about child's condition and plan of treatment.

5. what is the priority discharge teaching for pt. with meninigits: call physician if fever is more than 2 days.

6.6 year old hit by a car: with head injury. Nurse is doing neur assessment. what is the best information for neuro assessment: pt.'s usual behavior and status( as a baseline data).

7. A/s of a child philip: eyes sluggish and dilated: damage to parasymphatetic system. Pupils small and reactive to light: damage to diencephalon.

8.

In planning care for a child with newly diagnosed sickle cell anemia, his mother should be taught that vaso-occlusive crises may be prevented by

1. promoting hydration. 2. prophylactic administration of acetaminophen. 3. eating food with a high iron content. 4. exercising regularly.

Promoting good hydration is a major factor in maintaining the blood viscosity needed to maximize the circulation of red blood cells. Good hydration can help to minimize the severity of symptoms should the child develop sickle cell crisis. Acetaminophen would not be helpful in decreasing the sickling process. Iron administration would be of no value because in sickle cell anemia there is an abnormally shaped hemoglobin. The problem is not due to iron deficiency. Regular exercise is important for children with sickle cell disease, but it will not prevent a vaso-occlusive crisis.

More pedia tips later! 9/26/07