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Nursing Key Topics Review: Pediatrics - E-Book

Nursing Key Topics Review: Pediatrics - E-Book

(2016)

Additional Information

Book Details

Abstract

Study efficiently with Nursing Key Topics Review: Pediatrics! This quick review and accompanying mobile web app focus on the most critical, practical, and relevant maternal nursing information to prepare you for success on course exams.  Concise coverage includes topics from physical assessment and family-centered care to laboratory tests, nursing interventions, and care of the child with issues such as respiratory or cardiac problems.  Summary tables and quick, bulleted lists make it easier to glance through and remember concepts.   Mobile web app audio summaries reinforce content when you are on the go. Best of all, it’s easy to assess your understanding as you go along — because key pediatric topics are always immediately followed by review questions with correct answers and rationales.

  • Emphasis on critical, practical, and relevant information helps you study and learn pediatric nursing in the most time-efficient way possible.
  • Quick-access format reflects what busy students want — quality content sprinkled with review questions.
  • Audio summaries on a mobile web app make it easy to review anytime, anywhere.
  • NCLEX® exam-style review questions include answers and rationales, allowing you to assess your understanding and retention of the material.
  • Bulleted lists let you see key content at a glance, allowing for quick comprehension.
  • Summary tables and illustrations make learning and review easier.

Table of Contents

Section Title Page Action Price
Front cover Cover
Inside front cover IFC
You’ve just purchased more than a book! IFC
Front matter iii
Nursing key topics review pediatrics iii
Copyright iv
Reviewers v
Preface vi
Table of Contents vii
1 Perspectives of pediatric nursing 1
Family-centered care 1
Family theories 1
Family roles and relationships 1
Parenting approaches 2
The nurse’s role 2
Application and review 3
Special parenting situations 4
Influence of religion and culture 6
Culture 6
Socioeconomic influences 6
Food customs and health beliefs 7
Religion 7
Application and review 7
Communication 8
Interviewing 8
Talking to families 8
Talking to children 8
Taking a health history 9
Nursing process 9
Outcome measures 10
Congress on the national strategy for quality improvement in health care 10
Application and review 11
Answer key: Application and review questions 11
2 Growth, development, and physical assessment 15
Foundations of growth and development 15
Stages and patterns of development 15
Physiologic changes 15
Nutrition assessment 16
Developmental assessment 17
Critical periods 17
General nursing care of children with chromosomal aberrations 17
Application and review 18
Physical assessment 19
Anthropomorphic measurements 19
Vital signs 19
Physical examination 24
Application and review 30
Answer key: Review questions 30
3 Family-centered care of the newborn 33
Assessment 33
Family and prenatal history 33
Initial assessment of the newborn 33
Physical assessment of the newborn 35
General measurements 37
4 Play 54
Overview 54
Play and expressive activities 54
Types of play 54
Functions of play 54
Application and review 55
Play across the lifespan 55
Infants: Solitary play 55
Play of infants 55
Toddlers: Parallel play 55
Play of toddlers 55
Preschoolers: Associative/cooperative play 56
Play of preschoolers 56
School-age children 56
Play of school-age children 56
Play of adolescents 57
Play of cognitively impaired children 57
Application and review 57
Types of toys 58
Types of play materials 58
Criteria for judging suitability 58
Application and review 59
Nursing interventions in play activities 59
Use of play in procedures 59
Therapeutic play 59
Application and review 61
Answer key: Review questions 62
5 Common laboratory tests 65
Routine blood tests 65
Calcium (ca), ionized 65
Calcium (ca), total 65
Chloride (cl) 65
Cholesterol, total 65
Erythrocyte sedimentation rate (ESR) 65
Glucose 66
Growth hormone (gh, somatotropin) 66
Hematocrit (hct, hct) 66
Hemoglobin (hgb) 67
Immunoglobulin a (iga) 67
Immunoglobulin d (igd) 67
Immunoglobulin e (ige) 67
Immunoglobulin g (igg) 67
Immunoglobulin m (igm) 68
Iron (fe) 68
Lead (pb) 68
Magnesium (mg) 68
Oxygen saturation (sao2) 68
Phenylalanine 69
Platelet (thrombocyte) count 69
Potassium (k) 69
Red blood (erythrocyte) count (rbc) 69
Sodium (na) 69
Theophylline 70
Triglycerides (tgs) 70
White blood (leukocyte) count (WBC) 70
White blood (leukocyte) differential count 71
Application and review 71
Hemostasis tests 72
Clotting time 72
Fibrinogen level 72
Partial thromboplastin time (ptt) 72
Prothrombin time (PT) 73
Thrombin time 73
Acid-base tests 73
Anion gap (ag) 73
Base excess (whole blood) (be) 73
Bicarbonate (hco3) 73
Carbon dioxide, partial pressure (pco2) 73
Carbon dioxide, total (tco2) 73
Oxygen, partial pressure (po2) 74
Ph 74
Application and review 74
Routine urine tests 74
Chemical tests 74
Physical tests 75
Microscopic tests 75
Application and review 75
Renal function tests 76
Application and review 77
Cerebrospinal fluid (csf) tests 77
Application and review 78
Answer key: Review questions 78
6 Pediatric nursing interventions 80
Safety in the hospital environment 80
General nursing care of children at risk for infection 80
Fall prevention 81
Restraints 82
Application and review 82
Patient care 83
Child with a fever 83
Bathing 83
Oral care 83
Medication administration 84
Drug effects 84
Factors influencing dosage and response 84
General nursing responsibilities related to medication administration 85
Key differences in medication administration in children 86
Nursing care related to administration of medication to children 86
Application and review 87
Specimen collection 87
Urine specimens 87
Stool specimens 88
Blood specimens 88
Respiratory secretion specimens 88
Cerebrospinal fluid specimens 89
Procedures 89
Informed consent 89
Surgical procedures 89
Gavage (tube feeding) 90
Parenteral replacement therapy 92
Measurement of intake and output 93
Application and review 94
Answer key: Review questions 94
7 Care of the hospitalized child and family 96
Infants and toddlers 96
Overview of infant’s response to hospitalization 96
Care of infants 96
Overview of toddler’s response to hospitalization 96
Care of toddlers 96
Separation anxiety 97
Stages of separation anxiety 97
Regression 97
Loss of control 98
Response to pain 98
Application and review 98
Preschoolers 99
Overview of preschooler’s response to hospitalization 99
Care of preschoolers 99
Fears 99
Loss of control 100
Body image 100
Response to pain 100
Application and review 100
School-age children 101
Overview of school-age child’s response to hospitalization 101
Care of school-age children 101
Fears 101
Loss of control 102
Body image 102
Response to pain 102
Application and review 102
Adolescents 102
Overview of adolescent’s response to hospitalization 102
Care of adolescents 103
Fears 103
Loss of control 103
Physical appearance 103
Peers 103
Response to pain 104
Application and review 104
Nursing care of the hospitalized child 104
Beneficial effects of hospitalization 104
Preparation for hospitalization 104
Preadmission 105
Admission 105
Age-related interventions 106
Nursing interventions 107
Children with special health care needs 109
Application and review 109
Answer key: Review questions 110
8 Pain 113
Recognizing and assessing pain in children 113
Definitions 113
Neonates 113
Infants and toddlers 113
Preschoolers 113
School-age child 114
Adolescents 114
Children with communication and cognitive impairment 114
Pain assessment 114
Application and review 118
Chronic and acute pain 119
Pain in primary care 119
Painful and invasive procedures 119
Postoperative pain 120
Burn pain 120
Recurrent abdominal pain 120
Pain with sickle cell disease 121
Cancer pain 121
Application and review 122
Pain management 122
Pharmacologic 122
Nonpharmacologic 127
Patient-controlled analgesia 128
Epidural analgesia 128
Transmucosal and transdermal analgesia 128
Application and review 129
Evaluation of pain management 130
Effectiveness of pain management 130
Consequences of untreated pain 130
Answer key: Review questions 130
9 Death and dying 133
Principles of palliative care 133
Definitions 133
Decision making at the end of life 133
Stages of grief 134
Child’s reaction to dying 134
Ethical considerations 135
Application and review 136
Treating the terminally ill child 137
Hospital 137
Home care 137
Hospice care 137
Nursing care of the child and family at the end of life 137
Fear of pain and suffering 137
Pain and symptom management 138
Parent’s reactions to a child’s dying 139
Sibling’s reactions to a child’s dying 139
Signs death is imminent 139
After death 140
Autopsy 140
Organ or tissue donation 140
Care for grieving families 140
Nurses’ reactions to caring for dying children 141
Application and review 141
Answer key: Review questions 141
10 Family-centered care of the infant and young child 143
Expected growth and development 143
Biologic/physical development 143
Gross and fine motor development 144
Sensory development 145
Vocalization and language development 146
Development theories in infants and toddlers 146
Psychosocial development theory 146
Cognitive development theory 147
Toilet training 148
Social development 148
Application and review 149
Nutrition 150
Infancy: Growth charts 150
Development 150
Toddler/early childhood nutrition 152
Immunizations 152
Active immunity immunizations 152
Factors influencing administration of immunizations 153
Safety promotion in infants and toddlers 154
Common injuries 154
Injury prevention 154
Application and review 154
Answer key: Review questions 154
11 Family-centered care of the school-age and adolescent child 160
Biologic development 160
Overview 160
Proportional changes of school-age children 160
Maturation of systems 160
Expected growth and development 167
Application and review 168
Developmental theories of the school-age and adolescent child 169
Psychosocial development 169
Cognitive development 170
Moral development (kohlberg) 171
Application and review 171
Social development 172
School-age children 172
Adolescents 173
Health promotion 173
Sleep and rest 173
Nutrition 174
Oral health 175
Developing a self-concept 175
Stress management and reduction 176
School health 176
Limit-setting and discipline 176
Sexual activity 177
Drugs, alcohol, tobacco 178
Injury prevention 178
Disease prevention 179
Application and review 182
Answer key: Review questions 182
12 Care of the child with respiratory problems 187
Overview of the respiratory system 187
Structures of the respiratory tract 187
Function: Respiration 188
Acid-base 188
Assessment/general physical examination 189
Respiration-ventilation 189
Diagnostic tests 190
Application and review 190
Common respiratory disorders in pediatric patients 191
Acute and infectious respiratory illnesses 191
Asthma 194
Cystic fibrosis 195
Application and review 196
Common treatment modalities for cardiovascular disorders 197
Oxygen and inhalation therapy 197
Endotracheal airways 199
Respiratory emergency 200
Cardiopulmonary resuscitation 200
Application and review 201
Answer key: Review questions 202
13 Care of the child with cardiac problems 204
Basic cardiac physiology 204
Anatomy and physiology of the heart 204
Classifying cardiac malformations 206
Application and review 207
Cardiac function 209
Health history and physical examination 209
Cardiac function tests 210
Application and review 210
Cardiac malformations 214
Defects with increased pulmonary blood flow 214
Defects with decreased pulmonary blood flow 215
Obstructive defects 216
Clinical findings 217
Therapeutic interventions 217
Nursing care of children with cardiac malformations 218
Application and review 220
Heart failure 221
Clinical findings 221
Therapeutic interventions 222
Nursing care of children with heart failure 222
Application and review 223
Acquired cardiac health problems 224
Inflammatory diseases of the heart: Pericarditis, myocarditis, infective endocarditis 224
Rheumatic fever 225
Kawasaki disease (mucocutaneous lymph node syndrome) 226
Hypoxemia 227
Application and review 228
Answer key: Review questions 228
14 Care of the child with hematologic or immunologic problems 236
Hematologic function 236
Blood 236
Assessment 239
Blood transfusion therapy 239
Application and review 241
Epistaxis 242
Nursing care of the child with epistaxis 242
Anemias 243
Iron deficiency anemia 244
Sickle cell anemia (hbs) 245
β-thalassemia (cooley anemia) 247
Aplastic anemia 248
Application and review 249
Clotting disorders 250
Hemophilia 250
Disseminated intravascular coagulation (dic) 252
Immune thrombocytopenia (idiopathic thrombocytopenic purpura) 252
Application and review 253
Immunologic function 254
Immunity 254
Pathology of infection 255
Bone marrow aspiration 257
Bone marrow transplantation 257
Application and review 257
Childhood communicable diseases 258
Chickenpox (varicella) 258
Diptheria 259
Erythema infectiosum (fifth disease) 259
Exanthem subitum (roseola infantum) 260
Measles (rubeola) 260
Mumps 261
Pertussis (whooping cough) 261
Poliomyelitis 262
Rubella (german measles) 263
Scarlet fever 263
Acquired immunologic health problems 264
Allergies 264
Human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) 265
Severe combined immunodeficiency disease (scid) 266
Answer key: Review questions 267
15 Care of the child with genitourinary and reproductive problems 272
Renal system development 272
Renal system structural differences between infant and older child and adult 272
Renal function differences between infant and older child and adult 272
Increased risks in infants and children 272
Diagnostic tests of the renal system 272
Nursing care management in genitourinary disorders or diseases 274
Application and review 274
Defects of the genitourinary tract 275
Enuresis (bed-wetting) 276
Urinary tract infections 277
Glomerular disease 278
Hemolytic uremic syndrome (hus) 280
Application and review 281
Wilms tumor (nephroblastoma) 282
Renal failure 283
Dialysis 286
Application and review 288
Answer key: Review questions 288
16 Care of the child with gastrointestinal problems 293
Gastrointestinal system 293
Development 293
Structure 293
Function 296
Fluids 297
Distribution of body fluids 297
Disturbances of fluid balance 297
Disorders of motility 299
Diarrhea 299
Constipation 300
Hirschsprung disease (megacolon) 300
Vomiting 301
Gastroesophageal reflux disease (gerd) 302
Colic 303
Application and review 304
Inflammatory disorders 305
Acute appendicitis 305
Inflammatory bowel disease, regional enteritis (crohn disease) 306
Inflammatory bowel disease, ulcerative colitis 307
Structural defects 309
Cleft lip and cleft palate 309
Nasopharyngeal and tracheoesophageal anomalies 311
Hernias 312
Application and review 313
Obstructive disorders 314
Hypertrophic pyloric stenosis 314
Intestinal obstruction 315
Intussusception 316
Application and review 317
Malabsorption syndromes 317
Celiac disease 317
Application and review 318
Hepatic disorders 318
Hepatitis 318
Biliary atresia 321
Answer key: Review questions 322
17 Care of the child with neurologic and neuromuscular dysfunction 326
Overview of the nervous and muscular systems 326
Structures and functions of the nervous system 326
Structures and functions of the muscular system 326
Diagnostic evaluation of the nervous system 326
Level of consciousness 326
Kernig sign 328
Brudzinski sign 328
Intracranial pressure (icp) 328
Related procedures 328
Congenital health problems 330
Defects of neural tube closure (spina bifida) 330
Duchenne (pseudohypertrophic) muscular dystrophy 331
Application and review 333
Acquired health problems 333
Epilepsy (seizure disorders) 333
Guillain-barré syndrome (infectious polyneuritis) 335
Application and review 336
Infectious health problems 336
Febrile seizures 336
Meningitis 337
Encephalitis 338
Application and review 339
Cerebral palsy 341
Risk factors 341
Classification 341
Characteristics 341
Clinical findings 341
Therapeutic interventions 342
Nursing care of children with cerebral palsy 342
Application and review 342
Hydrocephalus 344
Classifications 344
Clinical findings 344
Therapeutic interventions 344
Nursing care of children with hydrocephalus 344
Application and review 344
Accidents causing health problems 346
Traumatic brain injury 346
Reye syndrome 348
Application and review 349
Answer key: Review questions 349
18 Care of the child with musculoskeletal or articular dysfunction 355
Immobilization 355
Physiologic effects of immobilization 355
Psychologic effects of immobilization 356
Nursing care of the immobilized child 356
The child and trauma 357
Traumatic injury 357
Soft tissue injury 357
Fracture of the extremity 359
Growth plate injuries 361
The child in a cast 361
The child in traction 363
Application and review 364
Amputation 366
Application and review 367
Birth and developmental defects 367
Developmental dysplasia of the hip (ddh) 367
Clubfoot 369
Osteogenesis imperfecta (oi) 370
Application and review 371
Acquired musculoskeletal health problems 372
Legg-calvé-perthes disease (coxa plana) 372
Slipped capital femoral epiphysis (scfe) 373
Scoliosis 374
Application and review 375
Infections of bones and joints 375
Osteomyelitis 375
Disorders of the joints 376
Juvenile idiopathic arthritis (juvenile rheumatoid arthritis) 376
Systemic lupus erythematosus (sle) 378
Application and review 379
Sports participation and injury 380
Overuse injuries 380
Potential for injury 380
Injury prevention 380
Answer key: Review questions 380
19 Care of the child with integumentary problems 384
Overview of the skin 384
Structure 384
Function 384
Diagnostic tests of the skin 385
Skin lesions 385
Wounds 385
Process of wound healing 386
Dressings 387
Topical therapy 387
Systemic therapy 387
Therapeutic interventions 388
Symptom relief 388
Postsurgical wound care 388
Application and review 389
Skin disorders across the lifespan 389
Newborns 389
Infants 390
Adolescents 392
Skin infections and infestations 393
Pediculosis capitis (head lice) 393
Scabies 393
Ringworm 394
Impetigo 394
Lyme disease 394
General nursing care of children with skin infections and infestations 395
Application and review 395
Bites and stings 396
Poison ivy, oak, and sumac 396
Drug reactions 397
Burns 397
Application and review 403
Answer key: Review questions 404
20 Special considerations in the nursing care of children and families 407
Care for the family of a child with special needs 407
Cognitive impairment 407
Hearing impairment 408
Visual impairment 410
Parental behavior 411
Family needs 411
Application and review 412
Child maltreatment 413
Types 413
Child abuse prevention and treatment act (capta) 413
Characteristics of abuser 414
Characteristics of child 414
Environmental characteristics 414
Clinical findings 414
Therapeutic interventions 414
Nursing care of children who are maltreated 414
Shaken baby syndrome 415
Munchausen syndrome by proxy 415
Application and review 416
Pediatric emergencies 416
Respiratory emergencies 416
Drowning 419
Poisoning 420
Sudden infant death syndrome (sids) 421
Application and review 422
Neoplastic (or cancer) disorders 423
Leukemias 423
Lymphomas 424
Bone tumors 426
Rhabdomyosarcoma 427
Application and review 427
Answer key: Review questions 430
Bibliography 434
Index 435
A 435
B 436
C 438
D 440
E 441
F 442
G 442
H 443
I 444
J 446
K 446
L 446
M 446
N 447
O 448
P 448
Q 451
R 451
S 452
T 454
U 454
V 455
W 455
X 455
Y 455
Inside back cover IBC