Peds: Final Study Guide
1. Acute and Infectious Respiratory Illnesses: Recognizing Epiglottitis (RN QSEN
- Safety , Active Learning Template - System Disorder, RM NCC RN 10.0 Chp
17)
•Expected findings:
oPredictive signs: absence of cough, drooling, and agitation
oSitting upright with chin pointing out, mouth opened, and tongue
protruding (tripod position)
oDysphonia (thick, muffled voice and froglike croaking sound)
oDysphagia (difficulty swallowing)
oInspiratory stridor (noisy inspirations)
oSuprasternal and substernal retractions
oSore throat, high fever, and restlessness
2. Acute Infectious Gastrointestinal Disorders: Precautions for Rotavirus (RN QSEN
- Safety , Active Learning Template - Basic Concept, RM NCC RN 10.0 Chp 22)
•Transmission: fecal-oral
•Contact + standard precautions
oWear gloves during diaper changes
•During the duration of the illness
•Ensure consistent environmental cleaning and disinfection and frequent removal
of soiled diapers.
•Prolonged shedding may occur in both immunocompetent and
immunocompromised children and the elderly
•Change bed linens and underwear daily for several days
•Cleanse toys and child care areas thoroughly to prevent further spread or
reinfection
•Keep toys separate and avoid shaking linens to prevent the spread of the disease
•Shower frequently
•Avoid undercooked or under-refrigerated food
•Perform proper hand hygiene after toileting and after changing diapers
•Do not share dishes and utensils. Wash them in hot, soapy water or in
the dishwasher
•Clip nails and discourage nail biting and thumb sucking
•Clean toilet areas
3. Acute Infectious Gastrointestinal Disorders: Priority Action for Acute Diarrhea (RN
QSEN -
Safety , Active Learning Template - System Disorder, RM NCC RN 10.0 Chp 22)
•Acute diarrhea is a sudden increase in frequency and change in consistency of
stool.
•It is usually secondary to an infectious agent in the GI tract, upper respiratory
infection, urinary tract infection, antibiotic use, or laxative use.
Peds: Final Study Guide
