Wong's Nursing Care of Infants and Children, 11th Ed., Hockenberry, Wilson & Rogers | Registered Nurse (RN) School Study Aid
Standard Precautions
- Hand Hygiene
- Wash In / Wash Out
- Alcohol-Based Hand Rub
- Hand Washing
- Personal Protective Equipment (PPE)
- Gown
- Face Mask
- Goggles/Face Shield
- Gloves
- Donning and Removing PPE
- Discard Sharps in Puncture-Resistant Container
- Cough Etiquette
Droplet-Airborne Precautions
- Private Room
- Droplets Larger than 5 Microns
- Being Within 3 Feet of Patient
- Surgical Mask with Face Shield
- Type of Infection or Condition
- Airborne Infection Isolation Room (AIIR)
- Droplets Smaller than 5 Microns
- N95 Respirator
- Type of Infection or Condition
Contact Precautions
- Private Room
- Wash In / Wash Out
- Personal Protective Equipment (PPE)
- Gloves
- Gown
- Limit Time Patient Leaves Room
- Leave Equipment In Room
- Special Linen Handling
- Same Pathogen, Same Room
- History of Contact Isolation
- Preventative Education
Innate Immunity Cellular Response
- Natural Killer Lymphocytes Attack Abnormal Cells
- Neutrophils in Blood
- Infected Cells Release Interferon
- Complement Proteins Lyse Pathogens/Infected Cells
- Dendritic Cells in Tissue
- Macrophages in Tissue
Humoral Adaptive Immunity
- B Cell Binds Free Floating Antigen
- B Cell Presents Antigen to Helper T Cell
- Helper T Cells Help B Cells Develop Antigen Specificity
- Plasma B Cells Secrete Antibodies
- Memory B Cells Cause Faster Secondary Response
Hepatitis B (HBV) Assessment
- Bodily Fluids
- Blood Transmission
- People Who Use IV Drugs
- Variable 1-6 Months
- Fever
- Nausea and Vomiting
- Hepatomegaly
- Cirrhosis
- Hepatocellular Carcinoma
- Vaccination
Pediatric Vaccinations - Age 2 Months
- Hepatitis B
- DTaP - Diphtheria Tetanus acellular Pertussis
- RV - Rotavirus
- HiB - Haemophilus Influenzae Type B
- IPV - Inactivated Polio Vaccine
- PCV - Pneumococcal
Pediatric Vaccinations - Age 4 Months
- DTaP - Diphtheria Tetanus acellular pertussis
- RV - Rotavirus
- HiB - Haemophilus Influenzae Type B
- IPV - Inactivated Polio Vaccine
- PCV - Pneumococcal
Pediatric Vaccinations - Age 6 Months
- Hepatitis B
- DTaP - Diphtheria Tetanus acellular pertussis
- RV - Rotavirus
- HiB - Haemophilus Influenzae Type B
- IPV - Inactivated Polio Vaccine
- PCV - Pneumococcal
- Influenza
Pediatric Vaccinations - Age 12 to 15 Months
- Varicella Zoster
- MMR
- Hepatitis A
- DTaP - Diphtheria Tetanus acellular pertussis
- HiB - Haemophilus Influenzae Type B
- IPV - Inactivated Polio Vaccine
- PCV - Pneumococcal
Pediatric Vaccinations Age 4-6 Years
- Varicella Zoster
- DTaP - Diphtheria Tetanus acellular pertussis
- IPV - Inactivated Polio Vaccine
- MMR
Hepatitis A (HAV) Assessment
- Fecal-Oral
- Ingestion of Contaminated Food or Water
- 4 Weeks
- Fever
- General Malaise
- Hepatomegaly
- Self-Limiting
- Proper Hand Washing
Rubeola (Measles)
- Virus
- Fever
- Red Maculopapular Rash
- 3 C's
- Photophobia
- Koplik Spots
- MMR Vaccination
- Antipyretics
- Vitamin A Supplementation
Mumps (Parotitis)
- Paramyxovirus
- Fever
- Headache
- Earache
- Orchitis
- Pain and Swelling of Parotid Glands
- MMR Vaccination
Rubella
- Rubella Virus
- Swollen Glands
- Cold-like Symptoms
- Pinkish-red Maculopapular Rash
- Low Grade Fever
- Rubella Titer
- Avoid Contact with Pregnant Women
- MMR Vaccination
Varicella (Chickenpox)
- Varicella Zoster Virus (VZV)
- Red Maculopapular Rash
- Vesicles Ooze and Crust
- Pruritus
- Centripetal
- Varicella Immunization
- Skin Care to Minimize Itching
- Isolate until Vesicles Crust
Influenza
- High Fever
- Cough
- Headache
- Muscle Aches
- Chills
- Vaccination
- Zanamivir (Relenza)
- Oseltamivir (Tamiflu)
Anaphylaxis Intervention
- Assess Airway and Oxygen Needs
- Reassure Patient with Anxiety
- Supine Position
- Methylprednisolone (Solu-medrol)
- Epinephrine
- Diphenhydramine (Benadryl)
- Medical Alert Bracelet
Epinephrine (Adrenaline)
- Alpha and Beta Agonist
- Anaphylaxis
- Primary Open Angle Glaucoma (POAG)
- Bleeding
- Cardiac Arrest
- Tachycardia
- Hypertension
- Tremors
- Insomnia
- Multiple Strengths
5 Rights of Delegation
- Right Task
- Right Circumstance
- Right Person
- Right Direction/Communication
- Right Supervision/Evaluation
Erythema Infectiosum (Fifths Disease)
- Human Parvovirus B19
- Cold-like Symptoms
- Three Stage Rash
- Slapped Face
- Maculopapular Red Spots on Trunk
- Rash Reappears
- Aplastic Crisis
- Joint Pain and Swelling
Dermatomes - Cervical
- C2 - Posterior Cap Distribution
- C3 - High Turtleneck
- C4 - Low Collar Shirt
- C5 - Anterolateral Shoulder
- C6 - Thumb
- C7 - Middle Finger
- C8 - Pinky Finger
Dermatomes - Thoracic
- T1 - Medial Arm
- T4 - Nipple
- T7 - Xiphoid
- T10 - Belly Button
- T12 - Pubis
Dermatomes - Lumbosacral
- L2 - Medial Thigh
- L3 - Medial Knee
- L4 - Kneecap, Medial Ankle, and Big Toe
- L5 - Dorsum of Foot
- S1 - Lateral Foot, Posteriolateral Thigh
- S 2, 3, 4, 5 - Perianal and Genitals
Herpes Zoster (Shingles)
- Varicella-Zoster Virus
- Linear, Unilateral Rash Along a Dermatome
- Pruritus
- Postherpetic Neuralgia
- Acyclovir
- Analgesics
- Gabapentin
- Contagious Vesicles
- Shingrix
Genital Herpes
- Herpes Simplex Virus 1 and 2 (HSV)
- May Be Asymptomatic
- Oral or Genital Lesions
- Vesicles in Clusters
- Pain
- Flu-like Symptoms
- Acyclovir
- Valacyclovir
- Famciclovir
- Infectious During Recurrences
Lyme Disease
- Transmitted by Ticks (Vector-borne)
- Flu-like Symptoms
- Bulls Eye Rash (Erythema Migrans)
- Joint Pain and Stiffness
- Facial Paralysis
- Antibiotics
- Prevention