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Nursing Tip Neurological Conditions
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Before instilling ear drops in infants, gently pull the pinna of the ear down and back. In children, gently pull the pinna of the ear up and back to straighten the external auditory canal. TERM 2
Nursing Tip Neurological Conditions
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DEFINITION 2 Signs and symptoms of ear infection can include the following: Rubbing or pulling at the ear Rolling the head from side to side Hearing loss Loud speech Inattentive behavior Articulation problems Speech development problems TERM 3
Nursing Tip Neurological Conditions
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DEFINITION 3 Instruct caregivers that the childs condition may improve dramatically after antibiotics are taken for a few days. To prevent recurrence, caregivers must continue to administer the medication until the prescribed amount has been completed. TERM 4
Nursing Tip Neurological Conditions
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DEFINITION 4 When addressing a hearing-impaired child, the nurse should do the following: Be at eye level with the child. Be face-to-face with the child. Establish eye contact. Talk in short sentences. Avoid using exaggerated lip or face movement. TERM 5
Nursing Tip Neurological Conditions
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DEFINITION 5 Emphasize to parents the need to supervise the care and storage of hearing aid batteries to prevent accidental ingestion. When inserting the earpiece of a hearing aid, be sure that the ear canal is free of hair.
Nursing Tip Neurological Conditions
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At birth, the quiet, alert infant will respond to visual stimuli by ceasing to move. Visual responsiveness to the mother during feeding is noted. The infants ability to focus and follow objects in the first months of life should be documented. Coordination of eye movements should be achieved by 3 to 6 months of age. TERM 7
Nursing Tip Neurological Conditions
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DEFINITION 7 The achievement of developmental milestones such as transferring objects from hand to hand is partially dependent on seeing the object. Therefore, assessment of visual ability is part of assessment of growth and development. TERM 8
Nursing Tip Neurological Conditions
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DEFINITION 8 Symptoms of strabismus include the following: Eye squinting or frowning to focus Reaching for objects and missing them Covering one eye to see Tilting the head to see Dizziness and/or headache TERM 9
Safety Alert! Neurological Conditions
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DEFINITION 9 The sudden appearance of a fixed and dilated pupil is a neurologic emergency. TERM 10
Medication Safety Alert! Neurological
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DEFINITION 10 Discourage the use of aspirin and other medications that contain salicylates in children with flulike symptoms. Advise parents to read medication labels carefully to determine their ingredients.
Safety Alert! Neurological Conditions
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Sluggish, dilated or unequal pupils may indicate increased ICP and must be reported promptly. TERM 17
Medication Safety Alert! Neurological
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DEFINITION 17 Children taking phenobarbital or phenytoin (Dilantin) should receive vitamin D and folic acid supplementation. Phenytoin should not be given with milk. TERM 18
Safety Alert! Neurological Conditions
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DEFINITION 18 The nurse is responsible for maintaining seizure precautions for a child diagnosed with a seizure disorder. In the hospital: Keep side rails up. Pad all sharp or hard objects around the bed. In the community: Make sure child wears a medical ID bracelet. Provide supervision during potentially hazardous play, such as swimming. Avoid triggering factors. Teach the importance of compliance with the medication regimen. TERM 19
Nursing Tip Neurological Conditions
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DEFINITION 19 Common triggering factors for seizures include the following: Flashing of dark/light patterns Startling movements Overhydration Photosensitivity TERM 20
Nursing Tip Neurological Conditions
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DEFINITION 20 Cognitively or intellectually impaired children have the same psychosocial needs as all other children, but they cannot express themselves or respond as other children do.
Nursing Tip Neurological Conditions
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The intellectually impaired child needs to develop a sense of accomplishment. Do not take over projects because of your own need to assist or speed up the process. TERM 22
Nursing Tip Neurological Conditions
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DEFINITION 22 Nursing responsibilities for disabled children include the following: Emphasizing the strengths present. Maintaining communication with the family. Avoiding labels. Using simple terms. Contacting the school nurse and planning for school needs. Providing daily experiences in which the child can succeed. Referring family to local, state, and national support groups. TERM 23
Nursing Tip Neurological Conditions
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DEFINITION 23 Many intellectually impaired children have a normal facial appearance, and many children with unusual faces are not intellectually impaired. TERM 24
Safety Alert! Neurological Conditions
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DEFINITION 24 A concussion with resulting amnesia and confusion can be more serious than the presence of a fractured skull with no clinical symptoms. TERM 25
Nursing Tip Neurological Conditions
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DEFINITION 25 Nurses should stress to parents the dangers of shaking infants roughly, including jumping on a trampoline with an infant in their arms.
