Pediatric Nursing Demystified

398 Pages·2009·9.39 MB·English

by  Joyce Johnson

Pediatric Nursing
Demystified
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Pediatric Nursing
Demystified
Joyce Y. Johnson, PhD, RN, CCRN
Dean and Professor
College of Sciences and Health Professions
Albany State University
Albany, Georgia
Jim Keogh, RN
New York Chicago San Francisco Lisbon London
Madrid Mexico City Milan New Delhi San Juan
Seoul Singapore Sydney Toronto
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This book is dedicated to my mother Dorothy C. Young who has always been an inspiration
to me, to my husband Larry and to Virginia and Larry Jr. who are the wind beneath my wings.
Joyce Y. Johnson
This book is dedicated to Anne, Sandy, Joanne, Amber-Leigh Christine, Shawn, and Eric,
without whose help and support this book could not have been written.
James Keogh
We dedicate this book to our students who are the reason we teach and write. Much success
in your nursing careers!
Authors
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CONTENTS
Preface xv
Acknowledgments xvii
PART I ROLES AND RELATIONSHIPS
CHAPTER 1 Families and Communities 3
Overview 4
Types of Families 5
Nursing Implications 5
Social and Economic Factors 6
Nursing Implications 6
Diversity Issues 7
Nursing Implications 8
Conclusion 9
CHAPTER 2 Growth and Development 13
Overview 15
Newborn/Infant 15
Conditions and Concerns Common
to Developmental Stage 16
Nursing Implications 18
Early Childhood (Preschool) 18
Conditions and Concerns Common
to Developmental Stage 21
Nursing Implications 21
viii Contents
School-Aged Child 21
Conditions and Concerns Common
to Developmental Stage 23
Nursing Implications 24
Preteen (Tweens) 24
Teen Years 25
Conditions and Concerns Common
to Developmental Stage 27
Nursing Implications 27
Conclusions 28
CHAPTER 3 Pediatric Assessment 31
Overview 32
The Nursing Process 32
Health Assessment: Client History 33
Communication 33
Nursing History 34
Assessment 34
Nutritional Assessment 35
Family History and Review of Systems 36
Family Function 37
Physical Examination 38
Diagnostic Procedures 44
Laboratory Tests 44
Nursing Implications 45
Conclusion 46
PART II SYSTEMATIC EXPLORATION OF PEDIATRIC
CONDITIONS AND NURSING CARE
CHAPTER 4 Head and Neck: Eyes, Ears, Nose, and Throat 53
Overview 54
Eyes 54
Strabismus 55
Acute Conjunctivitis 56
Ears 57
Otitis Media 58
Nose 60
Mouth 62
Contents ix
Dental Caries 62
Stomatitis 63
Throat 65
Head 65
Pediculosis Capitis (Head Lice) 65
Conclusion 67
CHAPTER 5 Respiratory Conditions 71
Overview 73
Upper Respiratory Tract Infections 74
Acute Viral Nasopharyngitis 74
Tonsillitis and Pharyngitis 75
Croup Syndrome 76
Acute Laryngotracheobronchitis 76
Acute Epiglottitis 77
Acute Laryngitis 79
Infectious Mononucleosis 79
Lower Respiratory Tract Infections 81
Pneumonia 81
Asthma 82
Nursing Interventions 83
Bronchiolitis 83
Cystic Fibrosis 84
Respiratory Distress Syndrome 85
Sudden Infant Death Syndrome 87
Conclusion 88
CHAPTER 6 Cardiovascular Conditions 91
Overview 92
Congestive Heart Failure 93
Atrial Septal Defect 96
Ventricular Septal Defect 100
Patent Ductus Arteriosus 103
Coarctation of the Aorta 107
Aortic Stenosis 110
Tetralogy of Fallot 114
Transposition of Great Arteries 117
Bacterial Endocarditis 121
Rheumatic Fever 122