Page 1122 - Saunders Comprehensive Review For NCLEX-RN

▪ Raise side rails when child is sleeping or resting.

▪ Pad side rails and other hard objects.
▪ Place waterproof mattress or pad on bed or crib.
▪ Instruct child to wear or carry medical identification.
▪ Instruct child in precautions to take during potentially hazardous activities.
▪ Instruct child to swim with a companion.
▪ Instruct child to use a protective helmet and padding when engaged in bicycle
riding, skateboarding, and in-line skating.
▪ Alert caregivers to need for any special precautions.

Box 38-2

Signs of Brainstem Involvement

▪ Deep, rapid, or intermittent and gasping respirations
▪ Wide fluctuations or noticeable slowing of pulse
▪ Widening pulse pressure or extreme fluctuations in blood pressure
▪ Sluggish, dilated, or unequal pupils

Notify the primary health care provider immediately if these signs develop!

FIG. 38-4 Ventriculoperitoneal shunt.

Box 38-3
Interventions for Seizures

▪ Ensure airway patency.

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