American academy of pediatrics states taht breastfeeding should be avoided for children with congenital heart disease because it requires less energy to suck from a bottle than the breast.

Children with a history of Respiratory syncytial virus (RSV) infection are at an increase risk of developing asthma later in life.

Which of the following are common complications or characteristics of cystic fibrosis in pediatric patients?(select all that apply)

Samatha, age 4, has a glucose level of 329mg/dl. She is eating the following for lunch: grilled chicken, juice(15g carb), mashed potatoes (30g carb), applesauce (15g carb). Her insulin order is as follows: 

1. Provide insulin coverage for meals at 1 unit novolog/1 carbohydrate exchange (15g carb=1 carb exchange) and,
2. Provide insulin correction for blood glucose level based on scale:

Up to 249mg/dl: no correction

250-299 mg/dl: 0.5 unit novolog 300-349 mg/dl: 1 unit novolog

350-399 mg/dl: 1.5 unit novolog

How much total insulin should Samantha receive?

The nurse if giving instructions to parents of a 4-month-old infant with tetralogy of fallot. An important teaching point should include:

Which congenital heart disease causes cyanosis when not repaired? (select all that apply)

A 3-year-old child with a complex cardiac defect is admitted with infective endocarditis. Management (in what order) would..

While caring for an 18 month old male with a diagnosis of kawasaki disease, which of the following would be an indication of deterioration?

A child in compensated shock will which symptoms?

The primary problem in cystic fibrosis is the production of thin, watery mucus that helps clear airways.

Phase 1

A 5 year old is brought to her pediatrician for an annual routine checkup. Her grandparents, who are also the legal guardians, are with her. The child has not seen her pediatrician in a year. The child recently had a visit to the urgent care center and was treated for strep throat. The grandparents are concerned about the child’s weight gain. They state no matter how much she eats she cannot gain weight and is hungry all of the time. 

Phase 2

The primary care office does not have a glucometer available, so the provider orders a urinalysis dip stick test. The urinalysis shows a glucose of over 500mg/dl with blood, leukocytes, and ketones.  The results are shared with the grandparents along with the potential diagnosis and complications. The child’s grandparents are visibly upset and start asking the nurse questions about their grandchild.

Below are several responses the nurse can make to the child’s grandparents. Drag and drop the nurse’s responses to the child’s grandparents to either ‘therapeutic” or “nontherapeutic” based on how you would best categorize the responses.