Back to AI Flashcard MakerNursing /Simmons NURP 502 Exam 1 1: Fever without Focus Part 1
What percent of childhood fevers have no apparent cause?
20%
Tap or swipe ↕ to flip
Swipe ←→Navigate
1/20
Key Terms
Term
Definition
What percent of childhood fevers have no apparent cause?
20%
Who is at the greatest risk of having a serious bacterial infection in the case of a fever without focus?
Febrile infants and children younger than 36 months
T/F Consider fever documented at home by a reliable parent or caregiver the same as fever found upon presentation.
True
T/F Parents are often poor historians and reports of maximum temperatures should not be accepted without clinical confirmation.
False. Accept parental reports of maximum temperature.
T/F If an infant has been excessively bundled and repeat temperature taken 15-30 minutes after unbundling is normal, the infant should be considered afebrile.
True
T/F Always remember that normal or low temperature precludes serious, life-threatening, infectious disease.
False. Always remember that normal or low temperature does not preclude serious, even life-threatening, infectious disease.
Related Flashcard Decks
Study Tips
- Press F to enter focus mode for distraction-free studying
- Review cards regularly to improve retention
- Try to recall the answer before flipping the card
- Share this deck with friends to study together
| Term | Definition |
|---|---|
What percent of childhood fevers have no apparent cause? | 20% |
Who is at the greatest risk of having a serious bacterial infection in the case of a fever without focus? | Febrile infants and children younger than 36 months |
T/F Consider fever documented at home by a reliable parent or caregiver the same as fever found upon presentation. | True |
T/F Parents are often poor historians and reports of maximum temperatures should not be accepted without clinical confirmation. | False. Accept parental reports of maximum temperature. |
T/F If an infant has been excessively bundled and repeat temperature taken 15-30 minutes after unbundling is normal, the infant should be considered afebrile. | True |
T/F Always remember that normal or low temperature precludes serious, life-threatening, infectious disease. | False. Always remember that normal or low temperature does not preclude serious, even life-threatening, infectious disease. |
Why is a family hx of a previous death in a young infant from infection important? | It can be suspicious for congenital anomalies and primary immunodeficiencies. |
In 3 months to 3 years assessment hx, which immunizations are important? | Check for incomplete immunization to Streptococcus pneumoniae or Haemophilus influenzae type b. |
What is particularly important when assessing young children and infants? | Pay particular attention to assessing hydration status and identifying the source of infection. |
What is the standard for temperature location in infants and young children? | Rectal. Temperature obtained via tympanic, axillary, or oral methods may not truly reflect the patient’s temperature. |
What is a sensitive predictor of pulmonary infection in patients of all ages, especially in infants and young children? | Pulse Ox |
When is it mandatory to get a pulse ox with a sick child? | 1. Abnormal lung examination findings 2. Respiratory symptoms 3. Abnormal respiratory rate |
What are alternatives to an actual weight in emergency situations? | Estimating methods: Broselow tape, weight based on age. |
Toxic appearance is associated with what? | 1. Lethargy 2. Poor perfusion 3. Hypoventilation 4. Hyperventilation 5. Cyanosis (Shock) |
What are petechial or purpuric rashes associated with? | Bacteremia. Purpura is associated more often with meningococcemia than is the presence of petechiae alone. |
This is a reliable method for determining degree of illness. | Yale Observation Scale |
What 6 variables are considered in the Yale Observation Scale? | 1. Quality of cry 2. Reaction to parent stimulation 3. State variation 4. Color 5. Hydration 6. Response |
What score on the Yale Observational Scale indicates a 92% risk of serious bacterial infection? | 16+ |
What score on the Yale Observational Scale indicates only a 2.7% risk of serious bacterial infection? | 10- |
T/F Lack of a circumcision should be noted in males. | True |