1. Tetralogy fallout clinical manifestationsinclude systolic heart murmur, cyanotic spells, seizures and loss of consciousness, clubbing, SOB with squatting, thrill at the leftsternal border. Infants who have Tetralogy of Fallot experience anoxic spells when the infants oxygen requirements exceed the oxygen available in the blood supply, like when the infant is crying, or following a feeding. 1. Manifestations of a brain tumor include vomiting, clumsiness, irritability, persistent headaches, hearing loss or ringing in the ear, visual changes, seizures, and facial drooping. Information that should be provided to patientsincludes that benign brain tumors develop from the meninges or cranial nerves and do not metastasize. 1. Interventions for a child who has hemophilia A include administering factor VIII, and assessing for changes in LOC. Hemophilia A accounts for 80% of cases and it caused by a deficiency in factor VIII. 1. When caring for a child who has had a submersion injury the nurse should inform the parentsthat the child needs observations because the child is still at risk for complications from the submersion injury such as cerebral swelling. Complications can include respiratory compromise and cerebral edema during the first 24 hours after submersion. Questions 1. A nurse is caring for a child admitted with an acute exacerbation of asthma. Discuss the nursing care needs of this child. o Assess airway for patency o Assess breath sounds (monitor for SOB) o Take vitalsigns and O2 stats o Position patient high fowlersto maximize ventilation o Administer O2 & meds as ordered 1. A nurse is providing information on injury prevention to the parents of a toddler. What information should be discussed? o Toysthat are age appropriate o Emergency proceduresfor choking o Child should not be left unattended with animals o Strangersafety danger o Wearsunscreen whenever outside o Supervise closely when near pools (swimming lessons are encouraged for safety) o Doors and windowsshould be kept locked 1. What information regarding strategiesto decrease the spread of infection should the nurse provide to the parents of a child with Respiratory Syncytial Virus (RSV)? o Proper way to perform hand hygiene