Guided Lecture Notes
Chapter 23: The School-Age Child With a Major Illness
Learning Objective 1. Describe (a) simple partial seizures, (b) simple partial sensory
seizures, and (c) complex partial (psychomotor) seizures.

Discuss types of partial seizures. (Refer to PowerPoint slide 2).
Learning Objective 2. Describe (a) tonic-clonic seizures, (b) absence seizures, (c)
atonic or akinetic seizures, (d) myoclonic seizures, and (e) infantile spasms.

List and briefly discuss types of generalized seizures. (Refer to PowerPoint slide
3).

Discuss emergency treatment of status epilepticus. (Refer to PowerPoint slide
4).

Identify common diagnostics that aid in the diagnosis of seizures. (Refer to
PowerPoint slide 5).

Discuss treatment for seizures. (Refer to PowerPoint slide 6).

Identify components of seizure precautions. (Refer to PowerPoint slide 7).
Learning Objective 3. List factors than can trigger an asthma attack.

Discuss the clinical manifestations, treatment, and nursing care of the child with
hay fever. (Refer to PowerPoint slide 8).

Identify common treatments for the child with asthma. (Refer to PowerPoint
slide 9).
Learning Objective 4. Describe the physiologic response that occurs in the respiratory
tract during an asthma attack.

Describe the nursing process of asthma. (Refer to PowerPoint slides 10 and
11).
Learning Objective 5. Name the bacterium usually responsible for the infection that
leads to the development of rheumatic fever.

Discuss the infection associated with rheumatic fever. (Refer to PowerPoint
slide 12).
Learning Objective 6. List the major manifestations of rheumatic fever.

List and briefly describe the clinical manifestations of rheumatic fever. (Refer to
PowerPoint slide 13).

Discuss how rheumatic fever is diagnosed and treated. (Refer to PowerPoint
slide 14).

Describe nursing management for the child with rheumatic fever. (Refer to
PowerPoint slides 15-16).

Describe minor and major manifestations of rheumatic fever. (Refer to
PowerPoint slide 17).
Learning Objective 7. List the symptoms of appendicitis; differentiate symptoms of the
older and the younger child.

Describe symptoms of appendicitis in the young. Compare them with those of the
older child. (Refer to PowerPoint slide 18).
Learning Objective 8. Identify three intestinal parasites common to children and state
the route of entry for each.

Describe how intestinal parasites enter the human body. (Refer to PowerPoint
slide 18).
Learning Objective 9. Discuss the importance of good skin care, correct insulin
administration, and exercise in the diabetic child.

Briefly describe type 1 and type 2 diabetes mellitus. (Refer to PowerPoint slide
19).

(Refer to PowerPoint slide 20).

Discuss insulin therapy in children with type 1 diabetes mellitus. (Refer to
PowerPoint slide 21).

Describe the nursing process of a child with type 1 diabetes mellitus. (Refer to
PowerPoint slide 22).

Identify clinical manifestations and treatment for the child with type 2 diabetes
mellitus. (Refer to PowerPoint slide 23).

Describe the location for subcutaneous injection sites. (Refer to Figure 23.7).
Learning Objective 10. Identify the physiologic causes of enuresis.

Discuss physiologic causes of enuresis. (Refer to PowerPoint slide 24).
Learning Objective 11. Discuss four types of fractures seen in children.

Compare a complete fracture with that of an incomplete fracture. (Refer to
PowerPoint slide 25).

Describe types of fractures seen in the child. (Refer to Figure 23.8).
Learning Objective 12. Describe the purpose of doing neurovascular checks in a child
with a musculoskeletal disorder.

Discuss CMS as a method for monitoring neurovascular status.
Learning Objective 13. List and define the five Ps to observe, record, and report when
caring for a child in a cast.

Describe what parameters need to be in included in monitoring neurovascular
status.
Learning Objective 14. Name the bacterium that usually causes osteomyelitis.

Discuss possible primary infections that proceed osteomyelitis. (Refer to
PowerPoint slide 26).
Learning Objective 15. Identify the most common form of muscular dystrophy and
describe its characteristics.

Describe clinical manifestations of muscular dystrophy. (Refer to PowerPoint
slides 26-27).

Discuss the nursing process of child with an integumentary disorder. (Refer to
PowerPoint slides 28-30).

Describe types of fungal infections.

Explain the characteristics of a child with attention deficit disorder. (Refer to
PowerPoint slide 31).