Pediatrics Final ATI

Most common post op complication of tonsillectomy?Correct answer- hemorrhage Risk time for hemorrhage after tonsillectomy?Correct answer- 10 days to 2 weeks post op Signs and symptoms of hemorrhage after tonsillectomy?Correct answer- restlessness, swallowing frequently, low BP (late sign) How should child lay post op to prevent hemorrhage from tonsillectomy?Correct answer- side lying or on abdomen What should the child avoid after a tonsillectomy post op?Correct answer- coughing or blowing nose How should xrays be taken to see the section of the lung behind the heart (lingual)?Correct answer- Laterally Why are lateral xrays needed to view the lingual area?Correct answer- a common site for pneumonia If a child is "barking" and has hoarseness and inspiratory stridor what might they have?Correct answer- croup What does inspiratory stridor sound like?Correct answer- a gasp If stridor reduces in a child previously showing stridor, what can that mean?Correct answer- blockage and imminent respiratory failure Do not put anything in the __________ of a child with acute epiglottitis.Correct answer- Mouth Acute LTBCorrect answer- Croup symptoms, Inflammation mucosa lining larynx & trachea causing narrowing airway-subglottic area narrowest part causes respiratory acidosis Diagnosis of Asthma isCorrect answer- peak expiratory flow (PEF) Treatment of Asthma isCorrect answer- beta agonists such as albuterol to relieve bronchospasms Preventing chronic problems with Asthma treatmentCorrect answer- anti-inflamatories such as corticosteroids treatment for an emergency with Asthma attackCorrect answer- repeat dose q15min twice, on 3rd dose call ambulance Parents need education about beta agonists, what should a nurse advise?Correct answer- don't give them around the clock, they should be prn, do not abuse Common side effects of beta agonistsCorrect answer- nervousness, tachycardia What is Cystic Fibrosis?Correct answer- Sludge, or increased viscosity of mucous, a build up of thick, sticky mucus in the lungs What diet should a patient with cystic fibrosis eat?Correct answer- high protein, high calorie Signs and symptoms of Increased Intracranial pressureCorrect answer- High pitched cry, difficult to soothe, tense and bulging fontanels, cranial sutures separated, setting sun eyes, distended scalp veins, headache, vomiting, seizures, diplopia, irritability/restlessness, drowsiness, indifference, decrease in physical activity & motor skills, complaints of fatigue, somnolence, weight loss Late signs of increased ICPCorrect answer- decreased LOC, decreased motor response to command, decreased sensory response to painful stimuli, loss of PERRLA, palliledema Decorticate positioningCorrect answer- all flexed Decorticate positioning is a dysfunction of what?Correct answer- cerebral cortex decerebrate positioningCorrect answer- all extended Decerebrate positioning is a dysfunction of what?Correct answer- mid brain