Pediatrics ATI Remediation Questions And Answers 2022

Cognitive and Sensory Impairments: Findings to Report to Provider - Answer - 1. Strabismus should be reported to the provider. 2. For hearing impairments in infants, nurses should report lack of startle reflex, failure to respond to noise, absence of vocalization by 7 months, and lack of response to the spoken word. 3. For hearing impairments in older children, nurses should report not talking after 15 months, speaking in monotone, need for repeated conversation, and speaking loudly for the situation. 4. For Downs Syndrome, the nurse should report separated sagittal suture and enlarged anterior fontanel. ATI Ch 15 Establishing Priorities: Managing Client Care: Identifying Priority Child to Assess (Management of Care) - Answer - -prioritize systemic before local ("life before limb" -prioritize acute before chronic -prioritize actual problems before potential future problems -listen carefully to clients and don't assume -recognize and respond to trends vs. transient findings -recognize indications of medical emergences and complications vs. expected findings -apply clinical knowledge to procedural standards to determine the priority action -consider Maslow's hierarch of human needs -ABCDE (airway, breathing, circulation, disability, exposure) -look for safety risks -least restrictive and least invasive interventions should be utilized as much as possible. Cystic fibrosis description - Answer - Respiratory disorder that results from inheriting a mutated gene. Characteristics: Mucus glands that secrete increased quantity of thick tenacious mucus, leading to mechanical obstruction of organs (pancreas, lungs, liver, small intestine, reproductive system). Increased organic and enzymatic constituents of saliva. Increased sodium and chloride in sweat. CNS abnormalities.**** Pediatric Emergencies: Planning intervention for lead exposure - Answer - *Can be from lead ingestion from lead-based paint or soil contamination *Symptoms: distractibility, impulsiveness, hyperactivity, hearing impairment, mild intellectual difficulty (Low-dose), cognitive delays, severity, blindness, paralysis, coma, seizures, death (high does), Kidney impairment, impaired calcium functions and anemia. *Chelation therapy using calcium EDTA for high serum levels Burns: Teaching About Sunburn Prevention (RN QSEN - Safety , Active Learning Template - Basic Concept, RM NCC RN 10.0 chp 32) - Answer - -adolescents should apply suncreen with at least 15 SPF -adolescents should reapply sunscreen every 2-3 hours -adolescents should avoid tanning beds -it is important to avoid long periods of direct UV contact Health Promotion of Adolescents (12 to 20 Years): Informed Consent* - Answer - 1. You can be a minor and not need consent for STD screening if they are above 13. 2. Pregnancy is another reason to not need consent. 3. Emancipated minors are an exception as well. Chp 7 pg 33 Psychosocial Is