ATI Proctored Peds, ATI Pediatrics Proctored Exam, PEDS ATI Proctored Exam Review 2023

Preschool-Aged Children Body-Integrity - - Preschool-aged children are very concerned about their body integrity - They believe that their insides can leak our from even a small wound. - Explains reason for their preoccupation with bandages Preschool (3-6 Years) - - IMITATION of adults: providing a stethoscope allows child an opportunity for THERAPEUTIC play. - Time based on events, magical thinking, animism, centration. - Stress = Regresion; may still be picky eaters , sleep 12 hours average, pedestrian safety - Keep a consistent bedtime routine Pyloromyotomy - - Release of hypertrophied muscle around the pyloric sphincter that causes narrowing of the pyloric canal. - Infants will be fed shortly postoperative (with return of bowel sounds) in small, frequent oral feeds. - There is no incision to the gastric walls or mucosa and NPO is not required. Cystic Fibrosis Nutritional Care - - ↑ Protein, Carbs and minerals, to promote weight gain - They have difficulty absorbing nutrients due to blockage of pancreatic enzymes by thick mucus secretions in the pancreas and liver. - Pancreatic enzymes help breakdown ingested foods so the body can metabolize nutrients.- Administering pancreatic enzymes BEFORE eating will enable children to metabolize nutrients so they can be used more effectively - Fat content doesn't need to be decreased or eliminated. They have difficulty absorbing fat due to thick mucus in intestines and the inability of the pancreatic enzymes to reach the duodenum. - ↑ of fiber is NOT needed, their stools are bulky because of fat content, but they have regular bowel movements - C.F. patients excrete excessive salt through the skin, the child with cystic fibrosis will likely require additional salt in their diet, especially during activities. - 85% O2 Sat = mild hypoxemia, as mucopurulent secretions gather in airways, respiratory compromise worsens and oxygenation becomes impaired and ↓ in O2 Sat is likely seen Chemotherapy - - Low WBC count places the child at risk for infection and isolation with monitoring of fever is priority. ↓RBC - - Quiet play and best rest, administer O2 ↓ Platelet - - Protect child from injury and monitor for bleeding. - Quiet play should be encouraged, it will lessen the R/F injury and ↓ hemorrhage Dehydration - - Assessment, response to parenteral fluids. the nurse should weigh the patient daily because weight is the most sensitive indicator of hydration status in clients of all ages. - Weight is the only measurement the reflects both measurable fluid balance changes (I/O) and insensible fluid loss (skin and respiratory) Koplik spots - - Maculopapular rash and fever; Rubeola- Koplik spots: oral lesions that are characteristics of rubeola (measles). The small, irregular spots with a blue/white center are seen on the Buccal mucosa, which is opposite the molars, in the prodromal stage of measles. - Koplik spots appear about 2 days before maculopapular rash appears and are accompanied manifestations of fever, malaise, conjunctivitis, and other cold manifestations. - They begin to fade the second day after the rash appears. Immunity to measles is conferred by the MMR (Measles-Mumps-Rubella) immunization that children receive @ 15 months. Rubeola - Measles; Maculopapular starts on the face and spreads downward. It desquamates after about 3-4 days. The rash does not progress to vesicles and crusts like the papules of chicken pox. - cephalocaudal rash upper trunk and faceand more confluence as it spreads to the lower areas of the body. Varicella - Chicken Pox; Vesicles and crusts are present - Commences with a maculopapular rash that progressess to vesicles on erythematous bases which eventually rupture and crust over. Kawasaki Syndrome (Scarlet Fever) - - Strawberry tongue; sloughed off its normal coating, exposing swollen prominent papillae. Pertussis (whooping Cough) - Paroxysmal Cough