ATI Pediatrics Proctored Exam

What happens to the voice during epiglottitis? - correct answer it becomes hoarse sodium normal range - correct answer 135-145 manifestations of pneumonia in infants - correct answer nasal flaring increased WBCs diarrhea abdominal distention What is an expected finding of endocarditis? - correct answer headache What is an expected finding in a school-age child with glomerulonephritis? - correct answer brown colored urine McBurney's point - correct answer -lower right abdomen -pain in appendicitis Celiac disease expected findings - correct answer -steatorrhea -distended abdomen -weight loss What type of vomiting is common with pyloric stenosis? - correct answer projectile vomiting What is used to treat scabies lesions? - correct answer permethrin 5% cream manifestation of pertussis - correct answer dry hacking cough manifestation of acute streptococcal pharyngitis - correct answer inflamed throat with exudate manifestation of bacterial conjunctivitis - correct answer purulent eye drainage Koplik spots - correct answer rubeola (measles Diabetes insipidus lab values - correct answer -dilute urine/low specific gravity -high sodium -normal blood glucose -polyuria (excessive urine output) minimal change nephrotic syndrome management - correct answer -dietary fluid restriction -low sodium diet -corticosteroids How often should a child with asthma get pulmonary function tests? - correct answer every 12-24 months lumbar puncture nursing care - correct answer -apply topical analgesic to the lumbar site 60 min prior to procedure -place in prone position or flat in bed for up to 12 hours to prevent post procedural spinal headache -encourage to drink extra fluids to replace CSF CF diet - correct answer -well-balanced -high in protein & calories -unrestricted fat -ensure adequate fluid intake Can a child with celiac disease eat malt? - correct answer no, it has gluten in it What should be done after administering PO suspension digoxin? - correct answer brush the child's teeth manifestations of digoxin toxicity - correct answer nausea, vomiting, decreased appetite indications of brainstem herniation - correct answer Cushing's triad: htn, bradycardia, decreased respirations interventions for lead toxicity - correct answer -diet rich in calcium, vitamin C, and iron -chelation therapy for lead levels 45 mcg/dL or greater expected findings following an appendectomy - correct answer -absence of peristalsis -WBC 10,000/mm3 indications of early septic shock - correct answer fever & chills plan of care pre-op for a preschooler with a Wilm's tumor - correct answer -avoid palpating the abdomen -auscultate bowel sounds -do not engage in play with other children - increases risk of injury -do not explain about pain till post op so as not to increase anxiety indications of SIADH - correct answer -low sodium level -high urine specific gravity -decreased urine output -hypoosmolality -overhydration -mental confusion -bounding pulses -increased BP -tachycardia