Ati Peds Nursing Care Of Children Proctored Exam With Ngn Latest Updated 2024 With Complete Solutions

ATI PEDS NURSING CARE OF CHILDREN PROCTORED EXAM WITH NGN LATEST UPDATED 2024 WITH COMPLETE SOLUTIONS Early signs of hypoxemia - tachypnea, tachycardia, restlessness, eleveated bp, pallor of skin/membranes. Signs of respiratory distress late signs of hypoxemia - confusion and stupor, cyanosis, bradypnea, bradycardia hypotension, cardiac dysrhytmias oxygen therapy nursing actions -do not allow oxygen to blow directly in face of infants. monitor temp for hypothermia. decrease environmental stimuli, promote rest, d/c gradually oxygen hood - 4-5 L/min. ensure upper body doesn rup oxygen tent - older than 2-3 months. use plastic/ vinyl toys. cluster care to avoid letting out oxygen oxygen toxicity - may result from high concentrations. S/S substernal pain, nasal stuffiness, n & v, headache, fatigue, sore throat, hypoventilations. suctioning - pre- vitals signs, hyperoxygenate, high o/ fowlers. suction pressure-110 (child) 95( infants). allow 30-60 sec recovery times. advance till resistance is met. suction attempt 5-10 secs long, 2-3x. hyperoxygenate after. suctioning complications - decreasing sats or cyanosis artificial airways nursing actions - children under 8yrs must use uncuffed endotracheal tube. Assess stoma site/vital signs. provide humidifications to thin secretions and decrease mucous pluggings. oral care q2hr. provide trach care q8hr. reposition q2hr. accidental decannulation in 1st 72 hrs after sugery is emergency. tonsillitis - hx of otitis media, hearing difficulties, sore throat w/ swallowing. lab tests throat culture for group a strept. preop cbc to assess anemia/infections tonsil nursing actions - elevate head, asses for bleeding (clearing the throat, restlessness, bright red emesis, tachycardia/ pallor, frqt swallowing). Vitals/airways/ difficulty breathing. Comfort- ice collar/ keep throat moist/ pain meds. Diet- clear liquids/fluids after gag reflex returns. soft bland foods. No coughing/ throat clearing/ nose blowing/ no pointed object. Maybe blood tinged mucous or clots in vomit. tonsil client education - full recovery w/n ten days to 2 wks. limit strenous activity and physical play/ swimming for 2 wks. Trust vs mistrust - Birth to 1 year Solids introduced - 4-6 months How long for foods to be introduced one at a time - 5-7 days Indicators for readiness of solid foods -Voluntary control of head and trunk, hunger less than four hours after nursing, or intake of 8 oz of formula Foods to be avoided - Milk, eggs, wheat, citrus fruits, peanuts, pbutter, honey Piaget-birth to 1 yr - Sensorimotor Piaget 1-3yrs - Preoperational Erickson 1-3 yrs - Autonomy versus shame and doubt Erickson 3-6 years - Initiative vs guilt Piaget 2-4 years - Preconceptial thought Piaget 4-7 years - Intuitive thought Piaget 6-12year - Concrete operations Erickson 6-12 years - Industry vs inferiority Piaget 12-20 years - Formal operations Erickson 12-20 years - Identity vs role confusion CRIES scale - Based on pain 32 wks of gestation to 20 wks of life FLACC scale - Leg position, activity, consolibility, facial expressions, crying 2mths-7yrs FACES scale - Faces to deem pain level 3 yrs or older Visual analog scale - Child points to number 7 yrs and older