ATI Peds Study Guide
1. Newborn screening results- complications of infants (ch 42): necrotizingenterocolitis-
inflammatory disease of GI mucosa----complication is short bowel syndrome (absorption
disorder)
2. Teaching about digoxin oral solution (ch 20): administer digoxin every 12hours
direct oral med toward side and back of mouth when administeringgive water following
administration
3. Chronic neuromusculoskeletal disorders- providing teaching about in- creased ICP (ch 29):
Provide constant monitoring for hypotension, hypoxemia, respiratory rate for a full minute,
temp and color
Cool extremity with skin that blanches= arterial obstructioninsertion site
clean dressing
prevent bleeding by maintaining extremity in STRAIGHT POSITION for 4-8 hrsMonitor I
and O, hypoglycemia,oral intake is good, encourage child to void
increase liquid to remove dye from body
4. Cardiovascular disorders- postprocedural care for cardiac cath (ch 20): po- tential
complications: nausea, vomiting, low grade fever, loss of pulse in catheterized extremity,
dysrhythmias, acute hemorrage
Apply direct continous pressure ABOVE the catheter entry site to localize pressureover
location of the vessel puncture
put the child in a flat position to reduce gravitational effect on rate of bleedingnotify provider
immediately
prepare for possible administration of replacement fluidsiodine allergies- contraindicated
NPO status 4-6 hrs prior
5. Rheumatic fever: erythemaelevated c reactive protein
6. Communicable diseases- locating koplik spots (ch 36): koplik spots (rubeo- la) appear in
mouth 2 days before rash; then red/reddish brown rash begins on faceand spreads down
7. Organ neoplasms- teaching about radiation therapy (ch 39): teach child and family to wash
marked areas with lukewarm water, use hands instead of washcloth, pat dry, don't remove
, markings,
avoid soaps, creams. lotions powders unless perscribedloose cotton clothing
protect areas from the sun
seek medical care for blisters, weeping, red skin
8. Gi disorders- post op care for cleft palate repair (ch 23): Post op nursing actions- don't let
infant suck on pacifier, don't use spoons forks etc, assess copingand support, change position
frequently (abdomen) , maintain IV fluids, clear liquiddiet for 24 hrs, elbow restraints can be
needed, face mask to deliver oxygen
use normal saline, water, or diluted hydrogen peroxide, asipirate secretions of mouth
9. Seizures- caring for a child during a tonic clonic seizure (ch 13): place childin side lying
position
10. Planning care for an infant who has bronchiolitis (ch 17): rhinorrhea,test nasopharyngeal
secretions (RSV) detection
Supplemental oxygen, fluid intake, iv fluids, bronchodilators are not recommendedCPT not
recommended
naso suctioning as needed
encourage breast feeding
11. Post op tonsillectomy (ch 17): assess for evidence of bleeding- SWALLOW-ING,
clearning throat, restlessness, etc
Provide an ice collar, tetracaine lollipops, ice chiips/water
clear liquids and fluids (avoid red colored liquids, citrus, and milk)Discourage coughing and
nose blowing, avoid straws
Notify provider if bright red bleeding occurs
12. Nursing actions for a child who has epiglottitis (ch 17):
13. Burns- finding to report in a toddler who has a full thickness burn (ch 32):
14. Priority intervention for osteomyelitis (ch 27): immobilize and elevate theextremity
IV and oral therapy
hepatic, hematologic, renal functionmonitor for cdiff
long term antibiotic therapy monitor hearing (ototoxicity)avoid bearing weight
proper nutrtition
1. Newborn screening results- complications of infants (ch 42): necrotizingenterocolitis-
inflammatory disease of GI mucosa----complication is short bowel syndrome (absorption
disorder)
2. Teaching about digoxin oral solution (ch 20): administer digoxin every 12hours
direct oral med toward side and back of mouth when administeringgive water following
administration
3. Chronic neuromusculoskeletal disorders- providing teaching about in- creased ICP (ch 29):
Provide constant monitoring for hypotension, hypoxemia, respiratory rate for a full minute,
temp and color
Cool extremity with skin that blanches= arterial obstructioninsertion site
clean dressing
prevent bleeding by maintaining extremity in STRAIGHT POSITION for 4-8 hrsMonitor I
and O, hypoglycemia,oral intake is good, encourage child to void
increase liquid to remove dye from body
4. Cardiovascular disorders- postprocedural care for cardiac cath (ch 20): po- tential
complications: nausea, vomiting, low grade fever, loss of pulse in catheterized extremity,
dysrhythmias, acute hemorrage
Apply direct continous pressure ABOVE the catheter entry site to localize pressureover
location of the vessel puncture
put the child in a flat position to reduce gravitational effect on rate of bleedingnotify provider
immediately
prepare for possible administration of replacement fluidsiodine allergies- contraindicated
NPO status 4-6 hrs prior
5. Rheumatic fever: erythemaelevated c reactive protein
6. Communicable diseases- locating koplik spots (ch 36): koplik spots (rubeo- la) appear in
mouth 2 days before rash; then red/reddish brown rash begins on faceand spreads down
7. Organ neoplasms- teaching about radiation therapy (ch 39): teach child and family to wash
marked areas with lukewarm water, use hands instead of washcloth, pat dry, don't remove
, markings,
avoid soaps, creams. lotions powders unless perscribedloose cotton clothing
protect areas from the sun
seek medical care for blisters, weeping, red skin
8. Gi disorders- post op care for cleft palate repair (ch 23): Post op nursing actions- don't let
infant suck on pacifier, don't use spoons forks etc, assess copingand support, change position
frequently (abdomen) , maintain IV fluids, clear liquiddiet for 24 hrs, elbow restraints can be
needed, face mask to deliver oxygen
use normal saline, water, or diluted hydrogen peroxide, asipirate secretions of mouth
9. Seizures- caring for a child during a tonic clonic seizure (ch 13): place childin side lying
position
10. Planning care for an infant who has bronchiolitis (ch 17): rhinorrhea,test nasopharyngeal
secretions (RSV) detection
Supplemental oxygen, fluid intake, iv fluids, bronchodilators are not recommendedCPT not
recommended
naso suctioning as needed
encourage breast feeding
11. Post op tonsillectomy (ch 17): assess for evidence of bleeding- SWALLOW-ING,
clearning throat, restlessness, etc
Provide an ice collar, tetracaine lollipops, ice chiips/water
clear liquids and fluids (avoid red colored liquids, citrus, and milk)Discourage coughing and
nose blowing, avoid straws
Notify provider if bright red bleeding occurs
12. Nursing actions for a child who has epiglottitis (ch 17):
13. Burns- finding to report in a toddler who has a full thickness burn (ch 32):
14. Priority intervention for osteomyelitis (ch 27): immobilize and elevate theextremity
IV and oral therapy
hepatic, hematologic, renal functionmonitor for cdiff
long term antibiotic therapy monitor hearing (ototoxicity)avoid bearing weight
proper nutrtition
