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Nursing Peds Ati Proctored Study Notes

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NURSING PEDS ATI PROCTORED STUDY NOTES

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NURSING PEDS ATI PROCTORED STUDY
NOTES




Questions from test:
KNOW LAB VALUES: BUN, creatine, respiratory rates, HR, serum glucose, phenaline,
phenylketone 2 year old develpment, what woud you report to the provider? 30 words?




-celiac disease menu, oj and eggs? or meats? Gramham crackers and peanut butter?




-patient has 10% burn on body, finding report to provider. Urine output 35ml/hr




Cycstic fibrousis, creatine or BUN monitor? Increase or decrease. Bun 6. BUN 12. Creatine 1.4.
creatine
0.3. (note:creatine and bun determine kidney function)

a nurse is caring for a child who is in the ER after ingesting a bottle of acetaminophen which of
the following meds should the nurse plan to give

acetylcysteine
-antedote for acetaminophen overdose or poisoning

a nurse is teaching the parents of a child who has rheumatic fever. which of the following
statements by a parent indicates an understanding of the teaching

,NURSING PEDS ATI PROCTORED STUDY
NOTES
my child may take aspirin for his joint pain




-post cardiac cath, report to provider. Cool extermites below cath site.

A: Weakend pedal pulses bilat.




Findings in celiac - stetorhea




-therapuetic effect for opiod pain? titrate till sedation (wrong)?

,NURSING PEDS ATI PROCTORED STUDY
NOTES



After admin IV gentamacin for menningtits, following actions. Is and O's?




Expected findings of appendicitis - The most common symptom of appendicitis is abdominal
pain. Typically, symptoms begin as periumbilical or epigastric pain migrating to the right lower
quadrant (RLQ) of the abdomen.




Pt comes in with submersion injury, priority action. intubation? Iv?

Priority Action for Submersion Injury - Signs and symptoms of near drowning include respiratory
distress, tachypnea, rales, wheezing and possible hypothermia. Obviously, initial management
includes the ABCs
— Airway, Breathing and Circulation.




Dornase alfa (pulmozyme)

decreases viscosity of mucus and improves lung function. improvement monitored by pfts. use
once daily.




cycstic fib expected findings?

absence of pancreatic enzymes, positive sputum culture, thick yellow-grey mucous, meconium
ileus at birth, large loose fatty sticky foul smelling stools, distended abdomen, thin arm & legs,

, NURSING PEDS ATI PROCTORED STUDY
NOTES
sweat tears saliva abnormally salty, viscous cervical mucous, absent/ decreased sperm. lab-
sweat chloride test, normal <40 meq/l. stool analysis for azotorrhera (stinky from protein) and
statorrhea (undigested fat). blood glucose. xray.




-post tonsillectomy actions. straw? side lying?

A: Comfort- ice collar/ keep throat moist/ pain meds.




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.

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