Galen College of Nursing Pediatrics Exam 2 Final (Pediatrics Final/ATI) Questions With Complete Solutions

Most common post op complication of tonsillectomy? correct answer: hemorrhage Risk time for hemorrhage after tonsillectomy? correct answer: 10 days to 2 weeks post op Signs and symptoms of hemorrhage after tonsillectomy? correct answer: restlessness, swallowing frequently, low BP (late sign) How should child lay post op to prevent hemorrhage from tonsillectomy? correct answer: side lying or on abdomen What should the child avoid after a tonsillectomy post op? correct answer: coughing or blowing nose How should xrays be taken to see the section of the lung behind the heart (lingual)? correct answer: Laterally Why are lateral xrays needed to view the lingual area? correct answer: a common site for pneumonia If a child is "barking" and has hoarseness and inspiratory stridor what might they have? correct answer: croup What does inspiratory stridor sound like? correct answer: a gasp If stridor reduces in a child previously showing stridor, what can that mean? correct answer: blockage and imminent respiratory failure Do not put anything in the __________ of a child with acute epiglottitis. correct answer: Mouth Acute LTB correct answer: Croup symptoms, Inflammation mucosa lining larynx & trachea causing narrowing airway-subglottic area narrowest part causes respiratory acidosis Diagnosis of Asthma is correct answer: peak expiratory flow (PEF) Treatment of Asthma is correct answer: beta agonists such as albuterol to relieve bronchospasms Preventing chronic problems with Asthma treatment correct answer: anti-inflamatories such as corticosteroids treatment for an emergency with Asthma attack correct answer: repeat dose q15min twice, on 3rd dose call ambulance Parents need education about beta agonists, what should a nurse advise? correct answer: don't give them around the clock, they should be prn, do not abuse Common side effects of beta agonists correct answer: nervousness, tachycardia What is Cystic Fibrosis? correct answer: Sludge, or increased viscosity of mucous, a build up of thick, sticky mucus in the lungs What diet should a patient with cystic fibrosis eat? correct answer: high protein, high calorie Signs and symptoms of Increased Intracranial pressure correct answer: High pitched cry, difficult to soothe, tense and bulging fontanels, cranial sutures separated, setting sun eyes, distended scalp veins, headache, vomiting, seizures, diplopia, irritability/restlessness, drowsiness, indifference, decrease in physical activity & motor skills, complaints of fatigue, somnolence, weight loss Late signs of increased ICP correct answer: decreased LOC, decreased motor response to command, decrea