Pediatric ATI Remediation, ATI peds
remediation, Peds proctored ATI
remediation, Peds proctored ATI
remediation, Pediatric ATI Remediation
2016
Pediatric Emergencies: Lead Poisoning (Ch. 42) - ANS-Low exposure- easily distracted,
impulsive, hyperactive, hearing impairment, and mild intellectual difficulty
-high expose- cognitive delays varying in severity, blindness, paralysis, coma, seizures and
death
-Other manifestations:: kidney impairment, impaired calcium function and anemia
-TX:: chelation therapy using calcium EDTA
Safe Administration of Medication: Restraining Methods for an Infant (Ch. 8) - ANS-Use a 24 to
29 gauge catheter
-Use play therapy
-Apply EMLA to the site for 60 minutes prior to attempt
-Allow parents parents to stay if they prefer
-Use therapeutic holding
-Swaddle infants
-Offer nonnutritive sucking to infants before, during and after the procedure
Psychosocial Issues of Infants, Children and Adolescents: Indicators of Child abuse (Ch. 43) -
ANS-assess for unusual bruising on ABD, back and buttocks
-Bruises at different stages of healing =ongoing beatings
-glove or stocking like on hands and feet, forced emersion into boiling substance-fx with rare
features (forearm spiral fx) or mult. fx
-photograph all visable injuries
-use open ended questions that require a direct response
Family-Centered Nursing Care: Identifying Community Resources for a Single Mother (Ch. 1) -
ANS-agreed upon partnerships b/t families of children, nurses, and HCP, in which the family and
child benefits
-respecting cultures and implementing them in POC
-understanding growth & development needs
-working with all types of families
-collaborating with others
,-allow families to be experts regarding their child's health
Musculoskeletal Congenital Disorders : Evaluating Parent Understanding of a Pavlik Harness
(Ch. 28) - ANS-Encourage application of a cotton shirt and cotton socks under harness to
prevent irritation
-Avoidance of powders and lotions
-Instruct family to keep harness on continuously, except during bathing
-Teach and reinforce skin care
-Assess families ability to adjust harness
Pain Management: Rating a Child's Postoperative pain level (Ch. 9) - ANS-FLACC (2 months to
7 years): assess behaviors of the child
-FACES (3 years and older): using diagram of six faces
-Oucher (3-13 years): pain on a scale of 0 to 5 using six photographs
-Numeric scale (5 years and older): rate pain on scale of 1-10
-Non-communicating children's pain (3-18 years): behaviors observed for 10 min & categories
scored from 0 to 3
Cardiovascular Disorders: Withholding Digoxin (Ch. 20) - ANSContraindicated in:
-Hypersensitivity;
-Uncontrolled ventricular arrhythmias;
-AV block (in absence of pacemaker);
-Idiopathic hypertrophic subaortic stenosis;
-Constrictive pericarditis;
-Known alcohol intolerance (elixir only).
-Withold when infants pulse is less than 90/min and when children's pulse rate is less than
70/min
-monitor for toxicity AEB bradycardia, dysrhythmias, N/V, anorexia
Chronic Neuromusculoskeletal disorders: Teaching About Prednisone (Ch. 29) - ANS-provide
symptomatic relief of inflammation and pain. reserved for life threatening complications
-administer via eye, oral, IV.
(injection into intra-articular space may provide effective pain relief)
-lowest dose possible
-monitor ht. wt.
-avoid exposure to infectious agents
Cystic Fibrosis: Teaching about Dornase Alfa (Ch. 19) - ANS-decreases vicosity of mucous and
improve lung function
-monitor sputum thicken and ability of client to epectorate
-Instruct child how to use a nebulizer
-Instruct child to administer one/day
-Monitor child for tremors and tachycardia
, Hematologic Disorders: Teaching about Administration of Ferrous Sulfate Elixir (Ch. 21) -
ANS-Give 1 hr before or 2 hr after mild or antacid to prevent decreased absorption
-GI upset (diarrhea, constipation, nausea) is common at the start of therapy
-if tolerated, administer iron supplements on empty stomach
-give with vitamin C to increase absorption
-use z-track into deep muscle for parenteral injected; do not massage after
Cystic Fibrosis: Providing Teaching to Prevent Complications (Ch. 19) - ANS-perform chest
physiotherapy (CPT) with postural drainage as prescribed
-Provide well-balanced diet high in protein and calories
-Encourage physical exercise
-Contact isolation
-Obtain sputum for culture and sensitivity
-Obtain IV access
Fractures: Priority action Following Cast Application (Ch. 27) - ANS-Assess neurovascular
status of extremity
-Elevate affected limb above level of heart during first 24-48 hours to prevent swelling
-apply ice for the first 24 hours to decrease swelling
-turn and position every 2 ours
-do not use heat lamps or warm dryers
Gastrointestinal Structural and Inflammatory Disorders: Planning Postoperative Care for Meckel
Diverticulum (Ch. 23) - ANS-Assess respiratory status and maintain airway
-provide supplemental oxygen as prescribed
-obtain vitals
-administer analgesics for pain
-assess surgical site for bleeding or any other abnormalities
-Maintain NPO status
-Maintain NG to low continuous suction
Hemodialysis and Peritoneal Dialysis: Performing Peritoneal Dialysis (Ch. 57) - ANS-assess dry
weight (obtained when dialysate is drained) serum electrolytes, creatinine, BUN and blood
glucose
-determine clients ability to perform self-peritoneal dialysis and follow sterile technique
-warm dialysate prior to instilling
-Instruct client about possibly feeling fullness when dialysate is instilling
-monitor color (clear, light yellow is expected) and amount of outflow (expected to equal or
exceed amount of inflow)
Organ Neoplasms: Teaching About Radiation Therapy (Ch. 39) - ANS-Instruct child and family
not to wash of marks on skin tat outline targeted areas
-Encourage wearing loose cotton clothing
remediation, Peds proctored ATI
remediation, Peds proctored ATI
remediation, Pediatric ATI Remediation
2016
Pediatric Emergencies: Lead Poisoning (Ch. 42) - ANS-Low exposure- easily distracted,
impulsive, hyperactive, hearing impairment, and mild intellectual difficulty
-high expose- cognitive delays varying in severity, blindness, paralysis, coma, seizures and
death
-Other manifestations:: kidney impairment, impaired calcium function and anemia
-TX:: chelation therapy using calcium EDTA
Safe Administration of Medication: Restraining Methods for an Infant (Ch. 8) - ANS-Use a 24 to
29 gauge catheter
-Use play therapy
-Apply EMLA to the site for 60 minutes prior to attempt
-Allow parents parents to stay if they prefer
-Use therapeutic holding
-Swaddle infants
-Offer nonnutritive sucking to infants before, during and after the procedure
Psychosocial Issues of Infants, Children and Adolescents: Indicators of Child abuse (Ch. 43) -
ANS-assess for unusual bruising on ABD, back and buttocks
-Bruises at different stages of healing =ongoing beatings
-glove or stocking like on hands and feet, forced emersion into boiling substance-fx with rare
features (forearm spiral fx) or mult. fx
-photograph all visable injuries
-use open ended questions that require a direct response
Family-Centered Nursing Care: Identifying Community Resources for a Single Mother (Ch. 1) -
ANS-agreed upon partnerships b/t families of children, nurses, and HCP, in which the family and
child benefits
-respecting cultures and implementing them in POC
-understanding growth & development needs
-working with all types of families
-collaborating with others
,-allow families to be experts regarding their child's health
Musculoskeletal Congenital Disorders : Evaluating Parent Understanding of a Pavlik Harness
(Ch. 28) - ANS-Encourage application of a cotton shirt and cotton socks under harness to
prevent irritation
-Avoidance of powders and lotions
-Instruct family to keep harness on continuously, except during bathing
-Teach and reinforce skin care
-Assess families ability to adjust harness
Pain Management: Rating a Child's Postoperative pain level (Ch. 9) - ANS-FLACC (2 months to
7 years): assess behaviors of the child
-FACES (3 years and older): using diagram of six faces
-Oucher (3-13 years): pain on a scale of 0 to 5 using six photographs
-Numeric scale (5 years and older): rate pain on scale of 1-10
-Non-communicating children's pain (3-18 years): behaviors observed for 10 min & categories
scored from 0 to 3
Cardiovascular Disorders: Withholding Digoxin (Ch. 20) - ANSContraindicated in:
-Hypersensitivity;
-Uncontrolled ventricular arrhythmias;
-AV block (in absence of pacemaker);
-Idiopathic hypertrophic subaortic stenosis;
-Constrictive pericarditis;
-Known alcohol intolerance (elixir only).
-Withold when infants pulse is less than 90/min and when children's pulse rate is less than
70/min
-monitor for toxicity AEB bradycardia, dysrhythmias, N/V, anorexia
Chronic Neuromusculoskeletal disorders: Teaching About Prednisone (Ch. 29) - ANS-provide
symptomatic relief of inflammation and pain. reserved for life threatening complications
-administer via eye, oral, IV.
(injection into intra-articular space may provide effective pain relief)
-lowest dose possible
-monitor ht. wt.
-avoid exposure to infectious agents
Cystic Fibrosis: Teaching about Dornase Alfa (Ch. 19) - ANS-decreases vicosity of mucous and
improve lung function
-monitor sputum thicken and ability of client to epectorate
-Instruct child how to use a nebulizer
-Instruct child to administer one/day
-Monitor child for tremors and tachycardia
, Hematologic Disorders: Teaching about Administration of Ferrous Sulfate Elixir (Ch. 21) -
ANS-Give 1 hr before or 2 hr after mild or antacid to prevent decreased absorption
-GI upset (diarrhea, constipation, nausea) is common at the start of therapy
-if tolerated, administer iron supplements on empty stomach
-give with vitamin C to increase absorption
-use z-track into deep muscle for parenteral injected; do not massage after
Cystic Fibrosis: Providing Teaching to Prevent Complications (Ch. 19) - ANS-perform chest
physiotherapy (CPT) with postural drainage as prescribed
-Provide well-balanced diet high in protein and calories
-Encourage physical exercise
-Contact isolation
-Obtain sputum for culture and sensitivity
-Obtain IV access
Fractures: Priority action Following Cast Application (Ch. 27) - ANS-Assess neurovascular
status of extremity
-Elevate affected limb above level of heart during first 24-48 hours to prevent swelling
-apply ice for the first 24 hours to decrease swelling
-turn and position every 2 ours
-do not use heat lamps or warm dryers
Gastrointestinal Structural and Inflammatory Disorders: Planning Postoperative Care for Meckel
Diverticulum (Ch. 23) - ANS-Assess respiratory status and maintain airway
-provide supplemental oxygen as prescribed
-obtain vitals
-administer analgesics for pain
-assess surgical site for bleeding or any other abnormalities
-Maintain NPO status
-Maintain NG to low continuous suction
Hemodialysis and Peritoneal Dialysis: Performing Peritoneal Dialysis (Ch. 57) - ANS-assess dry
weight (obtained when dialysate is drained) serum electrolytes, creatinine, BUN and blood
glucose
-determine clients ability to perform self-peritoneal dialysis and follow sterile technique
-warm dialysate prior to instilling
-Instruct client about possibly feeling fullness when dialysate is instilling
-monitor color (clear, light yellow is expected) and amount of outflow (expected to equal or
exceed amount of inflow)
Organ Neoplasms: Teaching About Radiation Therapy (Ch. 39) - ANS-Instruct child and family
not to wash of marks on skin tat outline targeted areas
-Encourage wearing loose cotton clothing
