ATI Pediatrics Proctored

hand preference - correct answer all kids normally show hand preference by 1 year old plaster casts - correct answer -heavy -not water resistant -dry in 10-72 hrs fiberglass casts - correct answer -light weight -water resistant -dry in 15-20 min types of traction - correct answer Skin traction: -Buck -Bryant -Russell Skeletal traction Halo traction -cervical traction care for traction - correct answer -assess pin sites -ensure hardware is tight -ensure bed is in correct position -ensure weights do not touch floor Halo: ensure wrench is readily available surgical intervention for scoliosis - correct answer -realign (2 rods on either side of spine) -internal fixation -fusion The child is prescribed lanoxin (Digoxin) 75 mcg PO qd. The pharmacy supplies lanoxin (Digoxin) 0.05mg scored tablets. How many tablets will the nurse administer? Record your answer using one decimal place. - correct answer 1.5 tablets The physician orders the patient a 10-mL/kg normal saline bolus to infuse over 2 hours. The child weighs 36 kg. Calculate the infusion rate in mL/hr. - correct answer 180 mL/hr What happens to the voice during epiglottitis? - correct answer it becomes hoarse Leukotreine modifiers - correct answer -Blocks leukotriene receptors or synthesis of leukotrienes (Singulair) -Side effects: headache, nausea, abdominal pain, increase infections if over age 55, depression, suicidal, aggression -Generally well tolerated. -Monitor for improvement in symptoms Cromolyn (Intal) and nedocomil (Tilade) - correct answer -Anti-inflammatory agents that inhibit release of histamine, leukotrienes, -Prevention or maintenance drugs -Administered by inhalation, onset of action in 2-4 weeks -Side effects: cough, headache, throat irritation, GI upset Long acting beta-adrenergics - correct answer -Salmeterol (Serevent) -used twice daily -Added to anti-inflammatory therapy -Not for acute symptoms due to onset of action in 20 minutes with peak in 3-4 hours Lortab - correct answer tylenol with hydrocodone dornase alpha - correct answer decreases viscosity of secretions (thins mucous) for CF patients tobramycin - correct answer aerosolized antibiotics used for CF Norwood procedure - correct answer -Treats hypoplastic left heart -3 stages -done shortly after birth -Right ventricle is converted: connects aorta to right ventricle -Between step 1&2 is highest risk for death -bi-directional Glenn operation (stage 2, under 6 mo. old) -superior vena cava redirected to lungs -Fontan operation (1.5-3 yrs old) -inferior vena cava redirected to lungs Heart transplant is another option Biot's respirations - correct answer periods of apnea alternating with 2 or 3 shallow breaths Cheyne-Stokes respirations - correct answer periods of apnea alternating with periods of hyperventilation What gauge needle should be used when administering an immunization to a toddler? - correct answer 24 gauge sodium normal range - correct answer 135-145