ATI Pediatrics Proctored Exam With Correct Solutions

ATI Pediatrics Proctored Exam With Correct Solutions What happens to the voice during epiglottitis? - it becomes hoarse sodium normal range - 135-145 manifestations of pneumonia in infants - nasal flaring increased WBCs diarrhea abdominal distention What is an expected finding of endocarditis? - headache What is an expected finding in a school-age child with glomerulonephritis? - brown colored urine McBurney's point - -lower right abdomen -pain in appendicitis Celiac disease expected findings - -steatorrhea -distended abdomen -weight loss What type of vomiting is common with pyloric stenosis? - projectile vomiting What is used to treat scabies lesions? - permethrin 5% cream manifestation of pertussis - dry hacking cough manifestation of acute streptococcal pharyngitis - inflamed throat with exudate manifestation of bacterial conjunctivitis - purulent eye drainage Koplik spots - rubeola (measles Diabetes insipidus lab values - -dilute urine/low specific gravity -high sodium -normal blood glucose -polyuria (excessive urine output) minimal change nephrotic syndrome management - -dietary fluid restriction -low sodium diet -corticosteroids How often should a child with asthma get pulmonary function tests? - every 12-24 months lumbar puncture nursing care - -apply topical analgesic to the lumbar site 60 min prior to procedure -place in prone position or flat in bed for up to 12 hours to prevent post procedural spinal headache -encourage to drink extra fluids to replace CSF CF diet - -well-balanced -high in protein & calories -unrestricted fat -ensure adequate fluid intake Can a child with celiac disease eat malt? - no, it has gluten in it What should be done after administering PO suspension digoxin? - brush the child's teeth manifestations of digoxin toxicity - nausea, vomiting, decreased appetite indications of brainstem herniation - Cushing's triad: htn, bradycardia, decreased respirations interventions for lead toxicity - -diet rich in calcium, vitamin C, and iron -chelation therapy for lead levels 45 mcg/dL or greater expected findings following an appendectomy - -absence of peristalsis -WBC >10,000/mm3 indications of early septic shock - fever & chills plan of care pre-op for a preschooler with a Wilm's tumor - -avoid palpating the abdomen -auscultate bowel sounds -do not engage in play with other children - increases risk of injury -do not explain about pain till post op so as not to increase anxiety indications of SIADH - -low sodium level -high urine specific gravity -decreased urine output -hypoosmolality -overhydration -mental confusion -bounding pulses -increased BP -tachycardia An allergy to neomycin, eggs, or gelatin contraindicates what vaccine? - MMR wheezes - high-pitched, musical, whistling-like sounds heard primarily on expiration as air passes through and vibrates narrowed airways crackles - -high-pitched, short, and noncontinuous sounds heard usually at the end of inspiration -occur when air expands deflated alveoli or when the passage of air through small airways is disrupted