ATI Pediatrics Proctored Exam Rated A+ 2024

ATI Pediatrics Proctored Exam Rated A+ 2024 hand preference all kids normally show hand preference by 1 year old plaster casts -heavy -not water resistant -dry in 10-72 hrs fiberglass casts -light weight -water resistant -dry in 15-20 min types of traction Skin traction: -Buck -Bryant -Russell Skeletal traction Halo traction -cervical traction care for traction -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 -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. 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. 180 mL/hr What happens to the voice during epiglottitis? it becomes hoarse Leukotreine modifiers -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) -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 -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 tylenol with hydrocodone dornase alpha decreases viscosity of secretions (thins mucous) for CF patients tobramycin aerosolized antibiotics used for CF Norwood procedure -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 periods of apnea alternating with 2 or 3 shallow breaths Cheyne-Stokes respirations periods of apnea alternating with periods of hyperventilation What gauge needle should be used when administering an immunization to a toddler? 24 gauge sodium normal range 135-145 Recommended play activities for infant, toddler, preschool, and school age children Infant: play pat-a cake Toddler: push-pull toy Preschool: play dress-up School age: create a scrapbook protecting against SIDS -supine to sleep -empty bed: firm mattress only -breastfeeding -use of pacifier while sleeping manifestations of pneumonia in infants nasal flaring increased WBCs diarrhea abdominal distention steps to take during a tonic-clonic seizure **FIRST: assist child to side-lying position on the floor then... -apply O2 mask -clear immediate area -loosen restrictive clothing A nurse is preparing to administer ibuprofen f5 mg/kg q6h PRN for temps above 38 degrees F to an infant who weights 17.6 lb. The infant has a temp of 38.4. Available is ibuprofen liquid 100 mg/5 mL. How many mL should the nurse administer to the infant per dose? Round to nearest whole number. 2 mL What is an indication of IICP in a child with a concussion? forceful vomiting What is an expected finding of endocarditis? headache What is an expected finding in a school-age child with glomerulonephritis? brown colored urine