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Ati peds-nursing care of children exam study guide verified 100%

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Ati peds-nursing care of children exam study guide verified 100% Trust vs mistrust - correct answers-Birth to 1 year Solids introduced - correct answers-4-6 months How long for foods to be introduced one at a time - correct answers-5-7 days Indicators for readiness of solid foods - correct answers-Voluntary control of head and trunk, hunger less than four hours after nursing, or intake of 8 oz of formula Foods to be avoided - correct answers-Milk, eggs, wheat, citrus fruits, peanuts, pbutter, honey Piaget-birth to 1 yr - correct answers-Sensorimotor Piaget 1-3yrs - correct answers-Preoperational Erickson 1-3 yrs - correct answers-Autonomy versus shame and doubt Erickson 3-6 years - correct answers-Initiative vs guilt Piaget 2-4 years - correct answers-Preconceptial thought Piaget 4-7 years - correct answers-Intuitive thought Piaget 6-12year - correct answers-Concrete operations Erickson 6-12 years - correct answers-Industry vs inferiority Piaget 12-20 years - correct answers-Formal operations Erickson 12-20 years - correct answers-Identity vs role confusion CRIES scale - correct answers-Based on pain 32 wks of gestation to 20 wks of life FLACC scale - correct answers-Leg position, activity, consolibility, facial expressions, crying 2mths-7yrs FACES scale - correct answers-Faces to deem pain level 3 yrs or older Visual analog scale - correct answers-Child points to number 7 yrs and older Meningitis - correct answers-Dx-Csf with lumbar puncture Nursing actions-hold child in or for hematoma o/ infection. Remain in bed 4-8hrs after. Droplet ase environment ion w/o pillow. May prefer side lying or head size Reyes syndrome - correct answers-Testing to seperate from other disease. Sx- hypoglycemia, liver dysfunction, shock, cerebral edema. R/t recent viral illness and aspirin use. Five biopsy possible. Lp used to RO meningitis. Tonic phase - correct answers-Stiffening of muscles Clinic - correct answers-Rhythmic jerking EEG specs - correct answers-Abstain for hair before and after. Not be painful. Flashing lights possibly Seizure safety - correct answers-Safety.. Airway...suction oral secretions..turn on side post seiz...side lying.. Check vital signs .. Assess for injuries ..allow rest Aed - correct answers-Valium phenytoin tegretol depakote cerebryx Brudzinski - correct answers-Flexion of extremities including neck Kernigs - correct answers-Resistance to extension of the child's leg from flexed Cushing reflex - correct answers-Severe hypertension, widening pulse pressure, bradycardia Decorticate - correct answers-Arms, wrists, fingers flexed....bent inward to chest Decerebrate - correct answers-Arching of head and arms with legs extended, toes pointing downward some head injury signs - correct answers-decreasing loc, dilated & fixed o/ slow to react o/ nonreactive pupils, weird breathing Conductive hearing loss - correct answers-otitis media, external ear infection, foreign bodies, excessive ear wax sensorineural loss - correct answers-congentital defects, ototoxic meds, exposure to constant noise central auditory imperception - correct answers-all hearing loss, aphaisa, agnosia Pluse oximetery - correct answers-Used to monitor effectiveness of inhalation therapies O2 referance range - correct answers-95-100 normal, 91-100 acceptable, 85-89 illness Oxygen sat nursing actions - correct answers-note pulse reading compare w/ time to stabilize. if continuous assess skin q4hr, move sensor q24hr if indicated. report abnormal findings to hcp after confirming sensor proble placement, changing position, deep breathing, decreasing anxiety, & equipment working nebulized aersol therapy nursing actions - correct answers-take vital signs prior, inform parents 10-15 mins, sleep deep breaths throu

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Subido en
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Ati peds-
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nursing care of children exam study guid
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Trusthgvshgmistrusthg-hgcorrecthganswers-Birthhgtohg1hgyear

Solidshgintroducedhg-hgcorrecthganswers-4-6hgmonths

Howhglonghgforhgfoodshgtohgbehgintroducedhgonehgathgahgtimehg-hgcorrecthganswers-5-7hgdays

Indicatorshgforhgreadinesshgofhgsolidhgfoodshg-hgcorrecthganswers-
Voluntaryhgcontrolhgofhgheadhgandhgtrunk,hghungerhglesshgthanhgfourhghourshgafterhgnursing,hgorhgintakehgofhg8hgoz
hgofhgformula



Foodshgtohgbehgavoidedhg-hgcorrecthganswers-Milk,hgeggs,hgwheat,hgcitrushgfruits,hgpeanuts,hgpbutter,hghoney

Piaget-birthhgtohg1hgyrhg-hgcorrecthganswers-Sensorimotor

Piagethg1-3yrshg-hgcorrecthganswers-Preoperational

Ericksonhg1-3hgyrshg-hgcorrecthganswers-Autonomyhgversushgshamehgandhgdoubt

Ericksonhg3-6hgyearshg-hgcorrecthganswers-Initiativehgvshgguilt

Piagethg2-4hgyearshg-hgcorrecthganswers-Preconceptialhgthought

Piagethg4-7hgyearshg-hgcorrecthganswers-Intuitivehgthought

Piagethg6-12yearhg-hgcorrecthganswers-Concretehgoperations

Ericksonhg6-12hgyearshg-hgcorrecthganswers-Industryhgvshginferiority

Piagethg12-20hgyearshg-hgcorrecthganswers-Formalhgoperations

Ericksonhg12-20hgyearshg-hgcorrecthganswers-Identityhgvshgrolehgconfusion

CRIEShgscalehg-hgcorrecthganswers-Basedhgonhgpainhg32hgwkshgofhggestationhgtohg20hgwkshgofhglife

FLACChgscalehg-hgcorrecthganswers-Leghgposition,hgactivity,hgconsolibility,hgfacialhgexpressions,hgcryinghg2mths-
7yrs

FACEShgscalehg-hgcorrecthganswers-Faceshgtohgdeemhgpainhglevelhg3hgyrshgorhgolder

Visualhganaloghgscalehg-hgcorrecthganswers-Childhgpointshgtohgnumberhg7hgyrshgandhgolder

Meningitishg-hgcorrecthganswers-Dx-Csfhgwithhglumbarhgpuncture

, Nursinghgactions-holdhgchildhginhgposition.monitorhgforhghematomahgo/hginfection.hgRemainhginhgbedhg4-
8hrshgafter.hgDroplethgprecautions.decreasehgenvironmenthgstimuli.positionhgw/ohgpillow.hgMayhgpreferhgsidehgl
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Reyeshgsyndromehg-hgcorrecthganswers-Testinghgtohgseperatehgfromhgotherhgdisease.hgSx-
hghypoglycemia,hgliverhgdysfunction,hgshock,hgcerebralhgedema.hgR/thgrecenthgviralhgillnesshgandhgaspirinhguse.hgFi

vehgstages.liverhgbiopsyhgpossible.hgLphgusedhgtohgROhgmeningitis.

Tonichgphasehg-hgcorrecthganswers-Stiffeninghgofhgmuscles

Clinichg-hgcorrecthganswers-Rhythmichgjerking

EEGhgspecshg-hgcorrecthganswers-
Abstainhgforhgcaffeine.washhghairhgbeforehgandhgafter.hgNothgbehgpainful.hgFlashinghglightshgpossibly

Seizurehgsafetyhg-hgcorrecthganswers-
Safety..hgAirway...suctionhgoralhgsecretions..turnhgonhgsidehgposthgseiz...sidehglying..hgCheckhgvitalhgsignshg..hgAsse
sshgforhginjurieshg..allowhgrest

Aedhg-hgcorrecthganswers-Valiumhgphenytoinhgtegretolhgdepakotehgcerebryx

Brudzinskihg-hgcorrecthganswers-Flexionhgofhgextremitieshgincludinghgneck

Kernigshg-hgcorrecthganswers-Resistancehgtohgextensionhgofhgthehgchild'shgleghgfromhgflexed

Cushinghgreflexhg-hgcorrecthganswers-Severehghypertension,hgwideninghgpulsehgpressure,hgbradycardia

Decorticatehg-hgcorrecthganswers-Arms,hgwrists,hgfingershgflexed....benthginwardhgtohgchest

Decerebratehg-hgcorrecthganswers-
Archinghgofhgheadhgandhgarmshgwithhglegshgextended,hgtoeshgpointinghgdownward

somehgheadhginjuryhgsignshg-hgcorrecthganswers-
decreasinghgloc,hgdilatedhg&hgfixedhgo/hgslowhgtohgreacthgo/hgnonreactivehgpupils,hgweirdhgbreathing

Conductivehghearinghglosshg-hgcorrecthganswers-
otitishgmedia,hgexternalhgearhginfection,hgforeignhgbodies,hgexcessivehgearhgwax

sensorineuralhglosshg-hgcorrecthganswers-
congentitalhgdefects,hgototoxichgmeds,hgexposurehgtohgconstanthgnoise

centralhgauditoryhgimperceptionhg-hgcorrecthganswers-allhghearinghgloss,hgaphaisa,hgagnosia

Plusehgoximeteryhg-hgcorrecthganswers-Usedhgtohgmonitorhgeffectivenesshgofhginhalationhgtherapies

O2hgreferancehgrangehg-hgcorrecthganswers-95-100hgnormal,hg91-100hgacceptable,hg85-89hgillness

Oxygenhgsathgnursinghgactionshg-hgcorrecthganswers-
notehgpulsehgreadinghgcomparehgw/radial.allowhgtimehgtohgstabilize.hgifhgcontinuoushgassesshgskinhgq4hr,hgmoveh
gsensorhgq24hrhgifhgindicated.hgreporthgabnormalhgfindingshgtohghcphgafterhgconfirminghgsensorhgproblehgplacem

ent,hgchanginghgposition,hgdeephgbreathing,hgdecreasinghganxiety,hg&hgequipmenthgworking
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