ATI PEDIATRICS PROCTORED EXAM UPDATE 2023

ATI PEDIATRICS PROCTORED E XAM UPDATE 2023 Down syndrome - ANSWERS -Congenital heart malformation, hypotonicity, dysfuncti on of immune system, thyroid dysfunction, leukemia, vision and hearing loss. Dry mucus membranes due to mouth breathing, increased risk for respiratory infection, cool mist humidification. Droplet Precaution - ANSWERS -Used to reduce the transmission of d iseases such as pertussis, meningitis, pneumonia, and rubella. These diseases can be transmitted through contact of the mucous membranes of the eye, mouth, or nose with large particle droplets that occur through sneezing, coughing, and talking. Epiglottit is - ANSWERS -Comfortable position Epiglottitis - ANSWERS -D/O caused by inflammation and it has been decreased since the inclusion of the HiB vaccine; it is common in children between 2 -6. Epiglottitis nursing interventions - ANSWERS -Avoid throat culture or tongue blade, IV corticosteroids, droplet precautions for first 24 hours after IV antibiotics initiated. Failure to thrive nursing plan of care - ANSWERS -Consistent nursing care fiberglass casts - ANSWERS --light weight -water resistant -dry in 15 -20 min Fifth Disease - ANSWERS -- Slapped cheek rash, fever, runny nose, headache - Secondary rash may appear on body especially soles of feet. - Weakened immune system = anemia, infections. For what disease should non -washable items be sealed in a plastic bag for 14 days? - ANSWERS -pediculosis For what type of burn would you insert and NG tube? - ANSWERS -a major burn - to empty the contents of the stomach & maintain decompression GERD priority to report - ANSWERS -Wheezing Glomerulonephritis lab value to be present - ANSWERS -Antistreptolysin (ASO titer) H&H levels - ANSWERS -HCT -2 MO=28 -42% -6-12 YR=35 -45% -12-18 YR=37 -49% M, 36 -46% F HGB -2 MO=9 -14 -6-12 YR=11.5 -15.5 -12-18 YR=13 -16 M, 12 -16 F hand preference - ANSWERS -all kids normally s how hand preference by 1 year old Head injury what to report - ANSWERS -Vomiting Head lice - ANSWERS -Comb nits off Hemolytic uremic syndrome nurse should expect which labs - ANSWERS -Acute renal failure, hemolytic anemia, thrombocytopenia. Decreased H&H. Hemorrhage Cystitis - ANSWERS -is the sudden onset of hematuria combined with bladder pain and irritative bladder symptoms. - mesna (Mesnex) protect the bladder. HIV Preschooler - ANSWERS -- Immunizations contraindicated for this patient is the oral polio - the child is susceptible to infection and must be immunized to the common preventable childhood diseases. - However, the oral polio vaccine contains a form of the virus that in SOME clients can lead to an actual case of polio, this risk is increased wi th HIV and must receive the injectable form of the polio immunization. Home safety SATA - ANSWERS -Put safety gates at the top and bottom of stairs, crib mattress in lowest position How do you administer iron elixir patient teaching - ANSWERS -similar to Q uestion 3 page 129 - -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 vita min C to increase absorption -use z -track into deep muscle for parenteral injected; do not massage after How often should a child with asthma get pulmonary function tests? - ANSWERS -every 12-24 months How to assess eyes - ANSWERS -Tumbling E or HOTV test to check visual acuity for children unable to read letters or numbers How to test visual acuity in 4 year old - ANSWERS -Tumbling e chart Hypothyroidism - ANSWERS -- Child is not manufacturing an adequate amount of thyroid hormone to maintain the appropriate metabolic rate. - Daily doses of thyroid hormone = normalized metabolism. Iliac crest - ANSWERS -Bone marrow aspiration. Immunization to prepare 4 months old for - ANSWERS -Inactivated polio Immunocompromised - ANSWERS -Contraindication: RV (Rotavirus), MMR, VAR (Varicella) Impetigo contagiosa - ANSWERS -Contact isolation precautions Infant Hospitalized - ANSWERS -- Stranger anxiety, phys ical behaviors = pain , sleep deprivation --> Infants who's parents aren't present place close to nurses station, consistency in caregivers. Infant Nutrition - ANSWERS -- Cow's milk is the most common food allergen, sensitive to protein (Casein) - Egg Whit es (Albumin) --> allergen Infants Death - ANSWERS -- No concept, egocentric thinking doesn't allow for understanding, MIRROR parental emotions, regress to earlier stage of behavior Influenza vaccine - ANSWERS -Contraindication: Eggs, LAIV, Immunocompromise d, <2y.o., chronic disease. Inhaled gasoline S/S - ANSWERS -Ataxia, hyperreflexia, pin point eyes Instruct parent of DM sick child - ANSWERS -Increase fluids Insulin teaching - ANSWERS -Increase fluid Intussusception - ANSWERS -- Diagnosed with a barium enema, which may also correct the condition; the telescoping of the bowel may be reduced by the hydrostatic pressure of the barium enema.