ATI Proctored PEDs, ATI Pediatrics Proctored Exam, PEDS ATI proctored review 2023

ATI Proctored PEDs, ATI Pediatrics Proctored Exam, PEDS ATI proctored review 2023 Preschool-Aged Children Body-Integrity with bandages - CORRECT ANWERS - Preschool-aged children are very concerned about their body integrity - They believe that their insides can leak our from even a small wound. - Explains reason for their preoccupation Preschool (3-6 Years) - CORRECT ANWERS - IMITATION of adults: providing a stethoscope allows child an opportunity for THERAPEUTIC play. - Time based on events, magical thinking, animism, centration. - Stress = Regresion; may still be picky eaters , sleep 12 hours average, pedestrian safety - Keep a consistent bedtime routine Pyloromyotomy - CORRECT ANWERS - Release of hypertrophied muscle around the pyloric sphincter that causes narrowing of the pyloric canal. - Infants will be fed shortly postoperative (with return of bowel sounds) in small, frequent oral feeds. - There is no incision to the gastric walls or mucosa and NPO is not required. Chemotherapy - CORRECT ANWERS - Low WBC count places the child at risk for infection and isolation with monitoring of fever is priority. ↓RBC - CORRECT ANWERS - Quiet play and best rest, administer O2 ↓ Platelet - CORRECT ANWERS - Protect child from injury and monitor for bleeding. - Quiet play should be encouraged, it will lessen the R/F injury and ↓ hemorrhage Dehydration - CORRECT ANWERS - Assessment, response to parenteral fluids. the nurse should weigh the patient daily because weight is the most sensitive indicator of hydration status in clients of all ages. - Weight is the only measurement the reflects both measurable fluid balance changes (I/O) and insensible fluid loss (skin and respiratory) Skeletal Traction - CORRECT ANWERS The most effective means of traction, applying to a bone with wire pins or tongs Compartment Syndrome - CORRECT ANWERS Involves the compression of nerves and blood vessels due to swelling within the enclosed space created by the fascia that separates groups of muscles Acute Glomerulonephritis - CORRECT ANWERS - ASO titer will indicate if the child has had a recent strep infection. In determining a definitive diagnosis for acute glomerulonephritis. - Elevated RBCs is expected and the presence of hematuria - Monitor B.P. Q4hr due to ↑HTN Myelomeningocele - CORRECT ANWERS - Hydrocephalus; is a post-operative risk because the pathway for the cerebral spinal fluid has been altered. - Infants --> Measure the head circumference Qshift. - children with NTDs usually produce too much cerebral spinal fluid and once the sac is removed, there is nowhere for this additional CSF to accumulate except in the ventricles of the brain. Intussusception - CORRECT ANWERS - 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. Nephrotic Syndrome Prednisone - CORRECT ANWERS - In nephrotic syndrome it acts on the body to decrease the excretion of protein, and thus helps flush fluids back to their normal spaces. - Extra fluid is excreted in the urine and decreases edema that can be measured in weight loss. Spinal Fusion - CORRECT ANWERS - Log rolling Q2hr promotes good pulmonary, gastrointestinal and genitourinary functioning. It also allows the nurse the opportunity to assess the clients lengthy posterior spinal dressing for drainage or bleeding. - Pt. doesn't ambulate until fusion stabilizes about 4-5 days post-op, elevated HOB @ 2- 3 days post-op Milwaukee brace - CORRECT ANWERS - Worn for scoliosis , stabilizes the spine from the neck to the pelvis. It must be removed daily for hygiene care, but that is all. Once the curves has stabilized and spinal growth is nearly complete the ortho surgeon will begin to wean the client out of the brace, but continues to wear it in the evening and at night. The brace will often be worn at night several years after growth is complete to maintain the spinal correction. Steroid Inhaler - CORRECT ANWERS - Help manage asthma be decreasing reactivity of the airways by preventing or lessening the inflammatory process