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ATI proctored nursing care of children Exam/73 Questions & Answers
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ATI proctored nursing care of childrenExam/73 Questions & Answers
If a child has an allergy to neomycin with a anapylactic reaction what vaccine
should you withhold? or an allergy to eggs or gelatin - -measles, mumps,
rubella (MMR)
-what is an indication of bacterial meningitis? - -increased protein
concentration, increased WBC, decreased glucose level, increased
cerebrospinal fluid pressure
-normal HCT for a child - -32 - 44%
-what can a child experience with a low HCT? - -tachycardia,
lightheadedness, fatigue, dyspnea, pallor
-normal wbc for child - -5,000 - 10,000 mm3
-normal platelet for child - -150,000-400,000
-normal Hgb for child - -9.5-14 g/dL
-normal prealbumin for child - -15-33 mg/dL
-pavlik harness - -used for hip dysplasia in infants
Remove only to take baths, place diapers under the harness straps, do not
use products becuase can cause skin irritation, and do not adjust straps
-peritonitis - -inflammation of the peritoneum (membrane lining the
abdominal cavity and surrounding the organs within it)
abdominal distension, chills, irritability, restlessness
-scoliosis - -should expect to see a unilateral rib hump with hip flexion
-peristalis - -involuntary waves of muscle involves contractions of the
smooth muscles that push the food toward the stomach
-what should you expect with a child following a perforated appendix repair?
- -absence of peristalsis
-what to do following a lumbar puncture? - -apply topical analgesic 1 hr
before, place client in prone or flat position for up to 12 hours after,
encourage to drink extra fluids
, -nursing interventions for a child with an epidural hematoma? - -neuro
checks q15mins, avoid suctioning nares, implement seizure activity, position
infant midline slightly elevated
-nursing interventions for a child scheudled for a wound debridement? - -
apply topical ointment following hydrotherapy, apply gauze after therapy,
administer an analgesic beforehand, and AVOID prophylactic antibiotic
therapy
-who can sign consent? - -over 18 y/o, parent of a minor, or if under 18 and
married can sign themselves
-nursing interventions for a child in a tonic clonic seizure. - -turn to side, no
food or drink, nothing by mouth (meds)
-epinephrine - -treats anaphylaxis
-Prednisone - -treats severe inflammation
Anti-inflammatory
-Diphenhydramine - -Benadryl, decreases allergic reaction
-Albuterol - -Bronchodilator, improves childs breathing
-ventricular septal defect - -nurse should expect to hear a loud harsh
murmur due to the left to right shunting of blood
-coarction of the aorta (CoA) - -narrowing of the aorta, should expect to
have high blood pressure and weak femoral pulses
-indication of early septic shock - -increased heart rate, normal BP, fever
and chills, normal urinary output
-how to test for a sickle turbidity test - -perform a finger stick, if test is
positive hemoglobin electrophoresis is required to distinguish b/w children
who have the genetic trait and children who have the disease
-McBurney's point - -A point on the right side of the abdomen, about two-
thirds of the distance between the umbilicus and the anterior bony
prominence of the hip
-normal urine output for an adolescent - -33 to 62.5 mL/hr
-Osteomyelitis Nursing Interventions - -avoided bearing weight, antibiotics
for several weeks
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