THIS ONE!!! ATI Peds proctored exam Review A+/Nursing Care of Children ATI Review

THIS ONE!!! ATI Peds proctored exam Review A+/Nursing Care of Children ATI Review /Nursing Care of Children ATI Review Hospice nursing and care is palliative care. Pain management and comfortable home care is priority, better than the hospital. Keeping patient in familiar surroundings is goal. Impending death, no cure for disease process– no experimental meds or treatments. Pain management is priority. Make a Wish Foundation, Pg 97, nursing focus on managing pain and comfort. Family is the primary caregiver – nurses make visits and teach family how to care for the patient, family just as important as client in this endeavor, sibling support very important, nurses support family through grieving process, attending funeral and follow-up visits to help manage grief. • Oral Iron Prep – use liquid form for or little ones. They need iron when they are anemic. Give Vitamin C to increase absorption. Use a straw to prevent teeth being stained and brush teeth afterward. Will cause constipation so increase fiber in diet and frequent fluids/breastfeeding preferred. • EMLA for pain management Pg 81 – assess pain score using Wong Faces OR FLACC if too little to answer the faces questions. EMLA topical before the procedure - 45 mins before. Explain procedures right before with toddlers and preschoolers, otherwise they worry too much. Magical thinking for preschoolers so they create fantasies that are scary (magical does not always mean happy stuff, they believe in monsters and they think that if they think the event, the event will come true – magical thinking.) They blame themselves when bad things happen because they thought a bad thought about the event. • Lab values for school age children. ( 6-12yr) Specifically CBC for leukemia. They’re into clubs and belonging to groups, like scouts and 4H. They are into team sports and WINNING ( and they will cheat to do so…) and collecting things. Younger school age children and older school aged children. Developmental milestones for 2,3,4 years old. When can they tie shoes, read, writing, ABC’s… etc. Who works with blocks? Don’t expect them to be too advanced. • Cleft lip, cleft palate – Post-op care • Neuro issues – when should the Moro, Babinski, palmar reflexes be in place? When will these reflexes diminish? • Epidurals – primary assessment for epidurals. Airway, then perfusion… check blood pressure first and then monitor skin integrity. • Peak flows – know yellow red and green colors and what they mean. • A newborn that has asymmetry of the neck may have a congenital muscular deformity called torticollis. • Lumbar puncture – position (before and after), NPO, how to keep from having adverse effects, do you put ice or heat, do you touch site? Lumbar puncture – pg 109 , positioning should include emptying bladder, use EMLA about 45 mins prior to procedure, side-lying, head flexed, knees drawn up., conscious sedation med used are fentanyl (Sublimaze) and midazolam (Versed) to help with pain and memory of pain. Collect 5 sets of CSF and send to lab. Pressure and elastic bandage to puncture site. Monitor for bleeding,