ATI CMS Nursing Care of Children9
Assisting with administration of nasogastric enteral feeding for an infant (x2) - ANSWERS-
Position the head of crib at 30 degree angle between feedings
Planning to administer a nasogastric enteral feeding - ANSWERS-Always confirm placement first
(with pH- you cannot just auscultate to confirm placement) then aspirate contents
Best food options for a child who has phenylketonuria - ANSWERS-Child with PKU cannot digest
phenylalanine, which is present in most animal products
Caring for a child in buck's traction - ANSWERS-This is a skin traction of the lower extremity;
make sure that knots are away from pulleys, that the leg remains extended, that weights are
free-hanging at all times, that blankets do not cover ropes and that the child cannot reach or
interfere with the mechanism
Converting ounces to mL - ANSWERS-1 oz = 30 mL
Dietary recommendations for a child who has celiac disease (x2) - ANSWERS-Child with celiac
disease cannot process plant protein gluten (present in wheat, barley, rye). Avoid oats b/c
usually contaminated with gluten. Rice is okay!
Dietary recommendations for child with lactose intolerance - ANSWERS-Child needs
supplementary calcium and vitamin D intake, as the dairy products that they cannot consume
are high in calcium. Also, take lactase when consuming a dairy product.
Findings associated with poststreptococcal glomerulonephritis - ANSWERS-Oliguria
, Nutritional needs of the child who has acute postreptococcal glomerulonephritis - ANSWERS-
Sodium restrictions (they are puffy and edematous and sodium follows water; limit it)
Reinforcing Dietary Teaching for a Child who is recovering from Glomerulnephritis - ANSWERS-
Pick lowest sodium option: apples
Identifying nutritional risks in an adolescent - ANSWERS-Adolescents tend to eat a lot of junk
foods high in calories but low in other nutritional content. At risk for inadequate micronutrient
nutrition.
Priority findings to report with skeletal traction - ANSWERS-Skeletal traction consists of force
applied directly to bones through pins. Increased crusting or purulent drainage, along with
other signs of infection, should be reported to provider.
Priority intervention during a lumbar puncture - ANSWERS-Immediately after the procedure,
maintain the child in their side lying position to prevent injury to the spinal nerves.
Responding to a patient's refusal of medication - ANSWERS-"Provide the parent with vaccine
information sheet." (Don't ask why, don't question them, don't tell them they HAVE to get
vaccine)
Identifying risk factors for Urinary Tract Infection - ANSWERS-Constipation (bowel movements
every 4-5 days), urinary stasis, episode/hypospadias
Assisting with scoliosis screenings for school age children - ANSWERS-Stand with feet together
and then bend down as if touching toes, back parallel to floor
Checking skin turgor in a child - ANSWERS-Best on abdomen
Assisting with administration of nasogastric enteral feeding for an infant (x2) - ANSWERS-
Position the head of crib at 30 degree angle between feedings
Planning to administer a nasogastric enteral feeding - ANSWERS-Always confirm placement first
(with pH- you cannot just auscultate to confirm placement) then aspirate contents
Best food options for a child who has phenylketonuria - ANSWERS-Child with PKU cannot digest
phenylalanine, which is present in most animal products
Caring for a child in buck's traction - ANSWERS-This is a skin traction of the lower extremity;
make sure that knots are away from pulleys, that the leg remains extended, that weights are
free-hanging at all times, that blankets do not cover ropes and that the child cannot reach or
interfere with the mechanism
Converting ounces to mL - ANSWERS-1 oz = 30 mL
Dietary recommendations for a child who has celiac disease (x2) - ANSWERS-Child with celiac
disease cannot process plant protein gluten (present in wheat, barley, rye). Avoid oats b/c
usually contaminated with gluten. Rice is okay!
Dietary recommendations for child with lactose intolerance - ANSWERS-Child needs
supplementary calcium and vitamin D intake, as the dairy products that they cannot consume
are high in calcium. Also, take lactase when consuming a dairy product.
Findings associated with poststreptococcal glomerulonephritis - ANSWERS-Oliguria
, Nutritional needs of the child who has acute postreptococcal glomerulonephritis - ANSWERS-
Sodium restrictions (they are puffy and edematous and sodium follows water; limit it)
Reinforcing Dietary Teaching for a Child who is recovering from Glomerulnephritis - ANSWERS-
Pick lowest sodium option: apples
Identifying nutritional risks in an adolescent - ANSWERS-Adolescents tend to eat a lot of junk
foods high in calories but low in other nutritional content. At risk for inadequate micronutrient
nutrition.
Priority findings to report with skeletal traction - ANSWERS-Skeletal traction consists of force
applied directly to bones through pins. Increased crusting or purulent drainage, along with
other signs of infection, should be reported to provider.
Priority intervention during a lumbar puncture - ANSWERS-Immediately after the procedure,
maintain the child in their side lying position to prevent injury to the spinal nerves.
Responding to a patient's refusal of medication - ANSWERS-"Provide the parent with vaccine
information sheet." (Don't ask why, don't question them, don't tell them they HAVE to get
vaccine)
Identifying risk factors for Urinary Tract Infection - ANSWERS-Constipation (bowel movements
every 4-5 days), urinary stasis, episode/hypospadias
Assisting with scoliosis screenings for school age children - ANSWERS-Stand with feet together
and then bend down as if touching toes, back parallel to floor
Checking skin turgor in a child - ANSWERS-Best on abdomen
