RN VATI NURSING CARE OF CHILDREN ASSESSMENT REMEDIATION.
RN VATI NURSING CARE OF CHILDREN ASSESSMENT REMEDIATION
❖ Management of Care – (1)
➢ Collaboration with Interdisciplinary Team – (1)
▪ Asthma: Priority Finding to Report (Active Learning Template – System
Disorder, RM NCC RN 10.0 Chp 18)
• Signs of an asthma exacerbation – decreased PEFR, increased use of SABA,
difficulty speaking or eating
• Status asthmaticus – a life-threatening episode of airway obstruction that is often
unresponsive to common treatment
◆ Manifestations: include wheezing, labored breathing, nasal flaring, lack of air
movement in lungs, use of accessory muscles, distended neck veins, and risk
for cardiac and respiratory arrest
• Respiratory failure – persistent hypoxemia related to asthma can lead to
respiratory failure
❖ Safety and Infection Control – (3)
➢ Accident/Error/Injury Prevention – (1)
▪ Health Promotion of Toddlers (1 to 3 Years): Teaching a Parent About Injury
Prevention (Active Learning Template – Basic Concept, RM NCC RN 10.0 Chp
4)
• Aspiration of foreign objects – small object that can become lodged in the throat
should be avoided. Toys that have small parts should be kept out of reach. Age-
appropriate toys should be provided. Clothing should be checked for safety
hazards. Balloons should be kept away from toddlers. Parents should know
emergency procedures for choking.
• Bodily harm – sharp objects should be kept out of reach. Firearms should be kept
in locked boxes or cabinets. Toddlers should not be left unattended with any
animals present. Toddlers should be taught stranger safety.
• Burns – the temperature of bath water should be checked. Thermostats on hot
water heaters should be turned down to less than 49’C (120’F). Working
smoke detectors should be kept in the home. Pot handles should be turned
toward the back of the stove. Electrical outlets should be covered. Toddlers
should wear sunscreen when outside.
• Drowning – toddlers should not be left unattended in bathtubs. Toilet lids
should be kept closed. Toddlers should be closely supervised when near pools
or any other body of water. Toddlers should be taught how to swim.
• Falls – doors and windows should be kept locked. Crib mattresses should be
kep in the lowest position with the rails all the way up. Safety gates should be
used across the top and bottom of stairs.
• Motor-vehicle injuries – infants and toddlers remain in rear-facing car seat umtil
the age of 2 years or the height recommended by the manufacturer. Toddlers
over the age of 2 years, or who excess the height recommendations for rear-
facing car seats, are moved to a forward-facing car seat. Safest area for infants
and children is in the backseat of a car. Do not place rear-facing car seats in the
front seat of vehicles with deployable passenger airbags.
• Poisoning – exposure to lead pain should be avoided. Safety locks should be
placed on cabinets that contain cleaners and other chemicals. The phone number
for a poison control center should be kept near the phone. Medications should be
This study source was downloaded by 100000832558064 from CourseHero.com on 03-31-2022 11:20:06 GMT -05:00
https://www.coursehero.com/file/45566684/RN-VATI-NURSING-CARE-OF-CHILDREN-ASSESSMENT-REMEDIATIONdocx/
, RN VATI NURSING CARE OF CHILDREN ASSESSMENT REMEDIATION.
kept in childproof containers, away from the reach of toddlers. A working
carbon monoxide detector should be placed in the home.
• Suffocation – plastic bags should be avoided. Crib mattresses should fit tightly.
Crib slats should be no farther apart than 6 cm (2.375 in). Pillows should be
kept out of cribs. Drawstrings should be removed from jackets and other
clothing.
➢ Home Safety – (1)
▪ Hematologic Disorders: Developing a Safety Plan for a Child Who Has
Hemophilia (Active Learning Template – System Disorder, RM NCC RN 10.0 Chp
21)
• Teach parents to prevent bleeding at home – environment should be made as
safe as possible to prevent injury. Provide a safe home and a play environment.
Set activity restrictions to avoid injury. Acceptable activities include low-contact
sports. While participating in these activities, children should wear protective
equipment. Encourage the use of soft-bristled toothbrushes.
• Encourage regular exercise and physical therapy after active bleeding is
controlled. Encourage the family to maintain up-to-date immunizations. Teach
the
importance of wearing medical identification. Teach manifestations of internal
bleeding and hemarthrosis. Teach to control bleeding episodes using the RICE
(rest, ice, compression, elevation) method. Encourage the family to participate in
a support group
➢ Standard Precautions/Transmission-Based Precautions/Surgical Asepsis – (1)
▪ Acute and Infectious Respiratory Illnesses: Developing a Plan of Care for An Infant
Who Has Respiratory Syncytial Virus (Active Learning Template – System
Disorder, RM NCC RN 10.0 Chp 17)
• Use a cool-air vaporizer to provide humidity. Rest during febrile illness.
Maintain adequate fluid intake. Infants may be given commercially prepared
rehydration solutions, and older children may be given sports drinks. Administer
medications using accurate dosages and appropriate time intervals. Develop
strategies to decrease the spread of infection. Strategies include performing good
hand hygiene; covering the nose and mouth with tissues when sneezing and
coughing; properly disposing of tissues; not sharing cups, eating utensils, and
towel, and keeping infected children from contact with children who are well.
Seek further medical attention for the child if symptoms worse or respiratory
distress occurs.
❖ Health Promotion and Maintenance – (2)
➢ Developmental Stages and Transitions – (2)
▪ Health Promotion of Infants (2 Days to 1 Year): Teaching Parents About Expected
Language Development (Active Learning Template – Growth and Development,
RN NCC RN 10.0 Chp 3)
• Crying is the first form of verbal communication. Infants cry for 1-1.5 hrs each
day up to 3 weeks of age and build up to 2-4 hr by 6 weeks. Crying decreases by
12 weeks of age. Vocalizes with cooing noises by 3-4 months. Shows
considerable interest in the environment by 3 months. Turns head to the sound of
a rattle by 3 months. Laughs and squeals by 4 months. Makes single vowel
sounds by 2 months. By 3-4 months the consonants are added. Begins speaking
two-word phrases and progresses to speaking three-word phrases. Says three t five
fords by the age of 1 year. Comprehends the word “no” by 9-10 months and obeys
single commands accompanied by gestures.
This study source was downloaded by 100000832558064 from CourseHero.com on 03-31-2022 11:20:06 GMT -05:00
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RN VATI NURSING CARE OF CHILDREN ASSESSMENT REMEDIATION
❖ Management of Care – (1)
➢ Collaboration with Interdisciplinary Team – (1)
▪ Asthma: Priority Finding to Report (Active Learning Template – System
Disorder, RM NCC RN 10.0 Chp 18)
• Signs of an asthma exacerbation – decreased PEFR, increased use of SABA,
difficulty speaking or eating
• Status asthmaticus – a life-threatening episode of airway obstruction that is often
unresponsive to common treatment
◆ Manifestations: include wheezing, labored breathing, nasal flaring, lack of air
movement in lungs, use of accessory muscles, distended neck veins, and risk
for cardiac and respiratory arrest
• Respiratory failure – persistent hypoxemia related to asthma can lead to
respiratory failure
❖ Safety and Infection Control – (3)
➢ Accident/Error/Injury Prevention – (1)
▪ Health Promotion of Toddlers (1 to 3 Years): Teaching a Parent About Injury
Prevention (Active Learning Template – Basic Concept, RM NCC RN 10.0 Chp
4)
• Aspiration of foreign objects – small object that can become lodged in the throat
should be avoided. Toys that have small parts should be kept out of reach. Age-
appropriate toys should be provided. Clothing should be checked for safety
hazards. Balloons should be kept away from toddlers. Parents should know
emergency procedures for choking.
• Bodily harm – sharp objects should be kept out of reach. Firearms should be kept
in locked boxes or cabinets. Toddlers should not be left unattended with any
animals present. Toddlers should be taught stranger safety.
• Burns – the temperature of bath water should be checked. Thermostats on hot
water heaters should be turned down to less than 49’C (120’F). Working
smoke detectors should be kept in the home. Pot handles should be turned
toward the back of the stove. Electrical outlets should be covered. Toddlers
should wear sunscreen when outside.
• Drowning – toddlers should not be left unattended in bathtubs. Toilet lids
should be kept closed. Toddlers should be closely supervised when near pools
or any other body of water. Toddlers should be taught how to swim.
• Falls – doors and windows should be kept locked. Crib mattresses should be
kep in the lowest position with the rails all the way up. Safety gates should be
used across the top and bottom of stairs.
• Motor-vehicle injuries – infants and toddlers remain in rear-facing car seat umtil
the age of 2 years or the height recommended by the manufacturer. Toddlers
over the age of 2 years, or who excess the height recommendations for rear-
facing car seats, are moved to a forward-facing car seat. Safest area for infants
and children is in the backseat of a car. Do not place rear-facing car seats in the
front seat of vehicles with deployable passenger airbags.
• Poisoning – exposure to lead pain should be avoided. Safety locks should be
placed on cabinets that contain cleaners and other chemicals. The phone number
for a poison control center should be kept near the phone. Medications should be
This study source was downloaded by 100000832558064 from CourseHero.com on 03-31-2022 11:20:06 GMT -05:00
https://www.coursehero.com/file/45566684/RN-VATI-NURSING-CARE-OF-CHILDREN-ASSESSMENT-REMEDIATIONdocx/
, RN VATI NURSING CARE OF CHILDREN ASSESSMENT REMEDIATION.
kept in childproof containers, away from the reach of toddlers. A working
carbon monoxide detector should be placed in the home.
• Suffocation – plastic bags should be avoided. Crib mattresses should fit tightly.
Crib slats should be no farther apart than 6 cm (2.375 in). Pillows should be
kept out of cribs. Drawstrings should be removed from jackets and other
clothing.
➢ Home Safety – (1)
▪ Hematologic Disorders: Developing a Safety Plan for a Child Who Has
Hemophilia (Active Learning Template – System Disorder, RM NCC RN 10.0 Chp
21)
• Teach parents to prevent bleeding at home – environment should be made as
safe as possible to prevent injury. Provide a safe home and a play environment.
Set activity restrictions to avoid injury. Acceptable activities include low-contact
sports. While participating in these activities, children should wear protective
equipment. Encourage the use of soft-bristled toothbrushes.
• Encourage regular exercise and physical therapy after active bleeding is
controlled. Encourage the family to maintain up-to-date immunizations. Teach
the
importance of wearing medical identification. Teach manifestations of internal
bleeding and hemarthrosis. Teach to control bleeding episodes using the RICE
(rest, ice, compression, elevation) method. Encourage the family to participate in
a support group
➢ Standard Precautions/Transmission-Based Precautions/Surgical Asepsis – (1)
▪ Acute and Infectious Respiratory Illnesses: Developing a Plan of Care for An Infant
Who Has Respiratory Syncytial Virus (Active Learning Template – System
Disorder, RM NCC RN 10.0 Chp 17)
• Use a cool-air vaporizer to provide humidity. Rest during febrile illness.
Maintain adequate fluid intake. Infants may be given commercially prepared
rehydration solutions, and older children may be given sports drinks. Administer
medications using accurate dosages and appropriate time intervals. Develop
strategies to decrease the spread of infection. Strategies include performing good
hand hygiene; covering the nose and mouth with tissues when sneezing and
coughing; properly disposing of tissues; not sharing cups, eating utensils, and
towel, and keeping infected children from contact with children who are well.
Seek further medical attention for the child if symptoms worse or respiratory
distress occurs.
❖ Health Promotion and Maintenance – (2)
➢ Developmental Stages and Transitions – (2)
▪ Health Promotion of Infants (2 Days to 1 Year): Teaching Parents About Expected
Language Development (Active Learning Template – Growth and Development,
RN NCC RN 10.0 Chp 3)
• Crying is the first form of verbal communication. Infants cry for 1-1.5 hrs each
day up to 3 weeks of age and build up to 2-4 hr by 6 weeks. Crying decreases by
12 weeks of age. Vocalizes with cooing noises by 3-4 months. Shows
considerable interest in the environment by 3 months. Turns head to the sound of
a rattle by 3 months. Laughs and squeals by 4 months. Makes single vowel
sounds by 2 months. By 3-4 months the consonants are added. Begins speaking
two-word phrases and progresses to speaking three-word phrases. Says three t five
fords by the age of 1 year. Comprehends the word “no” by 9-10 months and obeys
single commands accompanied by gestures.
This study source was downloaded by 100000832558064 from CourseHero.com on 03-31-2022 11:20:06 GMT -05:00
https://www.coursehero.com/file/45566684/RN-VATI-NURSING-CARE-OF-CHILDREN-ASSESSMENT-REMEDIATIONdocx/
