ATI CMS. Nursing Care of Children 100%
Questions and Answers
•Assisting with administration of nasogastric enteral feeding for an infant (x2): Position the head of crib at 30
degree angle between feedings
•Planning to administer a nasogastric enteral feeding:
Always confirm place- ment first (with pH- you cannot
just auscultate to confirm placement) then aspirate
contents
•Best food options for a child who has phenylketonuria:
Child with PKU cannot digest phenylalanine, which is
present in most animal products
•Caring for a child in buck's traction: 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: 1 oz = 30 mL
•Dietary recommendations for a child who has celiac disease (x2): 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: 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: Oliguria
•Nutritional needs of the child who has acute postreptococcal glomeru- lonephritis: Sodium restrictions (they are puffy and edematous and sodium follows water; limit it)
•Reinforcing Dietary Teaching for a Child who is recovering from Glomerul- nephritis: Pick lowest sodium option: apples
•Identifying nutritional risks in an adolescent:
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: 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: Immediately after the proce- dure, maintain the child in their side lying position to prevent injury to the spinal nerves
.
•Responding to a patient's refusal of medication: "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: Constipation (bowel move- ments every 4-5 days), urinary stasis, episode/hypospadias
•Assisting with scoliosis screenings for school age
children: Stand with feet together and then bend down
as if touching toes, back parallel to floor
•Checking skin turgor in a child: Best on abdomen
•Deviation from expected growth and development for a 12 month old infant: Birth weight should be tripled
•Expected behavior for a 7 year old female child: Spends a lot of time by herself
•Facilitating communication for a child who has hearing
loss: Speak slowly, facing the patient, avoid
exaggerated movements, use facial expressions and
hand gestures
•Interventions to promote sleep for a toddler: Provide a
Questions and Answers
•Assisting with administration of nasogastric enteral feeding for an infant (x2): Position the head of crib at 30
degree angle between feedings
•Planning to administer a nasogastric enteral feeding:
Always confirm place- ment first (with pH- you cannot
just auscultate to confirm placement) then aspirate
contents
•Best food options for a child who has phenylketonuria:
Child with PKU cannot digest phenylalanine, which is
present in most animal products
•Caring for a child in buck's traction: 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: 1 oz = 30 mL
•Dietary recommendations for a child who has celiac disease (x2): 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: 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: Oliguria
•Nutritional needs of the child who has acute postreptococcal glomeru- lonephritis: Sodium restrictions (they are puffy and edematous and sodium follows water; limit it)
•Reinforcing Dietary Teaching for a Child who is recovering from Glomerul- nephritis: Pick lowest sodium option: apples
•Identifying nutritional risks in an adolescent:
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: 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: Immediately after the proce- dure, maintain the child in their side lying position to prevent injury to the spinal nerves
.
•Responding to a patient's refusal of medication: "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: Constipation (bowel move- ments every 4-5 days), urinary stasis, episode/hypospadias
•Assisting with scoliosis screenings for school age
children: Stand with feet together and then bend down
as if touching toes, back parallel to floor
•Checking skin turgor in a child: Best on abdomen
•Deviation from expected growth and development for a 12 month old infant: Birth weight should be tripled
•Expected behavior for a 7 year old female child: Spends a lot of time by herself
•Facilitating communication for a child who has hearing
loss: Speak slowly, facing the patient, avoid
exaggerated movements, use facial expressions and
hand gestures
•Interventions to promote sleep for a toddler: Provide a
