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ATI proctored nursing care of children Already Graded 100% COMPLETE.pdf

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ATI proctored nursing care of children|Already Graded 100% COMPLETE


(Dyskinetic) nonspastic Cerebral Palsy - ansCerebral palsy that involves continuous involuntary movements associated with
hyperbilirubinemia and damage to basal nuclei ganglion; manifestations include drooling and uncontrollable movements of the
face and extremeties

(pyramidal) Spastic Cerebral Palsy - ansA type of cerebral palsy in which the person has very tight muscles occurring in one or
more muscle groups, resulting in stiff, uncoordinated movements (ankle clonus, exaggerated strech reflex, contractures)

Acute Streptococcal Pharyngitis - ansinflamed throat with exudate, strep throat

Albuterol - ansBronchodilator, improves childs breathing

Allergic blood transfusion reactions - ansMild- Itching, hives, flushing- Administer benadryl
Anaphylactic- wheezing, dyspnea, chest tightness, cyanosis, hypotension
-maintain airway, admin. 02, IV fluids, antihistamines, corticosteroids, and vasopressors

anaphylactic reaction - anssevere reaction occurring immediately after exposure to a drug; characterized by respiratory distress
and vascular collapse

appendicitis - ansinflammation of the vermiform appendix, treat with morphine

Ataxic Cerebral Palsy - ansa type of cerebral palsy that is characterized by poor balance and equilibrium in addition to
uncoordinated voluntary movement. But can still walk with a slow gait

Bacterial conjunctivitis - anspinkeye; very contagious, purulent eye drainage

bucks traction nursing interventions - ansmaintain supine position, assess peripheral pulses every 4 hours, head flat

burns treatment - ansno prophylactic antibiotic therapy, cleanse area with mild soap and water, apply antimicrobial ointment, for
major burn management maintain decompression of stomach via NG tube

celiac disease - ansNO barley, wheat, oat, rye. substitute with soy, rice & corn

child milestones - ans4 y/o: cuts outline shape using scrissors
5 y/o: draws stick figure with seven body parts
6 y/o: spread butter with utensils & identifies right from left hand

childs vital signs - ansBP: S:86-118, D:44-74
HR: 80-120
RR:20-25/min

coarction of the aorta (CoA) - ansnarrowing of the aorta, should expect to have high blood pressure and weak femoral pulses

cystic fibrosis nutrition - ansadminister pancreatic enzyme within 30 minutes of eating, may need to increase dosage by
provider until steatorrhea resolves, encourage fluids, increase fat content to 35-40% of toal caloric intake

Dehydration manifestations - ansskin breakdown, hypotension, hyperpyrexia, tachypnea

diabetes insipidus - ansantidiuretic hormone is not secreted adequately, or the kidney is resistant to its effect. normal blood
glucose, extremely thirsty & dehydrated. Expect higher sodium due to excessive loss of free water.

Diaper dermatitis treatment - ansKeeping the area dry and applying Zinc Oxide and petrolatum.

Digoxin - anscardiac glycoside, brush teeth after to avoid teeth decay from sweetened liquid, vomiting is a sign of toxicity

Diphenhydramine - ansBenadryl, decreases allergic reaction

epinephrine - anstreats anaphylaxis

Epinephrine medication - ansgiven to help breathing during a anaphylactic reaction

Febrile blood transfusion reaction - ansChills, fever, headache, flushing, tachycardia, anxiety.

Hemolytic transfusion reaction - ansBack pain is an adverse reaction, hypotension, tachycardia



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high serum lead level in children - ans> 45 mcg/dL provide chelating agents, but in some cases > 10 mcg/dL, provide high
calcium diet to help decrease lead absorption, yearly screenings

how to test for a sickle turbidity test - ansperform 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

Hypopituitarism - ansstate of deficient pituitary gland activity, stunts growth, use recombinant growth hormone medication

If a child has an allergy to neomycin with a anapylactic reaction what vaccine should you withhold? or an allergy to eggs or
gelatin - ansmeasles, mumps, rubella (MMR)

indication of early septic shock - ansincreased heart rate, normal BP, fever and chills, normal urinary output

intussusception - anstelescoping of a segment of the intestine within itself, lethragy and vomiting are expected due to episodes
of severe pain and obstruction

Kawasaki disease - ans(inflammation of blood vessles, hence the strawberry tongue) causes coronary artery aneurysms.
sudden and recent deprivation of food (protein)

Kussmaul respirations - ansDeep, rapid breathing; usually the result of an accumulation of certain acids when insulin is not
available in the body. In keto acidosis.

Marsamus - anssevere lack of food over a long period of time, resulting from inadewuate energy & protein

McBurney's point - ansA 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

Meningitis manifestations - ansheadaches, nuchal rigidity, positive kernig's sign

needle size for 4 y/o childs immunizations - ans22 - 25 gauge needle to minimize pain

normal HCT for a child - ans32 - 44%

normal Hgb for child - ans9.5-14 g/dL

normal platelet for child - ans150,000-400,000

normal prealbumin for child - ans15-33 mg/dL

normal urine output for an adolescent - ans33 to 62.5 mL/hr

normal wbc for child - ans5,000 - 10,000 mm3

nuchal rigidity - ansstiffness in cervical neck area

nursing interventions for a child in a tonic clonic seizure. - ansturn to side, no food or drink, nothing by mouth (meds)

nursing interventions for a child scheudled for a wound debridement? - ansapply topical ointment following hydrotherapy, apply
gauze after therapy, administer an analgesic beforehand, and AVOID prophylactic antibiotic therapy

nursing interventions for a child with an epidural hematoma? - ansneuro checks q15mins, avoid suctioning nares, implement
seizure activity, position infant midline slightly elevated

nursing interventions for tunnneled central venous access device - anssemipermeable transparent dressing, use a noncoding
angles or striaght needle when accessing, flush wiht heparin solution dialy when not in use, avoid use of scissors

opisthotonos position - ansbackward bending, assumed with nervous system complications

Osteomyelitis Nursing Interventions - ansavoided bearing weight, antibiotics for several weeks

pavlik harness - ansused 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



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