ATI CMS: NURSING CARE OF CHILDREN EXAM

ATI CMS: NURSING CARE OF CHILDRENAssisting 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 placement 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 glomerulonephritis Sodium restrictions (they are puffy and edematous and sodium follows water; limit it) Reinforcing Dietary Teaching for a Child who is recovering from Glomerulnephritis 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 procedure, 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 movements 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 consistent bedtime routine, "favorite stuffed animal" Reportable vital signs for a 12 month old infant Blood pressure in young children is usually low. Report 120/80 because outside of range Obtaining an infant's heart rate Apical pulse 60s Recommended immunizations for an adolescent Usually HPV, Tdap, or meningococcal vaccine Risk factors for primary amenorrhea Hypothyroidism, cannabis use, emotional stress, oral contraceptive use Administering ophthalmic drops to a child Apply pressure to tear duct for 1 min after, wipe from inner canthus