hand preference Ans- all kids normally show hand preference by 1 year old
plaster casts Ans- -heavy
-not water resistant
-dry in 10-72 hrs
fiberglass casts Ans- -light weight
-water resistant
-dry in 15-20 min
types of traction Ans- Skin traction:
-Buck
-Bryant
-Russell
Skeletal ...
hand preference ans all kids normally show hand preference by 1 year old
plaster casts ans heavy not water resistant dry in 10 72 hrs fiberglass casts ans light w
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ATI Pediatrics Proctored Exam
hand preference Ans- all kids normally show hand preference by 1 year old
plaster casts Ans- -heavy
-not water resistant
-dry in 10-72 hrs
fiberglass casts Ans- -light weight
-water resistant
-dry in 15-20 min
types of traction Ans- Skin traction:
-Buck
-Bryant
-Russell
Skeletal traction
Halo traction
-cervical traction
care for traction Ans- -assess pin sites
-ensure hardware is tight
-ensure bed is in correct position
-ensure weights do not touch floor
Halo: ensure wrench is readily available
surgical intervention for scoliosis Ans- -realign (2 rods on either side of spine)
-internal fixation
-fusion
The child is prescribed lanoxin (Digoxin) 75 mcg PO qd. The pharmacy
supplies lanoxin (Digoxin) 0.05mg scored tablets. How many tablets will the
nurse administer? Record your answer using one decimal place. Ans- 1.5
tablets
The physician orders the patient a 10-mL/kg normal saline bolus to infuse
over 2 hours. The child weighs 36 kg. Calculate the infusion rate in mL/hr.
Ans- 180 mL/hr
What happens to the voice during epiglottitis? Ans- it becomes hoarse
,Leukotreine modifiers Ans- -Blocks leukotriene receptors or synthesis of
leukotrienes (Singulair)
-Side effects: headache, nausea, abdominal pain, increase infections if over
age 55, depression, suicidal, aggression
-Generally well tolerated.
-Monitor for improvement in symptoms
Cromolyn (Intal) and nedocomil (Tilade) Ans- -Anti-inflammatory agents that
inhibit release of histamine, leukotrienes,
-Prevention or maintenance drugs
-Administered by inhalation, onset of action in 2-4 weeks
-Side effects: cough, headache, throat irritation, GI upset
Long acting beta-adrenergics Ans- -Salmeterol (Serevent) -used twice daily
-Added to anti-inflammatory therapy
-Not for acute symptoms due to onset of action in 20 minutes with peak in 3-
4 hours
Lortab Ans- tylenol with hydrocodone
dornase alpha Ans- decreases viscosity of secretions (thins mucous) for CF
patients
tobramycin Ans- aerosolized antibiotics used for CF
Norwood procedure Ans- -Treats hypoplastic left heart
-3 stages
-done shortly after birth
-Right ventricle is converted: connects aorta to right ventricle
-Between step 1&2 is highest risk for death
-bi-directional Glenn operation (stage 2, under 6 mo. old)
-superior vena cava redirected to lungs
Biot's respirations Ans- periods of apnea alternating with 2 or 3 shallow
breaths
Cheyne-Stokes respirations Ans- periods of apnea alternating with periods of
hyperventilation
, What gauge needle should be used when administering an immunization to a
toddler? Ans- 24 gauge
sodium normal range Ans- 135-145
Recommended play activities for infant, toddler, preschool, and school age
children Ans- Infant: play pat-a-cake
Toddler: push-pull toy
Preschool: play dress-up
School age: create a scrapbook
protecting against SIDS Ans- -supine to sleep
-empty bed: firm mattress only
-breastfeeding
-use of pacifier while sleeping
manifestations of pneumonia in infants Ans- nasal flaring
increased WBCs
diarrhea
abdominal distention
steps to take during a tonic-clonic seizure Ans- **FIRST: assist child to side-
lying position on the floor
then...
-apply O2 mask
-clear immediate area
-loosen restrictive clothing
A nurse is preparing to administer ibuprofen f5 mg/kg q6h PRN for temps
above 38 degrees F to an infant who weights 17.6 lb. The infant has a temp
of 38.4. Available is ibuprofen liquid 100 mg/5 mL. How many mL should the
nurse administer to the infant per dose? Round to nearest whole number.
Ans- 2 mL
What is an indication of IICP in a child with a concussion? Ans- forceful
vomiting
What is an expected finding of endocarditis? Ans- headache
What is an expected finding in a school-age child with glomerulonephritis?
Ans- brown colored urine
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