ATI Nursing Care of Children Proctored
exam
What is a dictorial or authoritarian parenting style? -
CORRECT ANSWER parents try to control the child's
behaviors and attitudes through unquestioned rules and
expectations
down syndrome - CORRECT ANSWER chromosomal
abnormality small round he...
What is a dictorial or authoritarian parenting style? -
CORRECT ANSWER parents try to control the child's
behaviors and attitudes through unquestioned rules and
expectations
down syndrome - CORRECT ANSWER chromosomal
abnormality small round head, flattened forehead, small
nose with depressed nasal bridge, small ears with short
pinna, protruding abd, hypotonia and hyper flexibility
manage secretions and help prevent respiratory infections
cardiac defects and strabismus rinse mouth after feeding
and throughout the day cool mist humidification and use
bulb syringe prn
juvenile idiopathic arthritis - CORRECT ANSWER
chronic autoimmune inflammatory disease affecting the
joints and other tissues joint swelling, stiffness, redness
and warmth worse in morning or after naps apply a splint
for sleeping encourage use of a firm mattress and
discourage use of pillows apply heat or warm moist packs
to the affected joints encourage warm baths NSAIDS,
methotrexate, steroids
Muscular dystrophy - CORRECT ANSWER group of
inherited disorders with progressive degeneration of
symmetric skeletal muscle groups causing progressive
,muscle weakness and wasting Most common Duchenne's
MD - onset within 3-7years s/s: muscle weakness,
unsteady gait, waddling, lordosis, and delayed motor skills
development o frequent falling, learning difficulties,
progressive muscle atrophy resp. and cardiac difficulties
around age 20 corticosteroids complications: resp.
compromise progressive weakening of the resp. muscles
Impetigo - CORRECT ANSWER Caused by staph
Reddish macule that becomes vascular and can erupt
forming dry crusty's + itchy Direct contact Abx ointment,
burow's solution
Cellulitis - CORRECT ANSWER Firm swollen red area
of the skin and subcutaneous tissue Fever Abx and warm
moist compresses
Tinea - CORRECT ANSWER fungal, Round red scaley
patches, itchy in warm and moist areas Head - selenium
sulfide shampoo Topical antifungal Treat infected pets as
well
Lyme disease - CORRECT ANSWER Bit by a tick
carrying borrelia burgdorferi Stage 1 - 3-31 days: flu like
s/s * bullseye rash at the bite area Stage 2 - after 31 days
more systemic issues - paralysis, swelling in joints,
weakness Stage 3 - deaf, encephalopathy, arthritis,
weakness, numbness and tingling, and speech issues
Scabies - CORRECT ANSWER Itchiness, rash, thin
pencil mark lines, pimples on trunk, blisters on palms and
,soles Apply 5% permethrin cream everywhere + family +
wash everything in hot water
Pediculosis capitits (lice) - CORRECT ANSWER Small
red bumps on the scalp, nits (white specks) on the hair
shaft Shampoo containing 1% permethrin + remove nits
with special comb + wash everything in hot water Can't
wash? Bag for 14 days Boil hair products for 1 hour in lice
killing solution
Dermatitis - CORRECT ANSWER - diaper rash Washing
with warm water and mild soap Expose to air Encourage
parents to use good diapers + frequent changes No
bubble baths Skin barrier - zinc oxide containing Corn
starch to reduce friction NOT TALCUM POWDER
Poison ivy - CORRECT ANSWER Plant exposure - treat
area with alcohol followed by water then mild soap and
water Then apply a calamine lotion Or a burrow solution
Steroid gel
Seborrheic dermatitis - CORRECT ANSWER cradle cap
Scaly and greasy thick flakes Not contagious Gently scrub
the scalp with mild shampoo or special treatment Fine
tooth comb Keep nails trimmed short for skin issue kids +
gloves or socks over hands for sleeping Cotton clothing
Avoid excessive heat Avoid irritants
Atopic dermatitis - eczema - CORRECT ANSWER
Intense itchy Damage from so much itching Antihistamines
+ topical steroids
Nursing interventions for burns: - CORRECT ANSWER
ABC's IV access with lg bore catheters Immunization
status - tetanus in last 5 years = they are going to get one
Advise family nothing greasy on burn
Fluids based on urine output Kids <30 kg (66 pounds) 1-
2ml/kg/hour >30 kg 30ml/hour LR and NS sometimes
Manage pain - IV opioid's Nutrition - increase protein and
calories + vitamin A, C, and Zinc Restoring mobility -
active and passive ROM Silver sulfadiazine - 2 nd and 3rd
degree transient neutropenia Allograft - cavader Xenograft
- animals Autograft - own skin
Hypoglycemia s/s: cold and clammy need some candy
<60 blood sugar - CORRECT ANSWER Hunger
Shakiness Diaphoresis Irritability Pale cool skin Possible
in LOC Slurred speech, HA, seizures Tachycardia and
palpitations Normal to shallow respirations
Hyperglycemia s/s: hot and dry, sugar is high -
CORRECT ANSWER Polyuria Polydipsia Polyphagia
Dehydration Tired/fatigued Weak Nausea, vomiting, abd
pain Weak pulse and diminished reflexes Warm, dry, and
flushed skin Rapid, deep respiration - kussmauls
respirations - fruity smelling breath
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