ATI Pediatrics Proctored Exam
What happens to the voice during epiglottitis? - it becomes hoarse
sodium normal range - 135-145
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manifestations of pneumonia in infants - nasal flaring
increased WBCs
diarrhea
abdominal distention
What is an expected finding of endocarditis? - headache
What is an expected finding in a school-age child with glomerulonephritis? - brown
colored urine
McBurney's point - -lower right abdomen
-pain in appendicitis
Celiac disease expected findings - -steatorrhea
-distended abdomen
-weight loss
What type of vomiting is common with pyloric stenosis? - projectile vomiting
What is used to treat scabies lesions? - permethrin 5% cream
manifestation of pertussis - dry hacking cough
manifestation of acute streptococcal pharyngitis - inflamed throat with exudate
manifestation of bacterial conjunctivitis - purulent eye drainage
Koplik spots - rubeola (measles
Diabetes insipidus lab values - -dilute urine/low specific gravity
-high sodium
-normal blood glucose
-polyuria (excessive urine output)
minimal change nephrotic syndrome management - -dietary fluid restriction
-low sodium diet
-corticosteroids
How often should a child with asthma get pulmonary function tests? - every 12-24
months
lumbar puncture nursing care - -apply topical analgesic to the lumbar site 60 min prior to
procedure
-place in prone position or flat in bed for up to 12 hours to prevent post procedural
spinal headache
-encourage to drink extra fluids to replace CSF
CF diet - -well-balanced
-high in protein & calories
-unrestricted fat
-ensure adequate fluid intake
Can a child with celiac disease eat malt? - no, it has gluten in it
What should be done after administering PO suspension digoxin? - brush the child's
teeth
manifestations of digoxin toxicity - nausea, vomiting, decreased appetite
indications of brainstem herniation - Cushing's triad: htn, bradycardia, decreased
respirations
interventions for lead toxicity - -diet rich in calcium, vitamin C, and iron
-chelation therapy for lead levels 45 mcg/dL or greater
expected findings following an appendectomy - -absence of peristalsis
-WBC >10,000/mm3
indications of early septic shock - fever & chills
plan of care pre-op for a preschooler with a Wilm's tumor - -avoid palpating the
abdomen
-auscultate bowel sounds
-do not engage in play with other children - increases risk of injury
-do not explain about pain till post op so as not to increase anxiety [Show Less]