ATI PEDS NURSING CARE OF CHILDREN PROCTORED EXAM WITH NGN
LATEST UPDATED 2024 WITH COMPLETE SOLUTIONS
Early signs of hypoxemia - tachypnea,
... [Show More] tachycardia, restlessness, eleveated bp, pallor of
skin/membranes. Signs of respiratory distress
late signs of hypoxemia - confusion and stupor, cyanosis, bradypnea, bradycardia
hypotension, cardiac dysrhytmias
oxygen therapy nursing actions -do not allow oxygen to blow directly in face of infants.
monitor temp for hypothermia. decrease environmental stimuli, promote rest, d/c gradually
oxygen hood - 4-5 L/min. ensure upper body doesn rup
oxygen tent - older than 2-3 months. use plastic/ vinyl toys. cluster care to avoid letting out
oxygen
oxygen toxicity - may result from high concentrations. S/S substernal pain, nasal stuffiness,
n & v, headache, fatigue, sore throat, hypoventilations.
suctioning - pre- vitals signs, hyperoxygenate, high o/ fowlers. suction pressure-110 (child)
95( infants). allow 30-60 sec recovery times. advance till resistance is met. suction attempt
5-10 secs long, 2-3x. hyperoxygenate after.
suctioning complications - decreasing sats or cyanosis
artificial airways nursing actions - children under 8yrs must use uncuffed endotracheal
tube. Assess stoma site/vital signs. provide humidifications to thin secretions and decrease
mucous pluggings. oral care q2hr. provide trach care q8hr. reposition q2hr. accidental
decannulation in 1st 72 hrs after sugery is emergency.
tonsillitis - hx of otitis media, hearing difficulties, sore throat w/ swallowing. lab tests throat
culture for group a strept. preop cbc to assess anemia/infections
tonsil nursing actions - elevate head, asses for bleeding (clearing the throat, restlessness,
bright red emesis, tachycardia/ pallor, frqt swallowing). Vitals/airways/ difficulty
breathing. Comfort- ice collar/ keep throat moist/ pain meds. Diet- clear liquids/fluids
after gag reflex returns. soft bland foods. No coughing/ throat clearing/ nose blowing/ no
pointed object. Maybe blood tinged mucous or clots in vomit.
tonsil client education - full recovery w/n ten days to 2 wks. limit strenous activity and
physical play/ swimming for 2 wks.
Trust vs mistrust - Birth to 1 year
Solids introduced - 4-6 months
How long for foods to be introduced one at a time - 5-7 days
Indicators for readiness of solid foods -Voluntary control of head and trunk, hunger less
than four hours after nursing, or intake of 8 oz of formula
Foods to be avoided - Milk, eggs, wheat, citrus fruits, peanuts, pbutter, honey
Piaget-birth to 1 yr - Sensorimotor
Piaget 1-3yrs - Preoperational
Erickson 1-3 yrs - Autonomy versus shame and doubt
Erickson 3-6 years - Initiative vs guilt
Piaget 2-4 years - Preconceptial thought
Piaget 4-7 years - Intuitive thought
Piaget 6-12year - Concrete operations
Erickson 6-12 years - Industry vs inferiority
Piaget 12-20 years - Formal operations
Erickson 12-20 years - Identity vs role confusion
CRIES scale - Based on pain 32 wks of gestation to 20 wks of life
FLACC scale - Leg position, activity, consolibility, facial expressions, crying 2mths-7yrs
FACES scale - Faces to deem pain level 3 yrs or older
Visual analog scale - Child points to number 7 yrs and older [Show Less]