ATI PROCTORED PEDs, ATI PEDIATRICS PROCTORED EXAM,
PEDS ATI PROCTORED REVIEW LATEST UPDATED 2024 WITH
BEST SOLUTIONS
Chemotherapy - - Low WBC count
... [Show More] places the child at risk for infection and
isolation with monitoring of fever is priority.
↓RBC - - Quiet play and best rest, administer O2
↓ Platelet - - Protect child from injury and monitor for bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓ hemorrhage
Dehydration - - Assessment, response to parenteral fluids.
the nurse should weigh the patient daily because weight is the most sensitive
indicator of hydration status in clients of all ages.
- Weight is the only measurement the reflects both measurable fluid balance
changes (I/O) and insensible fluid loss (skin and respiratory)
Koplik spots - - Maculopapular rash and fever; Rubeola
-Koplik spots: oral lesions that are characteristics of rubeola (measles). The
small, irregular spots with a blue/white center are seen on the Buccal mucosa,
which is opposite the molars, in the prodromal stage of measles.
-Koplik spots appear about 2 days before maculopapular rash appears and are
accompanied manifestations of fever, malaise, conjunctivitis, and other cold
manifestations.
- They begin to fade the second day after the rash appears. Immunity to measles
is conferred by the MMR (Measles-Mumps-Rubella) immunization that children
receive @ 15 months.
Rubeola - Measles; Maculopapular starts on the face and spreads downward. It
desquamates after about 3-4 days. The rash does not progress to vesicles and
crusts like the papules of chicken pox.
- cephalocaudal rash upper trunk and faceand more confluence as it spreads to
the lower areas of the body.
Varicella - Chicken Pox; Vesicles and crusts are present
- Commences with a maculopapular rash that progressess to vesicles on
erythematous bases which eventually rupture and crust over.
Kawasaki Syndrome (Scarlet Fever) - - Strawberry tongue; sloughed off its
normal coating, exposing swollen prominent papillae.
Pertussis (whooping Cough) - Paroxysmal Cough
Preschool-Aged Children
Body-Integrity - - Preschool-aged children are very concerned about their body
integrity
- They believe that their insides can leak our from even a small wound.
- Explains reason for their preoccupation with bandages
Preschool (3-6 Years) - - IMITATION of adults: providing a stethoscope allows child
an opportunity for THERAPEUTIC play.
- Time based on events, magical thinking, animism, centration.
- Stress = Regresion; may still be picky eaters , sleep 12 hours average,
pedestrian safety
-Keep a consistent bedtime routine
Pyloromyotomy - - Release of hypertrophied muscle around the pyloric sphincter
that causes narrowing of the pyloric canal.
- Infants will be fed shortly postoperative (with return of bowel sounds) in small,
frequent oral feeds.
- There is no incision to the gastric walls or mucosa and NPO is not required. [Show Less]