ATI NURSING vati pediatric remediation T

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1. Complete an ATI Focused Review® and send a detailed summary (2-3 sentences each) of 4 concepts that you learned from the focused review to me in the messaging system. Expected Findings for a 4mont... hs old infant - Gross motor: rolls from back to side - Fine motor: Grasps objects with both hands - Vocalizes cooing noises; laughs and squeals - Sleeps 14 to 15 hours daily and 9 to 11 hours at night Obtaining a rectal Temperature - Assist The client to a sim’s position with upper leg flexed - Place lubricated thermometer ( with a rectal probe ) into the anus in the direction of the umbilicus 2.5 to 3.5 cm ( 1 to 1.5 in) - Once inserted hold the thermometer in place until you hear the signal Expected findings for juvenile idiopathic arthritis - Joint swelling, stiffness, redness, warmth that tend to be worse in the morning or after inactivity. - Mobility limitations, delayed growth - Fever, rash - Elevated CPR, elevated ESR, elevated WBCs( especially after exacerbations ) ANA indicate in increased risk for uveitis, rheumatoid factor is rarely detected in children. Priority nursing interventions for Vaso-Occlusive crisis - Promote rest to decrease oxygen consumption - Administer oxygen as prescribed if hypoxia is present - Administer blood products and exchange transfusions per facility protocol - Maintain fluid electrolyte balance: Monitor I&O; give oral fluids; administer IV fluids withelectrolyte replacement - Treat mild to moderate pain with acetaminophen or ibuprofen; treat severe pain with opioid analgesics - Apply warm packs to painful joints 2. Answer the following questions and review the suggested learning activities. Send me your answers here. In reinforcing safety education to the parents of 2-year-old, what strategies should the nurse include to assist in the prevention of falls? - Doors and windows should be kept locked - Transition from a crib to bed when the toddler reaches a height of 89 cm (35 in) - Safety gates should be used across the top and bottom of stairs A nurse is reinforcing teaching to a new mother about the colic hold. What would the nurse instruct the client to do? - Newborn faced down along holder’s forearm firmly between newborn’s legs,newborn’s cheek should be by the holder’s elbow A nurse is caring for a preschooler who has amblyopia. What techniques can be used to encourage the child to keep the patch on their eye? - You have to explain the importance of keeping the patch on. - Also offer some form of rewards to a child so she can keep the patch on. A nurse is going to perform percussion on a school aged client. What techniques for percussion would the nurse include in her data collection? (Review the Fundamentals Review Module) - Direct percussion, which involve striking the body to elicit shoulda - Indirect percussion, which involves placing your hand flatly on the body, as the striking surface, for sound production - Fist percussion, which helps to identify tenderness over kidneys, liver, and gallbladder.The nurse is taking a blood pressure on a child. What are some nursing considerations when doing the procedure? - Most common sites for blood pressure measurements in children are the upper arm and lower leg - Frequently the blood pressure is taken in the lower leg in newborn and infants - Use the same extremity as baseline in order to determine trends - The width of the cuff should occupy ¾ of the upper arm segment or length sufficient to completely encircle arm/leg without overlap. Suggested Nursing Care of Children Learning Activity: Vital Signs in the Pediatric Population A nurse is caring for an infant who is 6 months of age. Which of the following findings should the nurse expect? - A 6 months old infant should be able to roll from back to front - Holds a feeding bottle - Starts to have stranger anxiety Posterior fontanel closedAnterior fontanel closedTriple birth weightSits unsupported Suggested Nursing Care of Children Learning Activity: Developmental Stages and Transitions A nurse is reinforcing education to parents of a child who stutters. What interventions should be included? Suggested Nursing Care of Children Learning Activity: Developmental Stages and Transitions - Avoid finishing sentences for your child - Speak slowly and calmly to your child - Maintain a calm, quiet atmosphere at home A nurse is caring for a child who is 10-years-old. What are some findings that may suggest that the child is experiencing delays in development? Suggested Nursing Care of Children Learning Activity: Developmental Stages and TransitionsDelays at least in one of the following - Social interaction - Social communication - Imaginary play prior to 3 years - Distress when routines are changed - Unusual attachment to objects - Inability to start or continue with a conversation When reinforcing education regarding immunizations, the nurse should include information on contraindications/precautions. Identify three (3) complications/contraindications that can be noted after administration of an immunization. Suggested Nursing Care of Children Learning Activity: Immunizations - A severe allergic reaction, such as anaphylactic, can occur in response to any vaccine and is a contraindication for receiving further doses of that vaccine or other vaccines containing that substance. - Swelling, redness and tenderness at the site - Hoarseness,fever,headache,cough and aches. The nurse is caring for a client who had a cleft lip repair. The nurse will reinforce what feeding techniques to the parents after this procedure? - Feeding the infant can be frustrating and slow process - Burn the infant frequently - Feeding routinely take longer than forty minutes - Place nipple against the side of the infant's cheek toward the back of the tongue - Teach mom to pump as well Suggested Nursing Care of Children Learning Activity: Cleft Lip and Palate A nurse is reinforcing education to the parents of a 4-month-old infant regarding introduction ofsolid food. What guidelines should be followed? - Indicators for readiness include interest in solid food, voluntary control of the head and trunk, and disappearance of the extrusion reflex - Iron- fortified cereal is typically introduced first due to its high in iron content - New foods should be introduced one at a time, over a 5 to 7 day period, to observe for indications of allergy or intolerance, which can include fussiness, rash, vomiting,diarrhea, and constipation. The nurse is caring for a client who is diagnosed with Nephrotic Syndrome. What four (4) nursing interventions would the nurse do when providing nursing care to this client? - Administer medication, such as diuretic,antibiotic, and corticosteroids as ordered - Ask dietitian to plan a low- sodium diet with moderate amounts of protein - Provide meticulous skin care to combat the edema that usually occurs with nephrotic syndrome - Frequently check the patient’s urine for protein, indicated by frothy appearance The nurse is evaluating the effectiveness of sleep teaching to a group of parents. Identify two things that the parents have done at home to promote effective sleep patterns in their preschooler. - Parents should keep a consistent bedtime routine - Use a nightlight in the room - Provide child with a favorite toy - Leave a drink of water by the bed. A nurse is caring for a client with asthma who is prescribed Albuterol, a beta2-adrenergic agonist. Identify two (2) adverse effects of this medication therapy. - Headache - Muscles crampsSuggested Nursing Care of Children Learning Activity: Asthma A nurse is preparing to administer Ampicillin 25 mg/kg PO divided in equal doses every 12 hours to an adolescent who weighs 99 lbs. The amount available is Ampicillin suspension 50 mg/5 ml. How many mL should the nurse administer per dose? (Round to the nearest whole number). (Review the Fundamentals Review Module) - 56 mL 3. Complete the pre-test, tutorial and post-test for the Physical Assessment -- Child Skills Module 4. Complete the following Practice assessments and Focused Review and send a detailed summary (2-3 sentences each) of 4 concepts that you learned from the focused review to me in the messaging system. Risk Factors of Scoliosis - Genetic tendency - Sex: more common in females - Age: highest incidence from 8 to 15 years Expected findings - Asymmetry in scapula, ribs,flanks, shoulders and hips - Improperly fitting clothing ( one leg shorter than the other) Diagnostic procedures - Screening during preadolescence - Observe the child, who should be wearing only underwear, from the back - Have the child bend over at the waist with arms hanging down and observe for asymmetry of ribs and flank. - An advance practice nurse or provider uses a scoliometer to measure truncal rotation. Radiography is used to determine the degree of the curvature and skeletal maturityNursing care - Treatment depends on the degree, location, and type of curvature. Nursing Action - Assist with fitting the child with a brace - Inspect skin - Promote the child’s positive self-image - Reinforce teaching with the child on how to correctly apply the brace. [Show More]

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