Care For Child ATI

Question 1

Cushing’s triad

Answer 1

Indicate brain stem herniation

Hypertension

Bradycardia

Decreased respiration’s

Question 2

Epidural hematoma

Answer 2

Seizure precautions

Question 3

Chelation therapy

Answer 3

Lead poisoning

45 mcg is greater

Sometimes if over 10 mcg

Question 4

Decrease lead absorption

Answer 4

Calcium

Vit C

Iron

Question 5

Ruptured appendix WBC count

Answer 5

Above 10,000

Question 6

Lumbar puncture interventions

Answer 6

Topical analgesic 60 min prior

Encourage fluids

Prone or flat position 12 hr post op

Question 7

MMR vaccine

Answer 7

Contains neomycin

Eggs

Gelatin

Question 8

Celiac disease

Answer 8

Weight loss

Distended abd

Steatorrhea

Malabsorption

Diarrhea

Pyloric stenosis

Question 9

Care for cheiloplasty

Answer 9

Excessive swallowing can be related to bleeding!! Report right away

Clean sutures with sterile water and hydrogen peroxide following feedings

Antibiotic ointment daily for 3 days

Question 10

Cerebral palsy manifestations

Answer 10

Positive Babinski reflex
Ankle clonus (rhythmic reflex)
Exaggerated stretch reflexes
Contractures (muscle tightening)

Question 11

Epiglottis intervention

Answer 11

Upright

Face mask or blow by O2

Monitor O2 sat

Question 12

Kawasaki disease

Answer 12

Increased temp

Strawberry tongue

Cracked lips

Edema

Xeropthalmia (red and dry eyes)

Tachycardia

Cervical lymphadenopathy (enlarged cervical nodes greater than 1.5 cm)

Question 13

Bacterial meningitis

Answer 13

Increased cerebrospinal pressure

Decrease glucose

Increased protein

Elevated WBCs

Question 14

1st round chemo anaphylactic reaction

Answer 14

Urticaria

Question 15

Suctioning an infant

Answer 15

5 sec or less

60-100 mm Hg pressure

Question 16

Increased intracranial pressure

Answer 16

Bradycardia

Hypertension

Decreased attention spans

Lethargy

Decreased activity

Question 17

Hypercyanotic spell intervention

Answer 17

Knee-chest

Admin morphine IV

APPLY O2 100% face mask

IV fluids

Question 18

Hypopituitarism

Answer 18

Recombinant growth hormone injections

Dwarfism in children and premature aging in adults

Question 19

Teething

Answer 19

Lower central incisors appear first

Pulling at ears norm

Rub guns with cold cloth

Question 20

Amount of carbs for hypoglycemia

Answer 20

15g

Question 21

Cystic fibrosis interventions

Answer 21

Increase fat to 40% calories

Steatorrhea- increase pancreatic enzymes

Admin pancreatic enzymes within 30 min of meals and snacks

Question 22

Asthma

Answer 22

Cough suppress contraindicated

Avoid sweeping with child around

Use a dehumidifier !

Pulmonary function tests every 12-24 mo

Question 23

Hemolytic reaction

Answer 23

flank pain

Question 24

Allergic reaction during blood infusion

Answer 24

Laryngeal edema

Question 25

Intussusception

Answer 25

Bloody stools Vomiting Lethargy Weight loss

Question 26

Diphtheria

Answer 26

Hoarseness

Question 27

Infectious mononucleosis

Answer 27

Splenomegaly

Question 28

Measles (rubeola)

Answer 28

Koplik spots

Question 29

Mononucleosis

Answer 29

Epstein-Barr Restrict activity 2-3 Acute symptoms 10 days Fatigue 4 wks Monospot blood test used to diagnose

Question 30

Scoliosis

Answer 30

Unilateral rib hump

Question 31

Ventricular septal defect

Answer 31

Loud, harsh murmur

Question 32

Coarctation of aorta

Answer 32

HPN weak femoral pulses

Question 33

Hyperpyrexia

Answer 33

Extreme elevation in temperature

Question 34

Post op cardiac catheterization

Answer 34

Regular diet Wait 3 days for tub bath Can go to school next day New adhesive dressing daily for 2 days

Question 35

Cystic fibrosis interventions

Answer 35

Offer child high protein meals and snacks throughout the day Need 35-40% fats

Question 36

Urticaria

Answer 36

Hives

Question 37

Tetralogy of fallot

Answer 37

Infant in knee-chest position