Pediatrics Final/ATI Latest 2022 Already Passed

Pediatrics Final/ATI Latest 2022 Already Passed Most common post op complication of tonsillectomy? ✔✔hemorrhage Risk time for hemorrhage after tonsillectomy? ✔✔10 days to 2 weeks post op Signs and symptoms of hemorrh ...

Pediatrics Final/ATI Latest 2022 Already Passed Most common post op complication of tonsillectomy? ✔✔hemorrhage Risk time for hemorrhage after tonsillectomy? ✔✔10 days to 2 weeks post op Signs and symptoms of hemorrhage after tonsillectomy? ✔✔restlessness, swallowing frequently, low BP (late sign) How should child lay post op to prevent hemorrhage from tonsillectomy? ✔✔side lying or on abdomen What should the child avoid after a tonsillectomy post op? ✔✔coughing or blowing nose How should xrays be taken to see the section of the lung behind the heart (lingual)? ✔✔Laterally Why are lateral xrays needed to view the lingual area? ✔✔a common site for pneumonia If a child is "barking" and has hoarseness and inspiratory stridor what might they have? ✔✔croup What does inspiratory stridor sound like? ✔✔a gasp If stridor reduces in a child previously showing stridor, what can that mean? ✔✔blockage and imminent respiratory failure Do not put anything in the __________ of a child with acute epiglottitis. ✔✔Mouth Acute LTB ✔✔Croup symptoms, Inflammation mucosa lining larynx & trachea causing narrowing airway-subglottic area narrowest part causes respiratory acidosis Diagnosis of Asthma is ✔✔peak expiratory flow (PEF) Treatment of Asthma is ✔✔beta agonists such as albuterol to relieve bronchospasms Preventing chronic problems with Asthma treatment ✔✔anti-inflamatories such as corticosteroids treatment for an emergency with Asthma attack ✔✔repeat dose q15min twice, on 3rd dose call ambulance Parents need education about beta agonists, what should a nurse advise? ✔✔don't give them around the clock, they should be prn, do not abuse Common side effects of beta agonists ✔✔nervousness, tachycardia What is Cystic Fibrosis? ✔✔Sludge, or increased viscosity of mucous, a build up of thick, sticky mucus in the lungs What diet should a patient with cystic fibrosis eat? ✔✔high protein, high calorie Signs and symptoms of Increased Intracranial pressure ✔✔High pitched cry, difficult to soothe, tense and bulging fontanels, cranial sutures separated, setting sun eyes, distended scalp veins, headache, vomiting, seizures, diplopia, irritability/restlessness, drowsiness, indifference, decrease in physical activity & motor skills, complaints of fatigue, somnolence, weight loss Late signs of increased ICP ✔✔decreased LOC, decreased motor response to command, decreased sensory response to painful stimuli, loss of PERRLA, palliledema Decorticate positioning ✔✔all flexed Decorticate positioning is a dysfunction of what? ✔✔cerebral cortex decerebrate positioning ✔✔all extended Decerebrate positioning is a dysfunction of what? ✔✔mid brain Cushing's reflex ✔✔Reflex due to cerebral ischemia that causes an increase in blood pressure, decrease in pulse rate, and changes in breathing patterns. What is Myelomeningocele? ✔✔the most common form of spina bifida in which the bones of the spine do not completely form, resulting in an incomplete spinal canal, causing the spinal cord and meninges to stick out of the childs back What should be done for Myelomeningocele? ✔✔4x4 soaked in normal saline placed over "sac", normal saline drip over 4x4 to prevent rupture until surgery Main prevention for Spina Bifida (Myelomeningocele)? ✔✔Folic acid early in pregnancy Diagnostic indication for Neuroblastoma is? ✔✔High catecholamines in 24 hour urine collection Neuroblastoma ✔✔Malignant childhood tumor originating in cells of the nervous system. Retinoblastoma ✔✔tumor arising from a developing retinal cell (a congenital, malignant tumor) Leukokoria ✔✔aka cat's eye reflex; yellowish white reflex seen in the pupil because of a Retinoblastoma tumor behind the lens Bacterial Meningitis ✔✔Inflammation of the me