VATI peds assessment remediation

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VATI peds assessment remediation Post-assignment Review Questions 1. A nurse is caring for a child admitted with an acute exacerbation of asthma. Discuss the nursing care needs of this child. • A... ssess airway patency and breath sounds • Monitor for sob • Vitals and oxygen • Reposition to maximize ventilation • Administer oxygen and meds as prescribed 2. A nurse is providing home safety education to the parents of a 1-year-old child. What information regarding prevention of poisoning should be included in this education? • Keep houseplants and cleaning agents out of reach • Inspect and remove sources of lead, such as paint chips, and provide parents with information about prevention of lead poisoning. • Place poisons, paint, and gasoline in locked cabinet • Keep medications in child-proof containers and locked up • Dispose of medications that are no longer used or are out of date 3. What information regarding strategies to decrease the spread of infection should the nurse provide to the parents of a child with Respiratory Syncytial Virus (RSV)? • Preform good hand hygiene • Cover child’s nose with tissues when coughing and sneezing • Properly dispose of tissues • Educate about not sharing cups, eating utensils and towels • Keep infected children from contact with children who are healthy 4. A nurse is performing a developmental screening on a 4-month-old infant. Identify two (2) physical and motor skills the nurse should expect to see from the infant. • Gross motor skills: - Rolls from back to side - Grasps objects with both hands • Fine motor skills: - Grasps objects with both hands • Head circumference: - Increases 1 cm per month from 4 to 6 months • Gain 1.5 lb per month for the first 5 months • Gain 1 inch per month for the first 6 months 5. A nurse is caring for a client with osteosarcoma requiring a below-the-knee amputation. What referrals should be made for this client? • Mental health counseling to assist to resume normal activities and physical and occupational therapy 6. A nurse is providing discharge education to the parents of a child prescribed phenytoin for a seizure disorder. What information regarding adverse effects should the nurse provide? • Skin rash-stop medication • Dysrhythmias • Hypotension-administer at slow iv rate • Interference with vitamin d metabolism-consume adequate amounts of calcium and vitamin D • Tenderness-folic acid can decrease occurrence 7. A nurse is caring for a client following a pylorotomy for the treatment of pyloric stenosis. What post-operative care will be required? • Pyloric stenosis is a blockage in the opening from the stomach to the intestine. • If your baby has pyloric stenosis food cannot pass easily from the stomach to the intestine and your baby will vomit. • A pyloromyotomy is an operation to loosen the tight muscle causing the blockage between the stomach and small intestine. • Your child will need to have an anesthetic. • Your child will stay in the hospital one to three days after the operation. • After the pyloromyotomy, your baby will go to the Post-Anesthesia Care Unit, also called the PACU or recovery room. i. They will stay there for about one hour. ii. You can visit your baby when they wake up. iii. Your baby will then go back to the inpatient unit. iv. Your baby will have an intravenous (IV) tube in their arm. 1. This takes fluids and medicines directly into your baby's blood. 2. The IV will be taken out when it is no longer needed for medicines or fluid and your baby is drinking well. v. Your baby can go home when all of the following happen: 1. Their heart rate, breathing, blood pressure and temperature are normal. 2. They are eating well without vomiting 3. They are comfortable taking pain medicine by mouth. a. This is usually one to three days after the operation ..............continued............. [Show More]

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