PEDS ATI
Discontinue IV steps?
turn off IV occlude tubing remove tape apply pressure
What postop care for a cardiac cath?
wait 3 days before a tub bath The child should keep the site clean and dry for at least 3 days to reduce the risk of infection. Tub baths should be avoided for 3 days to avoid immersion of the incision in water.
Who should nurse refer to hearing specialist?
8 month old who is not yet babbling The nurse should refer an infant who is not making babbling sounds by the age of 7 months to a provider for a more extensive evaluation of hearing.
Findings of cerebral palsy?
ankle clonus, exaggerates stretch reflex, contractures
A school-aged child had a minor burn from fireworks, what action should nurse take?
apply antimicrobial ointment to affected area
What instructions for a cheiloplasty?
apply thin layer of antibiotic ointment on your baby's suture line daily for next 3 days The nurse should instruct the parents to apply a thin layer of antibiotic ointment on the infant's suture line daily for 3 days and then continue to apply petroleum jelly to the area for several weeks to promote healing.
What should nurse do for lumbar puncture?
apply topical analgesic cream to site 1 hr prior to procedure The nurse should apply a topical analgesic to the lumbar site 1 hr prior to the procedure to decrease the adolescent's pain while the lumbar needle is inserted.
What is a manifestations of a hemolytic transfusion reaction?
flank pain The nurse should recognize that flank pain is caused by the breakdown of RBCs and is an indication of a hemolytic reaction to the blood transfusion.
Expected findings of Kawaski disease?
increased temp, xerophthalmia, cervical lymphadenopathy
What nursing intervention for varicella?
initiate airborne precautions The nurse should initiate airborne precautions for a child who has varicella because it is spread through droplets in the air. The incubation period for varicella is 2 to 3 weeks, and the child is contagious even before lesions appear.
A nurse is caring for child with oliguric phase of acute kidney injury and sodium of 129mEq/L. What intervention to include in plan?
initiate seizure precautions for child A sodium level of 129 mEq/L indicates hyponatremia and places the child at increased risk for neurological deficits and seizure activity. The nurse should complete a neurologic assessment and implement seizure precautions to maintain the child's safety.
Teaching for child with osteomyelitis in the tibia?
my child will receive antibiotics for several weeks The nurse should instruct the parent that the child will receive antibiotic therapy for at least 4 weeks. Surgery might be indicated if the antibiotics are not successful.
Interventions for a school-aged child who has heart disease and heart failure?
provide small frequent meals The metabolic rate of a child who has heart failure is high because of poor cardiac function. Therefore, the nurse should provide small, frequent meals for the child because it helps to conserve energy.
What is a sign of rejecting a kidney transplant?
serum creatine 3.0mg/dL Creatinine is a byproduct of protein metabolism and is excreted from the body through the kidneys. An elevated serum creatinine level, therefore, can be an indication that the kidneys are not functioning. The nurse should identify that the adolescent's serum creatinine level is higher than the expected reference range of 0.4 to 1.0 mg/dL for an adolescent and can indicate rejection of the kidney.
How to give oral nyastatin for oral candidiasis?
shake med before administration The nurse should instruct the parent to shake the medication prior to administration to disperse the medication evenly within the suspension.
Hearing loss for an 18 month old?
toddler received tobramycin during hospitalization 2 weeks ago The nurse should identify tobramycin as an aminoglycoside, which is an ototoxic medication that can cause mild to moderate hearing loss, and should assess the toddler for a hearing impairment.
