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ATI remediation (1) PEDS B

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Exam________________________________________________________ Date___________________________
Remediation Worksheet
Write down the three most critical points to remember for that content area.
Major Categories
NCLEX Client Needs
Psychosocial
Integrity
Basic Care and
Comfort
Pharmacological and
Parenteral Therapies
Sub-Categories
NCLEX Client Needs
Topic
Behavioral
Interventions
Psychosocial Issues of
Infants, Children, and
Adolescents: Evaluating
Understanding of ADHD
Non-Pharmacological
Comfort Interventions
Pain Management:
Minimizing Procedural
Pain for an Infant
Expected
Actions/Outcomes
Fluid Imbalances:
Evaluating the
Effectiveness of Sodium
Polystyrene Sulfonate
Three Critical Points to Remember for Each Topic Missed
Attention deficit hyperactivity disorder:
Assist with appropriate classroom placement in the school:
● collaborate with the school nurse
● allow more time for testing
● place in classroom that has order and consistent rules
● offer verbal instruction combined with visual cues
● plan academic subjects in the morning
● include regular breaks provide small classroom settings
or work groups
Pain Management:
● Assessment of pain depends on the child's cognitive
emotional and physical development
● Atraumatic care is used of interventions to minimize or
eliminate physical and psychological distress
● Pain is managed by a traumatic non-pharmacological
and pharmacological interventions
Hyperkalemia (potassium more than 50 mEq/L):
severe hyperkalemia can require treatment ( Calcium salt,
glucose and insulin, sodium bicarbonate, sodium polystyrene
Sulfonate, peritoneal dialysis, or hemodialysis).
Pharmacological and
Parenteral Therapies
Major Categories
NCLEX Client Needs
Expected
Actions/Outcomes
Sub-Categories
NCLEX Client Needs
Fluid Imbalances:
Evaluating the
Effectiveness of Sodium
Polystyrene Sulfonate
Topic
Reduction of Risk
Potential
Diagnostic Tests -
Oxygen and Inhalation
Therapy: Monitoring
Pulse Oximetry for an
Infant
Reduction of Risk
Potential
Potential for
Complications from
Surgical Procedures
and Health Alterations
Fractures: Identifying
Potential Complications
Polycystic Kidney Disease, Acute Kidney Injury, and Chronic
Kidney Disease:
● Sodium polystyrene sulfonate replaces sodium with
potassium and the intestinal tract to promote
potassium excretion.
● Sorbitol induces a bowel movement to promote the
excretion of excess potassium.
● In an emergency, IV medications can be required to
reduce potassium.
● Administer sodium bicarbonate if the client has severe
metabolic acidosis.
● For hyperphosphatemia administer phosphate-binding
agents.
Three Critical Points to Remember for Each Topic Missed
DKA:
● Ketone levels in the blood in the urine
● blood glucose levels
● glucose electrolytes bun, ABG, CBC
● fruity-scented breath
● mental confusion
● dyspnea
● Nausea and vomiting
● dehydration
● weight loss
● electrolyte imbalances
● untreated: Coma which can progress to death
Osteomyelitis Manifestations:
● Irritability
● fever
● tachycardia
● edema
●
●
●
pain is consistent but increases with movement
not wanting to use the affected extremity
site of infection tender swollen and warm to touch
Reduction of Risk
Potential
System Specific
Assessments
Diabetes Mellitus:
Oxygen and Inhalation therapy:
● A pulse oximeter is a device that is operated by battery
Performing a Respiratory
Assessment
or electricity and has a sensor probe that is attached
securely to the child's Fingertip, toe, earlobe, or around
the foot with a clip or band.
Physiological
Adaptation
Alterations in Body
Systems
Physical Assessment
Findings: Eliciting the
Biceps Reflex
Physiological
Adaptation
Illness Management
Asthma: Discharge
Teaching About the
Management of
Moderate Persistent
Asthma Pathophysiology
Deep Tendon Reflexes:
Biceps:
● Flex arm at 45 degree angle
● place the thumb on the tendon in the antecubital fossa
● strike the thumb with a reflex hammer
● expected response flexation of the elbow
Asthma is a chronic childhood inflammatory disorder of the
airway that results in intermittent and reversible airflow
obstruction of the bronchioles. it causes School absences and
is considered one of the leading causes of hospitalizations
among children. the obstruction occurs because the mast cells
release histamine and Leukotrienes Which causes
inflammation or Airway hyperresponsiveness. asthma
diagnosis has are classified into one of four categories based
on effects of the child intermittent mild persistent moderate
persistent and severe persistent.
Physiological
Adaptation
Cardiovascular
Disorders
Expected Findings of
Kawasaki Disease
Gastrointestinal
Structural and
Inflammatory Disorders:
Manifestations of
Intussusception
Physiological
Adaptation
Pathophysiology
Gastrointestinal
Structural and
Inflammatory Disorders:
Manifestations of
Intussusception
All set of high fever lasting 5 days to two weeks this is
unresponsive to antipyretics:
● Irritability
● red eyes without drainage
● bright red chapped lips
● strawberry tongue with white coating or red bumps on
the posterior aspect
● red oral mucous membranes with inflammation
including the pharynx
● Swelling of the hands and feet with red palms and Soles
● non-blistering rash
● bilateral joint pain
● enlarged lymph nodes
● Desquamation of the perineum
● Cervical lymphadenopathy
● Cardiac manifestations: myocarditis, decrease left
ventricular function, Pericardial effusion, and mitral
regurgitation
Gastrointestinal Structural and Inflammatory Disorders:
Expected Findings:
● Sudden episodic abdominal pain
● screaming with drawing knees to the chest during
episodes of pain.
● abdominal mass
● stools mixed with blood and mucus that resemble the
consistency of red currant jelly
● vomiting
● fever
● tender distended abdomen