Name_____________________________________ 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