ATI Pediatrics Final (Nursing Pediatrics
Exam 2 Final)
Most common post op complication of tonsillectomy?
(ANS- hemorrhage
Risk time for hemorrhage after tonsillectomy?
(ANS- 10 days to 2 weeks post op
Signs and symptoms of hemorrhage after tonsillectomy?
(ANS- restlessness, swallowing frequently, low BP (late sign)
How should child lay post op to prevent hemorrhage from tonsillectomy?
(ANS- side lying or on abdomen
What should the child avoid after a tonsillectomy post op?
(ANS- coughing or blowing nose
How should xrays be taken to see the section of the lung behind the heart (lingual)?
(ANS- Laterally
Why are lateral xrays needed to view the lingual area?
(ANS- a common site for pneumonia
If a child is “barking” and has hoarseness and inspiratory stridor what might they
have?
(ANS- croup
What does inspiratory stridor sound like?
(ANS- a gasp
If stridor reduces in a child previously showing stridor, what can that mean?
(ANS- blockage and imminent respiratory failure
Do not put anything in the __ of a child with acute epiglottitis.
(ANS- Mouth
Acute LTB
(ANS- Croup symptoms, Inflammation mucosa lining larynx & trachea causing
narrowing airway-subglottic area narrowest part causes respiratory acidosis
Diagnosis of Asthma is
(ANS- peak expiratory flow (PEF)
Treatment of Asthma is
(ANS- beta agonists such as albuterol to relieve bronchospasms
Preventing chronic problems with Asthma treatment
(ANS- anti-inflamatories such as corticosteroids
treatment for an emergency with Asthma attack
(ANS- repeat dose q15min twice, on 3rd dose call ambulance
Parents need education about beta agonists, what should a nurse advise?
(ANS- don’t give them around the clock, they should be prn, do not abuse
Common side effects of beta agonists
(ANS- nervousness, tachycardia