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Comprehensive ATI 1

Terms in this set (38)

1. Manage Cystic Fibrosis from home:
-Ensure that the family has information regarding access to medical equipment and medications.
◯Provide teaching about equipment and medications prior to discharge.
◯Instruct the family about ways to provide CPT and breathing exercises.
◯Promote regular provider visits.
◯Emphasize the need for up-to-date immunizations and a yearly influenza vaccine.
◯Teach about diet and ways to increase calorie intake.
◯Teach signs and symptoms of infection and when to call the provider.
◯Teach parents about ways to manage chronic illness in children.
◯Promote regular physical activity.
◯Encourage the family to participate in a support group and use community resources

Peds ch 19

2. Hyperthyroidism: Assessment findings
-Nervousness, irritability, hyperactivity, emotional lability, decreased attention spanWeakness, easy fatigability, exercise intolerance, Heat intoleranceWeight change (usually loss) and increased appetiteInsomnia and interrupted sleep, Frequent stools and diarrhea, Menstrual irregularities (amenorrhea/decreased menstrual flow), Libido initially increased in both men and women, followed by a decrease in libido as the condition progresses, Warm, sweaty, flushed skin with velvety-smooth texture, Tremor, hyperkinesia, hyperreflexia, Exophthalmos (Graves' disease on, Vision changes, retracted eyelids, global lag, Hair loss, Goiter, Bruit over the thyroid gland, Elevated systolic blood pressure and widened pulse pressure, Tachycardia and dysrhythmias, Findings in older adult clients are often more subtle than those in younger clients
-.Occasionally an older adult client who has hyperthyroidism will demonstrate apathy or withdrawal instead of the more typical hypermetabolic state.
-Older adult clients who have hyperthyroidism often present with heart failure and atrial fibrillation.
Adult ch 79

3. Appropriate feeding techniques for cleft palate:
-For isolated CL: Encourage breast feeding, Use a wide-based nipple for bottle feeding, Squeeze the infant's cheeks together during feeding to decrease the gap
-For CP or CL/CP: Position the infant upright while cradling the head during feeding, Use a specialized bottle with a one-way valve and a specially cut nipple, Burp the infant frequently
-Syringe feeding may be necessary for the infant who is unsuccessful with other methods

peds ch 23