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ENPC Questions with complete solutions

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ENPC Questions with complete solutions Inconsolable neonate hypoxia Preschooler 3-5yrs likes Nightlights + Bandaids 4 Components of the Pediatric Prioritization Process 1. PAT 2. Focused Hx 3. Focused Assessment 4. Assignment of an acuity rating Pain scale - nonverbal F...

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  • June 16, 2023
  • 6
  • 2022/2023
  • Exam (elaborations)
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ENPC Questions with complete
solutions
Inconsolable neonate - answer hypoxia

Preschooler 3-5yrs likes - answer Nightlights + Bandaids

4 Components of the Pediatric Prioritization Process - answer 1. PAT
2. Focused Hx
3. Focused Assessment
4. Assignment of an acuity rating

Pain scale - nonverbal - answer Flacc

Pain Scale - 4-7 yrs - answer Faces

Pain Scale 8 yrs+ - answer Numerical 0-10 scale

PAT Components - answer General appearance
Work of breathing
Circulation

0 = Sick
1 = Sicker
2+ = Sickest

Airway Assessments - answer Tongue Obstruction
Loose Teeth
Vomit
Secretions
Blood
Edema

Airway Interventions - answer Re-position the head to a neural position
Open airway - chin lift, jaw thrust
Suction secretions - avoiding vagal stimulation

Not conscious - consider inserting orophargyngeal airway

Breathing Assessment - answer Do I have spontaneous respirations?
What is the rate and depth of respiratons?
Do I have symmetric chest rise and fall?
Breath sounds present, what is their quality?

, What is the work of breathing - do I have nasal flaring, retractions, accessory muscle
use?

Interventions breathing - answer Maintain a position of comfort
Provide supplemental O2

Not breathing adequately - provide bag mask ventilation AND reassess for the
effectiveness of breathing

Prepare for endotracheal intubation/RSI
Assessment of tube placement, insert gastric tube to reduce abd distention

Breathing assessment - answer Do I have spontaneous respiration?
Do I have equal chest rise and fall?
What is the rate and depth of respiration?
What is the work of breathing - is there any nasal flaring, retractions, head bobbing?

Circulation assessment - answer Central and peripheral pulse rate and quality
Skin color and temperature
Capillary refill
JVD and tracheal position - trauma

Circulation interventions - answer CPR/ALS
Control obvious bleeding

Obtain IV access
Adminster 20ml/kg fluid bolus and reassessment of circulatory assessment

Administer blood or blood productions

Disability assessment - answer AVPU - awake/alert, verbal, responds to pain, does
not respond/unconscious

Pupils equal round reactive to light

E - answer Exposure and Environmental Control

Exposure and Environmental Control Assessment and Interventions - answer Look
for obvious skin abnormalities
Sources of heat loss

Apply warm blankets
Provide overhead warming light
warm IV fluids/warmed humidified O2

F - answer Full set of vital signs

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