A 3 year old is rescued after being submerged in a residential pool for several minutes. On arrival at the ED he is responsive to painful stimuli, has slow respirations with diminished breath sounds throughout, and has an occasional cough. What is the initial management priority? correct answers ET...
a 3 year old is rescued after being submerged in a
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A 3 year old is rescued after being submerged in a residential pool for several minutes. On
arrival at the ED he is responsive to painful stimuli, has slow respirations with diminished breath
sounds throughout, and has an occasional cough. What is the initial management priority?
correct answers ET intubation with positive pressure ventilation
Which of the following patient presentations should increase suspicion of potential child
maltreatment? correct answers Bruising to the left ear of a newborn from sleeping on his side
A 6 month old is brought to the ED for recurrent respiratory infections. When gathering a history
from the care giver, the emergency nurse learns that in addition to respiratory symptoms, the
infant has had fatty stools. The emergency nurse should be concerned about which of the
following disease processes? correct answers Cystic fibrosis
A toddler has a chemical eye injury. Which of the following is a priority intervention? correct
answers Copious eye irrigation with an isotonic solution
Which of these is the priority intervention for a pediatric patient with DKA? correct answers
Insulin infusion
During the tertiary survey, the emergency nurse should continue to conduct reevaluations of the
Pediatric Assessment Triangle (PAT), abnormal findings, and which of the following other
assessment components? correct answers Primary survey, vital signs, pain management, and
effectiveness of therapeutic interventions
Which of the following patients should be evaluated first? correct answers 18 month old with
bilious emesis
Which of the following describes a neonates normal position? correct answers Flexion with
extremities close to the body
You are discharging a patient home with a history of depression. Discharge teaching should
include which of the following? correct answers Ensuring all firearms in the house are locked up
in a safe place with no access by the patient
An ambulance arrives with a 16 year old male who was involved in a dirt bike crash who was
intubated prior to arrival. Which of the following is the priority assessment or intervention?
correct answers Assess the ET tube placement and patency
All of the vaccine administrations are appropriate EXCEPT which of the following? correct
answers Fifth Disease at 6 months
A 4 day old who is brought to the ED with the parental complaint of "not acting right' is found to
be hypoglycemic. The appropriate glucose concentration to administer to this neonate is which of
the following? correct answers D10
, The neurosurgeon has decided to perform an invasive procedure in the emergency department to
monitor the ICP on a 5 year old pt. The family does not speak English and has identified their
religion as Muslim. Which of the following interventions is most supportive of the family?
correct answers A. allowing caregivers to remain with the pediatric pt
B. allow the extended family members to serve as interpreters during the procedure
c. dedicate a healthcare team member with a qualified interpreter to be with the family during the
procedure
d. provide access to a quiet area
IDK MAYBE A
A 16 year old is noted to have external rotation and shortening of the left lower extremity and
pain with palpation of the pelvis after being ejected from a motorcycle. Which of the following
assessment findings is most concerning for a potentially life threatening condition? correct
answers Bony crepitus and instability with gentle anterior posterior compression
During the assessment of a 16 year old male patient the ED nurse identifies him as a possible sex
trafficking victim. The trauma informed approach to care emphasizes certain principles in caring
for these types of patients. Which of the following care principles has the highest priority?
correct answers Physical and psychological safety
The emergency nurse is caring for a patient with significant facial trauma and a suspected globe
rupture. Which of the following medications would the nurse question? correct answers
Succinylcholine
Which of the following indicates the need for additional parent/guardian education regarding
UTI? correct answers "My child will grow out of their frequent UTIs".
A 15 year old patient has attempted suicide by overdosing on amitriptyline. The emergency
nurse should expect which of the following symptoms? correct answers Dysrhythmias
A 2 year old has uniform demarcated burns to bilateral lower extremities, approximately 30% of
the childs total body surface area. The father states he briefly left the room while the child was in
the bath and the child apparently played with the faucet. Which of the following interventions
has the highest priority? correct answers Obtain vascular access for rapid fluid administration
A 14 year old patient presents to the ED with her aunt after being assaulted. The patient has
multiple bruises inconsistent with the assault history and seems guarded with her answers. A
urine test is positive for pregnancy although the patient denies being sexually active. The aunt
repeatedly asks when they will be discharged. The ED nurse recognizes these findings as red
flags for which of the following? correct answers Sex trafficking
Which of the following actions by the nurse promotes pediatric patient safety? correct answers
Preparing medications in a distraction free zone
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