RQI PALS Entry 1. A 4-year-old child is brought to the emergency department for seizures.Theseizures stopped a few minutes ago, but the child continues to have slow andirregular respirations. What condition is most consistent with your assessment? Lung tissue disease Upper airway obstruction Lower airway obstruction Disordered control of breathing: Answer Disordered control of breathing 2. A 2-week -old infant is being evaluated for irritability and poor feeding. Hisblood pressure is 55/40 mm HG, and capillary refill time is 5 seconds. Which statement best describes your assessment of this infants blood pressure? It is hypotensive It is hypertensive It is normal It represents compensated shock: Answer It is hypotensive 3. You are performing the airway component of the primary assessment. What finding would lead you to conclude that the child has an upper airwayobstruction? Dry, nonproductive cough Inspiratory stridor Subcostal retractions Wheezing: Answer Inspiratory stridor 4. A 5-year-old child is brought to the emergency department by ambulanceafter being involved in a motor vehicle collision. You are using the primary assessment to evaluate the child. When assessing the child's neurologic status, you note that he has spontaneous eye opening, is fully oriented, and is able to follow commands. How would you document this child's AVPU Scale finding? Alert Unresponsive Painful Voice: Answer Alert 5. A 3-uear-old child is brought to the emergency department by his mother. What is a normal finding for a 3-year-old child? Blood pressure of 55/30 mm Hg Respiratory rate of 24/min Oxygenation saturation of 90% Heart rate of 220/min: Answer Respiratory rate of 24/min 6. An 8-year-old child is brought to the emergency department by ambulanceafter being involved in a motor vehicle collision. What finding would suggest that immediate intervention is needed? Temperature of 38.1 C (100.5 F) Decreased level of consciousness Warm, moist skin Systolic blood pressure of 106 mm Hg: Answer Decreased level of consciousness 7. A 10-year-old child is brought to the emergency department for fever andcough.You obtain an oxygen saturation on the child. What oxygenation saturation would indicate that immediate intervention isneeded? 88% on 4L of nasal oxygen 95% on room air 96% on room air 97% on 50% oxygen: Answer 88% on 4L of nasal oxygen
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