STUVIA 2024/2025
PEDS EXAM 4 Chapter 34
d) Assessing mental status and skin moisture and color
In cases of poisoning, clinical manifestations vary widely depending on the medication or chemical
ingested. Therefore, it is important to pay particular attention to the child's mental status, skin
moisture and color, and bowel sounds. Evaluating the effectiveness of the child's breathing and noting
the child's pulse rate and quality are basic to any rapid cardiopulmonary assessment. Auscultating all
lung fields for signs of pulmonary edema would be critically important for a child who is a
near-drowning victim. - ✔✔The parents bring their 3-year-old son to the emergency department after
he ingested some of his mother's medicine. Which assessment would be of critical importance for this
child?
a) Evaluating the effectiveness of the child's breathing
b) Noting the child's pulse rate and quality
c) Auscultating all lung fields for signs of edema
d) Assessing mental status and skin moisture and color
c) Croup
e) Epiglottitis
%
Common causes of respiratory arrest involving the upper airway include croup and epiglottitis.
Asthma, pertussis, and pneumothorax are common causes involving the lower airway. - ✔✔A group
of students are reviewing information about respiratory arrest in children. The students demonstrate
understanding of this information when they identify what common causes of respiratory arrest
involving the upper airway? Select all that apply.
a) Pneumothorax
b) Asthma
c) Croup
d) Pertussis
e) Epiglottitis
b) Palpating the anterior fontanel
Once the ABCs have been evaluated, the nurse will move on to "D" and assess for disability by
palpating the anterior fontanel for signs of increased intracranial pressure. Observing skin color and
perfusion is part of evaluating circulation. Palpating the abdomen for soreness and auscultating for
bowel sounds would be part of the full-body examination that follows assessing for disability. -
stuvia
, STUVIA 2024/2025
✔✔The nurse is examining a 10-month-old girl who has fallen from the back porch. Which
assessment will directly follow evaluation of the "ABCs?"
a) Palpating the abdomen for soreness
b) Palpating the anterior fontanel
c) Auscultating for bowel sounds
d) Observing skin color and perfusion
c) Perform a gastric lavage.
If the child ingested the pills within the last 60 minutes, a gastric lavage and administration of
activated charcoal would be the preferred treatment. If the acetaminophen is in the bloodstream,
N-acetylcysteine may be administered. Chelation therapy is meant for metal poisoning. IV fluid
replacement is used to treat hypovolemic shock. - ✔✔The nurse is caring for a 2-year-old who has
been rushed to the clinic immediately after swallowing an unknown number of acetaminophen tablets.
Which of the following is the priority intervention?
a) Administer N-acetylcysteine.
b) Start IV fluid replacement.
c) Perform a gastric lavage.
%
d) Initiate chelation therapy.
a) Call the local poison control center.
Not all poisons should be vomited. Strong acids, for example, could cause as much destruction of
tissue being vomited as being swallowed. The poison control center will provide the most accurate
information on the next steps for the client. - ✔✔When a poison has been ingested by a child, what
should the parents do first?
a) Call the local poison control center.
b) Induce vomiting.
c) Get the child to an emergency facility.
d) Administer an emetic.
d) Keep cleaning solutions locked up.
The parents should keep cleaning solutions locked up to protect the toddler from accidental
poisoning. Accidental poisonings usually occur among toddlers and commonly involve substances
located in bathrooms or kitchens. Labeling poisonous substances may not help as toddlers are
unable to read. Not leaving the child alone and closely monitoring the child are important, but not
feasible all the time. - ✔✔A nurse is caring for a stable toddler diagnosed with accidental poisoning
stuvia
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller AnswersCOM. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
