Exam (elaborations)
Study 14. Critical Care
- Course
- Nursing
- Institution
- Amg School Of Licensed Practical Nursing
Study 14. Critical Care
[Show more]
Content preview
Chapter 14. Critical Care1. A child in the ICU exhibits tachycardia, tachypnea, hypertension, and low pulse
pressure in the extremities. Which of these signs is the best indicator of inadequate
perfusion of blood?
A) Tachycardia
B) Tachypnea
C) Hypertension
D) Low pulse pressure
2. A 12-month-old child is admitted to the ICU after being found abandoned in a hot car.
The child is responsive, but the nurse notices that the anterior fontanelle of the child is
sunken. Which of the following conditions should the nurse suspect in this
situation? A) Dehydration
B) Increased intracranial pressure
C) Fluid overload
D) Hypertension
3. An ICU nurse, in testing the reflexes of a 3-month-old baby girl, strokes the lateral
aspect of the sole of the foot to test for possible nerve damage. In response, the child
fans her
toes and dorsiflexes her big toe. What is the name of this reflex, and is the childs
response
normal?
A) Moro reflex; abnormal
B) Rooting reflex; normal
, C) Grasp reflex; abnormal
D) Babinski reflex; normal
4. A nurse in the ICU observes paradoxical irritability, meningeal irritability, and
nuchal rigidity in a 5-year-old girl. She suspects meningitis. What other finding or
findings would support this belief? Select all that apply.
A) Positive Babinski reflex
B) Positive Moro reflex
C) Positive Brudzinskis sign
D) Positive Kernigs sign
5. A newborn baby involved in an auto accident has been admitted to the ICU and is
currently being assessed by a nurse in a drafty, cool room. The nurse notes mottling on
the infants skin, a progression of coolness toward the trunk, peripheral cyanosis,
normal blood pressure, low pulse pressure, and tachycardia. Given the circumstances,
which of the following are reliable signs that the infant is in shock? Select all that
apply.
A) Mottled skin
B) Progression of coolness toward the trunk
C) Peripheral cyanosis
D) Normal blood pressure
E) Low pulse pressure
F) Tachycardia
6. A nurse working with an infant patient observes that the child, who has a nasogastric
tube, is grunting on expiration, wheezing, and seesaw breathing. The nurse
recognizes that the infant is most likely experiencing which condition?
A) Respiratory distress due to obstructed nasal passages
B) Respiratory arrest due to obstruction of the glottis
C) Epileptic seizure due to overstimulation
D) Shock due to loss of blood
7. A 2-year-old is admitted to the ICU due to severe dehydration. The mother of the child
is distraught and feels guilty that she took a long walk with her child in the sun earlier in
the day. She said that she and the rest of the family had no issues with dehydration.
What would be the best response for the nurse to give the mother?
A) Children his age should have limited sun exposure and should be covered
with sunscreen.
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 Yuniss. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82215 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now