1. Ask about any new bed-wetting or sleep disturbances
Pediatric patients with anxiety and PTSD may present with physical com-
plaints. Assess for other behavioral symptoms to facilitate appropriate
care and follow-up
ANSA 5 year-old with no health problems presents to the Emergency
Department with a sudden onset of chest pain and shortness of
breath. Parents state that the family was involved in a bad car crash
one week ago. A thorough assessment and workup has not revealed
any abnormalities. Which of the following steps is the best next step to
take?
2. Ensuring all firearms in the home are locked in a safe place with no
access by the patient.
Promoting injury prevention with caregivers of patients with a history of
depression or suicidal ideation by encouraging that all firearms and med-
ications are under lock to prevent overdoses or suicide attempt
ANSYou are discharging a patient to home with a history of
1/
,depression. Discharge teaching should include which of the following?
3. Obtain vascular access for rapid fluid administration
Rapid vascular access and fluid administration are the priority interven-
tions
ANSA 2-year old has uniformly 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?
4. Draw and send a metabolic panel and venous blood gas, administer a
fluid bolus, and obtain a point of care glucose
Electrolyte imbalances need to be identified and treated to prevent another
seizure
ANSA 7-year-old arrives via ambulance. The patient's mother reports
wit- nessing a seizure at home. The patient has no seizure history.
Upon examination, the patient is post-ictal with a heart rate of 142
beats per minute, respiratory
rate of 36 breaths per minute, and blood pressure of 86/72 mm Hg.
Significant burns are noted to the patient's back and lower extremities.
The mother states the burns accidentally occurred 3 days ago, but she
was afraid to bring patient in due to an ongoing child welfare
investigation. Which of the following are the MOST appropriate
immediate interventions?
2/
, 5. ventilation to address hypoxia is the priority intervention
ANSWhat is the priority intervention for symptomatic bradycardia
in a four-year-old child?
3/
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