PEDS CHAPTER 34- Pediatric Emergencies
The nurse is caring for a child who is critically ill and requiring fluid resuscitation. Which IV fluids are appropriate for use? Select all that apply.
normal saline, lactated ringers
A child is brought into the E.D.After assessing a child's airway, breathing, and circulation (ABC's), which of the following would the nurse do next?
assess level of consciousness
A home care nurse provides health education to parents regarding the care of their toddler. Which precaution should the nurse suggest the parents take to protect the toddler from drowning?
avoid unattended baths for the toddler
The nurse is performing CPR on a child who is a victim of a near-drowning experience. How should the nurse open the child's airway to provide breaths?
jaw-thrust maneuver
A young child is brought to the E.D. and requires advanced life support. The nurse is preparing to administer medication to maintain the child BP and systemic perfusion. Which of the following might the nurse administer?
epinephrine, dopamine, dobutamine
When educating parents of preschoolers what is most important to include in your presentation?
keep chemicals in a locked cabinet
A child presents to the E.D. via ambulance in critical condition following a traumatic motor vehicle crash. What would the first action of the nurse be?
assess the child's airway and manage airway patency
An infant is brought to the E.D. with acetaminophen poisoning. Which medication should the nurse expect to administer to this child?
acetylcysteine
A 13-year-old boy has had a near-drowning experience. The nurse notices he has labored breathing and a cough. Which of the following would be the priority?
administering 100% oxygen by mask
The nurse is called into a toddler's room. The child's mother says "he's having trouble breathing." What should the nurse do first?
assess patency of the child's airway
An unconscious client is brought to the E.D. after ingesting too much prescribed medication. What is the highest priority nursing intervention?
establish a patent airway
A 10-year-old boy has just arrived by ambulance at the E.R. following a motor vehicle accident, and a nurse is assessing him. Which 3 body systems should the nurse evaluate first?
respiratory, CV, and.neurologic
A 12-year-old boy has broken his arm and is showing signs and symptoms of shock. Which of the following would the nurse do first?
establish a suitable IV site
A nurse is caring for a stable toddler diagnosed with accidental poisoning due to the ingestion of cleaning solution. What must be included in teaching parents about how to protect a toddler from accidental poisoning?
keep cleaning solutions locked up
A nurse is conducting a secondary assessment of a child who has experienced multiple trauma. When inspecting the child's back, which of the following would be most appropriate to do?
logroll the child to the side
A 3-year-old child is brought to the E.D. after swallowing batteries taken from a grandparent's hearing aids. The parents believe that 2 batteries were swallowed. What should the nurse explain to the parents regarding the care that the child will need at this time?
preparation for an emergency endoscopy to remove the batteries
A child is exhibiting symptomatic bradycardia that has been unresponsive to ventilation and oxygenation. Which of the following would the nurse expect to be administered?
atropine
A 7-year-old chid shows symptoms of anaphylactic shock. Which of the following would be most appropriate for the nurse to do immediately? Select all that apply.
administer epinephrine as ordered, administer oxygen, initiate IV access
The nurse is caring for a 24-month-old child with a fever of 101F. The child also exhibits a toxic appearance. Which of the following would the nurse expect to implement?
administering antibiotics as ordered
The nurse is caring for the family of a pediatric client during resuscitative efforts of their child following an accident. Which response by the nurse would be best?
"i am here to answer your questions and be with you during this difficult time"
