PEDS CHAPTER 34: PEDIATRIC EMERGENCIES

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? A. "I know this is overwhelming, but I want you to know he will be OK." B. "How could this accident have happened with you both there?" C. "You must be so scared right now...especially since you were the one driving." D. "I am here to answer your questions and be with you during this difficult time."

D

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? A. Administering 100% oxygen by mask B. Having the child sit up straight in a chair C. Checking his capillary refill time D. Providing sedation as ordered

A

A child is brought into the emergency department. After assessing a child's airway, breathing, and circulation (ABCs), which of the following would the nurse do next? A. Obtain a full set of vital signs. B. Remove the child's clothing. C. Provide pain management. D. Assess level of consciousness.

D

A child presents to the emergency department via ambulance in critical condition following a traumatic motor vehicle crash. What would the first action of the nurse be? A. Update the parent and obtain consent to treat B. Remove the child's clothing to assess for injury C. Begin circulation/cardiac assessment and count the pulse D. Assess the child's airway and manage airway patency

D

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? A. Begin hyperventilation. B. Establish a suitable IV site. C. Provide oral analgesics as ordered. D. Draw blood for type and crossmatch.

B

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? A. Instruct the toddler not to go near the pool. B. Avoid unattended baths for the toddler. C. Provide only partial baths to the toddler. D. Teach the child that water is dangerous.

B

The nurse is caring for a child who is critically ill and requiring fluid resuscitation. Which intravenous fluids are appropriate for use? Select all that apply. A. 5% dextrose in water B. Normal saline C. Lactated Ringer's D. 10% dextrose in water E. 5% lactated Ringer's

B,C

An unconscious client is brought to the emergency department after ingesting too much prescribed medication. What is the highest priority nursing intervention? A. Call family members. B. Establish IV access. C. Administer antacids. D. Establish a patent airway

D

The nurse is caring for a 24-month-old child with a fever of 101°F. The child also exhibits a toxic appearance. Which of the following would the nurse expect to implement? A. Administering antibiotics as ordered B. Performing a complete septic work up C. Obtaining a specimen for a complete blood count D. Replacing fluid deficits orally

A

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? A. Closely monitor the toddler's activity. B. Label poisonous solutions. C. Keep cleaning solutions locked up. D. Do not leave the toddler alone.

C

A young child is brought to the emergency department and requires advanced life support. The nurse is preparing to administer medication to maintain the child blood pressure and systemic perfusion. Which of the following might the nurse administer? A. Epinephrine B. Dopamine C. Dobutamine D. Atropine E. Glucose

A,B,C

A 7-year-old child shows symptoms of anaphylactic shock. Which of the following would be most appropriate for the nurse to do immediately? Select all that apply. A. Administer epinephrine as ordered. B. Increase fluid intake. C. Teach the child how to use an EpiPen. D. Administer oxygen. E. Initiate intravenous access.

A,D,E

A 10-year-old boy has just arrived by ambulance at the emergency room following a motor vehicle accident, and a nurse is assessing him. Which three body systems should the nurse evaluate fist? A. Respiratory, cardiovascular, and neurologic B. Cardiovascular, gastrointestinal, and neurologic C. Respiratory, cardiovascular, and skeletal D. Neurologic, cardiovascular, and endocrine

A

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? A. Atropine B. Sodium bicarbonate C. Naloxone D. Calcium carbonate

A

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? A. Sit the child upright. B. Lift the child off the stretcher. C. Logroll the child to the side. D. Arch the child's back using two hands

C

An infant is brought to the emergency department with acetaminophen poisoning. Which medication should the nurse expect to administer to this child? A. Iron B. Deferoxamine C. Acetylcysteine D. Dexamethasone

C

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? A. Assess patency of the child's airway. B. Place the child on 100% oxygen. C. Notify the physician. D. Apply a pulse oximeter to monitor oxygen levels.

A

When educating parents of preschoolers what is most important to include in your presentation? A. Use wrist guards with rollerblades. B. Teach preschoolers to tread water. C. Keep chemicals in a locked cabinet. D. Maintain strict discipline with potty training.

C

A 3-year-old child is brought to the emergency department after swallowing batteries taken from a grandparent's hearing aids. The parents believe that two batteries were swallowed. What should the nurse explain to the parents regarding the care that the child will need at this time? A. Activated charcoal so that the child will vomit the batteries B. Preparation for an emergency endoscopy to remove the batteries C. Oxygen to ensure that the child's blood is thoroughly oxygenated D. Emergency intubation to ensure that the child has an adequate airway

B

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? A. Head tilt-chin lift B. Jaw-thrust maneuver C. Two hands encircling method D. Tongue thrust

B