Chapter 34 - Pediatric Emergency

The nurse is assessing a child in the emergency department who ingested a battery from a toy. What will the nurse include in the assessment? Select all that apply. 1)Assess for stridor. 2)Assess for hypotension. 3)Monitor for difficulty swallowing. 4)Examine mouth for redness and irritation. 5)Assess for right upper quadrant abdominal pain.

1)Assess for stridor. 2)Assess for hypotension. 3)Monitor for difficulty swallowing.

A child experiencing shock has received three boluses of normal saline solution. Which assessment will the nurse make to determine if the child is responding to the fluids? 1)peripheral and central pulses 2) amount of urine output 3)heart and respiratory rates neurological status

1)peripheral and central pulses

The nurse is preparing to administer atropine to a 4-year-old child in the emergency department. What consideration(s) will the nurse take into account for this medication? Select all that apply. 1)Atropine causes pupil dilation. 2)Give as necessary for opiate-induced apnea. 3)Give every 3 minutes during CPR. 4)Do not mix with sodium bicarbonate. 5)Monitor heart rhythm.

1)Atropine causes pupil dilation. 2)Give as necessary for opiate-induced apnea. 3)Give every 3 minutes during CPR.

The nurse is preparing to administer naloxone to a child in the emergency department. What consideration(s) will the nurse take into account while administering this medication? Select all that apply. 1)May repeat as necessary for opiate-induced apnea. 2)Naloxone causes pupil dilation. 3)Monitor for bleeding. 4)Give every 3 minutes during CPR. 5)Opioid's effects outlast nalone's therapeutic effects.

1)May repeat as necessary for opiate-induced apnea. 5)Opioid's effects outlast naloxone's therapeutic effect

The parents bring their 3-year-old child to the emergency department after ingesting some of the parent's morphine liquid prescription. Which nursing assessment is the priority? 1)evaluating the child's mental status, skin moisture, and skin color 2)noting the child's pulse rate and quality 3)auscultating all lung fields for signs of edema 4)obtaining a complete set of vital signs

1)evaluating the child's mental status, skin moisture, and skin color

. A preschool-aged child is hospitalized after ingesting an unknown amount of sulfonylurea. The nurse is creating a plan of care for the child. Which assessments will the nurse prioritize? Select all that apply. 1)heart rate 2)pain 3)temperature 4)level of consciousness 5)serum glucose

1)heart rate 4)level of consciousness 5)serum glucose

The nurse is providing care to a child admitted to the unit who survived a near-drowning incident. When assessing the child, the nurse would be especially alert for the development of which complication(s)? Select all that apply. 1)pulmonary edema 2)acute respiratory distress syndrome (ARDS) 3)subdural hemorrhage 4)cardiac tamponade 5)intestinal obstruction

1)pulmonary edema 2)acute respiratory distress syndrome (ARDS)

The nurse is caring for a 3-year-old child who ingested a dangerous amount of amitriptyline, a tricyclic agent. What will the nurse include in the child's plan of care? Select all that apply. 1)Administer sodium as bicarbonate as prescribed. 2)Perform continuous EKG monitoring. 3)Assess blood sugar frequently 4)Monitor for lethargy. 6)Do not induce vomiting.

1,2,3

The nurse is teaching the parents of an 8-year-old child about strategies to prevent accidental poisoning from a snake when the child goes outside. What will the nurse include in the teaching? Select all that apply. 1)Wear protective clothing. 2)If a snake bite occurs, apply a tourniquet. 3)Suck venom out of the wound in the case of a snake bite. 4)Use a stick while walking in tall grass. 5)Do not handle or pick up a snake.

1,2,3

A 10-year-old child is brought to the emergency department following a near-drowning incident. The nurse completes an assessment with the above findings. What inference can the nurse make about the child's plan of care? 1)discharge home with next-day follow up 2)admission for observation overnight 3)transfer to an intensive care unit 4)oxygen therapy and observation for 2 hours

2) admission for observation overnight

A toddler is brought to the emergency department after swallowing some of the parent's prescription opioid medication. The toddler is unresponsive with shallow respirations. The nurse has administered naloxone to the toddler. Which intervention will the nurse expect to implement? 1)Monitor the heart rate for ventricular arrhythmias. 2)Administer additional doses as needed. 3)Maintain a central line for repeat doses.

2)Administer additional doses as needed.

A nurse is creating a plan of care for a child hospitalized after accidentally ingesting the parent's prescription opioid. Which outcome is the best indicator that the plan of care was successful? 1)The parent verbalizes strategies to prevent accidental poisoning. 2)The child maintains effective gas exchange. 3)The parent understands how to contact the Poison Control Center. 4)The child's vital signs remain within normal range for age.

2)The child maintains effective gas exchange.

1) A community health nurse is planning a class on water safety for families. What information is important for the nurse to include in the class? Select all that apply. 1) It is important for adult supervision at poolside at all times. 2)Children who have learned to swim require less supervision. 3)Small inflatable wading pools are safe options for toddlers. 4)Personal floatation devices are recommended for children riding in boats. 5)The family needs to maintain fencing around pools to deter unsupervised swimming.

2,4,5 (pg714)

8. A nurse is providing care for a toddler who ingested an unknown amount of acetaminophen. Which intervention will the nurse prioritize? 1)Administer intravenous sodium bicarbonate. 2)Monitor liver function tests. 3)Assess for signs of bleeding. 4)Administer activated charcoal

4)Administer activated charcoal

A 14-month-old trauma victim has arrived in the emergency department. What client priority will the nurse need to address first? 1)Risks from reduced core temperature 2)Possible tissue damage from hypoxia 3)Increased metabolic demands 4)Inadequate systemic perfusion

4)Inadequate systemic perfusion

1. A toddler is brought to the emergency department after ingesting a corrosive substance. Which intervention will the nurse implement as part of the treatment regimen? 1)Administer naloxone. 2)Induce vomiting. 3)Administer sodium bicarbonate. 4)Perform a respiratory assessment.

4)Perform a respiratory assessment. (pg720)

A child is brought to the emergency department after being submerged for an undetermined amount of time in the family pool. Resuscitative efforts have resulted in a normal heart rate, but the child remains intubated on respiratory support and has not regained consciousness. Which potential complication will have the greatest effect on the child's outcome? 1)infection 2)hypovolemia 3)hypothermia 4)atelectasis

4)actelectasis

A 3-year-old child is brought to the emergency department after ingesting some of the parent's medication. The parents deny that the child has vomited. The nurse has completed an assessment with the above findings. Which type of medication has the child likely ingested? 1)salicylate 2)opioid 3)hypoglycemic 4)antidepressant

4)antidepressant

A child is hospitalized after sustaining an injury that resulted in a significant loss of blood. The nurse has performed an assessment with the findings charted above. Which medication does the nurse expect to administer? 1)dopamine 2)naloxone 3)dextrose 25% 4)atropine

4)atropine