Chapter 29 : Nursing Care during a Pediatric Emergency
The nurse is assisting with the intubation of a 6 y/o child and is gathering the necessary equipment. The nurse determines that the child needs which size tracheal tube?
5.5
The nurse has administered IV adenosine as ordered to a child with supra ventricular tachycardia. Which action would the nurse do next?
Administer a rapid generous saline flush
When assessing a client in an emergency situation, to guide the assessment of the nurse should be aware that most pediatric cardio-pulmonary arrests stem from what cause?
Airway and breathing problems
When assessing a child with a traumatic injury, What is the priority assessment ?
Airway patency and airflow
The nurse is caring for a client who is having an acute asthma attack that is not responding to standard asthma treatment. Which medication does to ensure anticipate administering?
Ketamine
The nurse is assessing the neurologic status of an infant. What would the nurse identify as a non reassuring finding?
Lack of interest in surroundings
The nurse is assessing the respiratory status and lungs of a 6-yr old child. What finding would the nurse report immediately?
Minimal air movement through the lungs
A 6 y/o girl in shock is receiving dobutamine. What would the nurse most likely do?
Monitor for ventricular arrhythmias
When attempting to locate the pulse of child found in a state of collapse, how much time should be taken?
No more than 10 seconds.
During the assessment of a child, the nurse notes weak distal peripheral pulses, wheezing in all lung fields upon auscultation, pulse oximeter level 88 %, tachycardia, and short shallow respiration with tachypnea. Which nursing diagnosis does the nurse identify related to these assessment findings ?
Impaired gas exchange, ineffective breathing pattern, decreased cardiac output, ineffective tissue perfusion.
A 5 yr/old girl is breathing spontaneously but is unable to maintain an airway. What action would be a priority?
Inserting an oropharyngeal airway
The nurse is assessing the neurologic status of an 11-month old girl. What finding would be cause for concern?
Inspection shows a sluggish pupillary reaction.
A 7 y/o girl is in the intensive unit following a bicycle accident. Which would be most helpful in providing support to the girl's parents?
Providing honest answers in a reassuring manner.
When caring for a child experiencing difficulty breathing which position would be most beneficial for the child?
Sitting upright
a 4y/o girl, injured in an automobile accident, is suspected of having a head injury. What would be the priority action?
Opening the airway using the jaw thrust maneuver.
A 9y/o boy nearly drowned when he fell through the ice while skating on a pond. The child is exhibiting bradycardia. What would the nurse expect to implement to resolve the child's bradycardia ?
Using a connective air warming blanket.
A group of nursing students are reviewing information about tachyarrhthymias in children. The students demonstrate a need for additional review when they identify this as a characteristic of sinus tachycardia in children.
narrow QRS complex
Assessment of a child reveals a tension pneumothorax. The nurse would prepare the child for ?
needle thoracotomy
A 10 y/o boy with congenital heart disease is in shock, Which nursing intervention would be most appropriate for this child?
Assessing for pulmonary edema from fluid overload.
The condition of an 11 y/o boy who is on mechanical ventilation begins to deteriorate. What action would the nurse do next ?
Check to see if the tracheal tube is displaced.
A 14 y/o child is brought to the emergency department. His parents state that they think "too many of his pain pills". The child had been prescribed oxycodone every 4 hours for pain secondary to a bone infection. Which agent would the nurse expect to be administered to counteract the analgesics?
Naloxone
A child is to undergo synchronized cardioversion. The child weighs 44 lbs. The nurse would expect how many joules to be delivered?
10-20 joules
When developing the plan of care for a 10 month old infant in septic shock, which of the following would the nurse most likely include?
Administering intravenous dopamine as ordered.
An 8 y/o girl with tachycardia is alert, breathing comfortably, and exhibiting signs of adequate tissue perfusion. Which nursing intervention would be most appropriate for this child ?
Applying ice to the child's face
The nurse is preparing to insert an oropharyngeal airway. What action would be most appropriate to determine the proper size?
Placing the airway next to the cheek with tip pointing down.