Chapter 34 testbanks

6. 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

15. 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. Assess the child's airway and manage airway patency

11. 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. Preparation for an emergency endoscopy to remove the batteries

19. 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

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

1. WHEN EDUCATING PARENTS OF PRESCHOOLERS WHAT IS MOST IMPORTANT TO INCLUDE IN YOUR PRESENTATION?

A. Keep chemicals in a locked cabinet.

1. 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

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

administer epinephrine as ordered, admin oxygen, initiate IV access

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?

assess LOC

1. 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.

establish a patent airway

15. 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

15. 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 side

19. 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.

normal saline, lactated ringers

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

1. 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

6. 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?

administering antibiotics as ordered

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

15. 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 am here to answer your questions and be with you during this difficult time."

An infant is brought to the emergency department with acetaminophen poisoning. Which medication should the nurse expect to administer to this child?

A. Acetylcysteine

1. 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