Peds emergencies
The nurse is admitting a toddler with the diagnosis of near-drowning in a neighbor's heated swimming pool to the emergency department. The nurse should assess the child for which complication? A-hypothermia B-hypoxia C-fluid aspiration D-cutaneous capillary paralysis
B
A parent calls the Poison Control Center because her 3-year-old has eaten 10 to 12 chewable acetaminophen tablets. What should the nurse instruct the parent to do? A-Give the child a large glass of milk. B-Induce vomiting. C-Take the child to the emergency department. D-Monitor the child's respirations for 24 hours.
C
The father of an 18-month-old with no previous illness, who has been admitted to a surgery center for repair of an inguinal hernia, tells the nurse that his child is having trouble breathing. The father does not think the child choked. After telling the clerk to call the rapid response team, the nurse should take which actions? Place in order from first to last. All options must be used. 1-Listen for breath sounds. 2-Assess the effectiveness of the abdominal thrusts. 3-Perform the abdominal thrust maneuver. 4-Notify the surgeon. 5-Start an intravenous infusion.
1 3 2 5 4
When talking with 10-year-old children about death, the nurse should incorporate which guidelines? Select all that apply. A-Logical explanations are not appropriate. B-The children will be curious about the physical aspects of death. C-The children will know that death is inevitable and irreversible. D-Attitudes of the adults in their lives will influence the children. E-Teaching about death and dying should not start before age 11 years. F-Teach children that death is the same as going to sleep as a way of relieving fear.
B C D
A preschool child presents with a history of vomiting and diarrhea for 2 days. Which assessment finding indicates that the child is in the late stages of shock? A-tachycardia B-bradycardia C-irritability D-urine output 1 to 2 ml/kg/hour
B
A 7-year-old child who ingested several leaves of a poisonous plant has arrived in the emergency department. What is the priority nursing intervention? A-Begin teaching accident prevention. B-Provide emotional support to the child. C-Be prepared for immediate intervention. D-Provide emotional support to the parents.
C
A nurse caring for a child notes that the child begins to experience decreased urinary output, drop in blood pressure, and rapid thready pulse. Which is the appropriate nursing intervention? A-contacting the physician B-increasing the rate of IV fluids C-reassessing vital signs in 15 minutes D-inserting a Foley catheter to monitor urine output
A
An adolescent client is having difficulty coping following the drowning death of a close friend. The client reports recurring nightmares and intrusive thoughts about the friend's death. Which assessment is most important for the nurse to make? A-availability of social supports B-grades in school C-signs of isolation or withdrawal D-accessibility of drugs in school
A
An unconscious client is brought to the emergency department following an opioid overdose. Physical assessment reveals pinpoint pupils, decreased muscle tone, pale skin, and shallow respirations with a rate of 8 breaths per minute. What is the nurse's best action? A-Administer naloxone. B-Administer atropine sulfate. C-Administer protamine sulfate. D-Administer methadone.
A
A client who fell through ice and was submerged for longer than 1 minute is admitted to the emergency department with hypothermia and near-drowning. At which point will the nurse best be able to determine the client's prognosis? A-3 days after the incident B-as soon as cardiopulmonary resuscitation is successfully initiated C-as soon as the client is warmed D-when the client's blood pressure has stabilized
C
A co-worker brings a colleague to the emergency department with a headache, weakness, and slight confusion. The health care provider diagnoses carbon monoxide poisoning. What should the nurse do first? A-Initiate gastric lavage. B-Maintain body temperature. C-Administer 100% oxygen by mask. D-Obtain a psychiatric referral.
C
A nurse is teaching the parents of a young child how to handle suspected poisoning. If the child ingests poison, the parents should first A-administer ipecac syrup. B-call an ambulance. C-call the poison control center. D-punish the child for being bad.
C
A pediatric nurse is performing cardiopulmonary resuscitation (CPR) on an infant. Identify the area where the nurse should assess for a pulse between cycles of breathing and compressions.
Medial Upper arm
Atropine is being administered to a child with sinus bradycardia. Which information is most accurate about the administration of this medication? A-increases heart rate B-raises blood pressure C-dilates bronchial tubes D-decreases heart rate
A
A nurse is teaching a safety class for parents of preschoolers. Which injuries should the nurse include as common among preschoolers? Select all that apply. A-automobile accidents B-drowning C-pedestrian accidents D-burns E-poisoning F-suffocation
A B C D E
A child with 20% second- and third-degree burns is admitted to the burn center. The child weighs 44 lb (20 kg). The nurse has started an IV infusion of lactated Ringer solution and inserted an indwelling catheter. Which of the findings indicate that the child is going into shock? Select all that apply. A-Urinary output is 25 ml/hr. B-Specific gravity is within normal limits. C-Pain is 7 on a pain scale of 1 to 10. D-Heart rate is elevated. E-Blood pressure is dropping.
D E
The nurse is caring for a child with congenital heart disease. What assessment findings does the nurse interpret as indicating possible progression to cardiogenic shock? Select all that apply. A-decreased urine output B-bradycardia C-tachypnea D-bounding peripheral pulses E-capillary refill of less than 2 seconds
A C
