A 2-year-old arrives at the ED in hypovolemic shock and Intraosseous in the patient's medial tibia.
needs fluids immediately. After several attempts, your team
has been unsuccessful at establishing vascular access. Of
the following, which is the next best option for establishing
access quickly?
A 2-year-old arrives with a 2-day history of vomiting and Capillary refill
diarrhea. The patient has a fever of 38.4oC (101.2°F), resting
HR of 152 beats/minute, RR of 34 breaths/minute, and
blood pressure of 94/ 56 mm Hg. Assessment reveals a
capillary refill time of > 5 seconds. Which of the following
would be most indicative of the need for intravenous
rehydration therapy for this patient?
A 2-year-old is seen with a 3-day history of irritability, Urinary catherization
vomiting, and the presence of foul-smelling urine. The child
is hypotensive and tachycardic. Which of the following
methods for obtaining a urine sample is most appropriate
in this circumstance?
,A 3-week old is brought to the emergency department Identify the type of formula the caregiver uses
with a history of fussiness, spitting up, crying, and watery
stools. Assessment reveals an alert child with moist mucous
membranes. Which of the following should be the priority?
A 3-year-old is assessed for the presence of increasing Button battery
amounts of serosanguineous drainage from his left nares
over the past 6 hours. Which of the following foreign
bodies is the most likely etiology?
A 3-year-old is brought by caregivers with generalized Administer intranasal midazolam
tonic-clonic activity, unresponsiveness, and drooling that
began 6 minutes prior to arrival. Which of the following
interventions would be most appropriate for this event?
, A 3 year-old patient presents following frequent emesis Prolonged capillary refill (wrong)
and diarrhea over the past 12 hours. Which of the following
assessment findings indicate that the patient' body is Remediation feedback:
compensating for the fluid loss? In the early compensated phase of shock attributed to fluid volum
diastolic pressure will increase due to vasoconstriction (increasing
resistance) as a compensatory mechanism causing a narrowed puls
normal systolic pressure is maintained during this phase. Other man
early shock states are tachycardia, normal capillary refill, decrease
mild irritability, tachypnea, and weak peripheral pulses.
A 4-year-old presents with vomiting, lethargy, frequent Hypoglycemia (wrong)
urination, weight loss, and dry mucous membranes. Vital
signs reveal deep respirations at 44 breaths per minute, BP Remediation feedback:
of 70/44 mm Hg, and HR of 144 beats per minute. Which of Children can present with new onset diabetes in diabetic ketoacido
the following laboratory values would be most expected in Manifestations include signs of dehydration ( dry mucous membran
this child? tachycardia), incontinence (polyuria), vomiting, abdominal pain, Ku
respirations (to counter the acidosis), polydipsia, anorexia, and wei
Expected laboratory values would reveal an acidotic state with a p
an elevated serum bIcarbonate level, and an elevated blood gluco
mg.dL.
needs fluids immediately. After several attempts, your team
has been unsuccessful at establishing vascular access. Of
the following, which is the next best option for establishing
access quickly?
A 2-year-old arrives with a 2-day history of vomiting and Capillary refill
diarrhea. The patient has a fever of 38.4oC (101.2°F), resting
HR of 152 beats/minute, RR of 34 breaths/minute, and
blood pressure of 94/ 56 mm Hg. Assessment reveals a
capillary refill time of > 5 seconds. Which of the following
would be most indicative of the need for intravenous
rehydration therapy for this patient?
A 2-year-old is seen with a 3-day history of irritability, Urinary catherization
vomiting, and the presence of foul-smelling urine. The child
is hypotensive and tachycardic. Which of the following
methods for obtaining a urine sample is most appropriate
in this circumstance?
,A 3-week old is brought to the emergency department Identify the type of formula the caregiver uses
with a history of fussiness, spitting up, crying, and watery
stools. Assessment reveals an alert child with moist mucous
membranes. Which of the following should be the priority?
A 3-year-old is assessed for the presence of increasing Button battery
amounts of serosanguineous drainage from his left nares
over the past 6 hours. Which of the following foreign
bodies is the most likely etiology?
A 3-year-old is brought by caregivers with generalized Administer intranasal midazolam
tonic-clonic activity, unresponsiveness, and drooling that
began 6 minutes prior to arrival. Which of the following
interventions would be most appropriate for this event?
, A 3 year-old patient presents following frequent emesis Prolonged capillary refill (wrong)
and diarrhea over the past 12 hours. Which of the following
assessment findings indicate that the patient' body is Remediation feedback:
compensating for the fluid loss? In the early compensated phase of shock attributed to fluid volum
diastolic pressure will increase due to vasoconstriction (increasing
resistance) as a compensatory mechanism causing a narrowed puls
normal systolic pressure is maintained during this phase. Other man
early shock states are tachycardia, normal capillary refill, decrease
mild irritability, tachypnea, and weak peripheral pulses.
A 4-year-old presents with vomiting, lethargy, frequent Hypoglycemia (wrong)
urination, weight loss, and dry mucous membranes. Vital
signs reveal deep respirations at 44 breaths per minute, BP Remediation feedback:
of 70/44 mm Hg, and HR of 144 beats per minute. Which of Children can present with new onset diabetes in diabetic ketoacido
the following laboratory values would be most expected in Manifestations include signs of dehydration ( dry mucous membran
this child? tachycardia), incontinence (polyuria), vomiting, abdominal pain, Ku
respirations (to counter the acidosis), polydipsia, anorexia, and wei
Expected laboratory values would reveal an acidotic state with a p
an elevated serum bIcarbonate level, and an elevated blood gluco
mg.dL.
