ENPC 5th edition Update

Engaging the reluctant student • Identify the cause, if possible • Ensure the expectation of participation is understood • Engage individuals by name • Ask open-ended questions that facilitate discussion • Avoid questions with a simple right/wrong answer TENT CARDS? Prepare some “Go TO” questions. Keep the questions broad and get the class to develop their critical thinking and problem solving skills. • “Tell me of a method you have learned about giving IV fluids quickly to a child in shock” • “Tell me of a situation where you might use this medication” • “Can anyone think of an intervention for this patient in respiratory distress” Plan how you will conduct the discussion – • Know the content of the activity • Make a list of key points of the activity for your own reference to keep the discussion on track • Plan the physical venue (seating plan, tools for the learners) Thank you (name of learner) for your thoughts. (Name of another learner), can you think of any other solutions to this issue. What are your thoughts? • The key to the success of an instructor lead classroom session is knowing the learner, the learner’s level of skill/knowledge • Does each learner work in an environment and care for pediatric patients? • How confident is the learner caring for pediatric patients? • Be knowledgeable of the content • Instructors need to feel confident with the learning activity to GUIDE discussion not lecture on the content • Practice the learning activity • Practice your facilitation skills. Ask colleagues to walk through the learning activity • Obtain feedback on the activity and incorporate suggestions • Set up the learning environment based on the learning activity • Ensure the learners can see each other and the training tools/equipment Ask all learners: o What was the most valuable learning from this scenario? o What was the most challenging part of the activity for you? • Which of the following indicates the need for additional parent/guardian education regarding a UTI? 214 I should encourage my child to drink fluids My child will grow out of their frequent urinary tract infections I should encourage my child to use the bathroom when they feel they need to My child should complete all of their antibiotics • 4. A 3-year-old is injured in a motor vehicle collision. Upon arrival at the emergency department, the child has a diminished level of consciousness, equal bilateral breath sounds, and cool, pale skin. Vital signs are HR 140 beats/minute, RR 36 breaths/minute, and BP 70/40 mm Hg. The child is most likely in which of the following shock states? 99 Hypovolemic shock Obstructive shock Cardiogenic shock • 5. Distributive shock Which of the following describes a neonate’s normal position? Extension with extremities close to the body Flexion with extremities away from the body Extension with extremities away from the body Flexion with extremities close to the body • 6. During the tertiary survey, the emergency nurse should continue to conduct reevaluations of the Pediatric Assessment Triangle (PAT), abnormal findings, and which of the following other assessment components? 57 Secondary survey, vital signs, pain management and effectiveness of therapeutic interventions Primary survey, pain management, Pediatric Glasgow Coma Scale Airway assessment, check pulses, neurological assessment, and pain management Primary survey, vital signs, pain management, and effectiveness of therapeutic interventions • 7. submersion injuries? Laryngospasm; a reflexive response to submersion, prevents fluid from entering the lungs for extended periods of time The negative impact of lactic acid on the renal tubules is evidenced by a decrease in urinary output in the immediate post-submersion phase The best indicator of survival after submersion is the duration of time of submersion Hypoxemia and respiratory alkalosis may adversely impact myocardial function • 8. A 5-year-old child presents to the emergency department after being hit by a car. She complains of left upper quadrant pain and the focused assessment with sonography for trauma (FAST) exam shows fluid around her spleen. Which of the following findings would be an early indication of ongoing blood loss? Narrowing pulse pressure