RQI PALS Entry All Answers Correct

RQI PALS Entry All Answers Correct 1. **A 10 -year -old child is br ought to the emergency department for fever and cough. You obtain an oxygen saturation on the child. What oxygen saturation level would indicate that immediate intervention is needed?** ✔️ 88% on 4L of nasal oxygen. 2. **A 2 -week -old infant is being evaluated for irritability and poor feeding. His blood pressure is 55/40 mm Hg, and capillary refill time is 5 seconds. Which statement best describes your assessment of this infant's blood pressure?** ✔️ It is hypotens ive. 3. **A 3 -year -old child is brought to the emergency department by his mother. What is a normal finding for a 3 -year -old child?** ✔️ Respiratory rate of 24/min. A 3-year -old boy is brought to the emergency department by his mother. He is lethargic, with retractions and nasal flaring. He has a respiratory rate of 70/min, with warm ext remities and brisk capillary refill. Which immediate life -threatening condition could this child's condition most likely progress to if left untreated? Respiratory failure Respiratory distress Hypovolemic shock Cardiogenic shock ✔️Respiratory failure A 4-year -old child is brought to the emergency department for seizures. The seizures stopped a few minutes ago, but the child continues to have slow and irregular respirations. What condition is most consistent with your assessment? Lung tissue disease Upper airway obstruction Lower airway obstruction Disordered control of breathing ✔️Disordered control of breathing A 5-year -old child is brought to the emergency department by ambulance after being involved in a motor vehicle collision. You are using the primary assessment to evaluate the child. When assessing the child's neurologic status, you note that he has spontaneous eye opening, is fully oriented, and is able to follow commands. How would you document this child's AVPU Scale find ing? Alert Unresponsive Painful Voice ✔️Alert After rectal administration of diazepam, an 8 year old boy with a history of seizures is now unresponsive to painful stimulation. His respirations are shallow, at a rate of 10/min. His Oxygen saturation is 9 4% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise and poor air entry bilaterally. If the patient continues to snore and exhibit poor chest and poor air entry bilaterally after your initial intervention, what next step is m ost appropriate?