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a 7 year old boy has difficulty breathing and is wheezing. vital signs are:
BP 94/62
HR 128
RR 32
what initial management should be performed? - Answer- apply oxygen by
nonrebreather mask
a 4-month-old infant who has had vomiting and diarrhea for the past 36 hours is
lethargic has a weak cry and has mottled skin color. vital signs are:
BP 62/46
HR 172
RR 48
what do the signs and symptoms suggest? - Answer- hypovolemic shock
what is the priority treatment for a child who is seizing? - Answer- open the airway
what should be included in the treatment of thermal burns to the chest, abdomen
and legs? - Answer- administer 100% O2
a 2-year-old boy, who is alert and crying, has multiple lacerations and a deformed
lower leg after being hit by a car. additional assessment reveals that he has warm,
dry, pink skin and bruising on the lateral right lower chest. what is the significance of
the bruising to the right side of his chest? - Answer- the ribs are pliable, which makes
organs more susceptible to underlying damage.
,a 9-year-old patient fell down a steep incline after he rolled over the handlebars of
his bicycle. he was not wearing a helmet and has begun vomiting. how should you
manage this patient? - Answer- begin suctioning the airway
which of the following patients may have injuries that suggest maltreatment? -
Answer- a 6-year-old with bruises throughout the back
the history provided by the caregiver of which of the following is inconsistent with
the injury? - Answer- a 2 year old boy with several small, healing circular burns from
running into a lit cigarette.
a newborn who was just delivered at home has cyanosis of the hands and feet, has a
strong cry, and is moving her extremities vigorously. vital signs are:
HR 164
RR 52
what is the first step in managing this patient? - Answer- dry her and then wrap her in
a blanket
what is the best way to obtain information about the medical history of a 6 year old
girl who is on a ventilator and has a tracheostomy? - Answer- ask the caregivers
in what position should the child in mild respiratory distress be placed? - Answer-
position of comfort
an 8 year old boy has been sick for 3 days. he has been experiencing nausea and
diarrhea that has become progressively worse. he is semi-responsible with pale and
diaphoretic skin. it is difficult to obtain bp. his other vital signs are:
HR 54
RR 10
,what type of shock is the patient experiencing? - Answer- hypovolemic
an unrestrained 4 year old girl was ejected during a two vehicle motor vehicle
collision. she is crying vigorously while moving her upper extremities. her lower
extremities appear deformed. what is the appropriate initial management of this
patient? - Answer- initiate cervical spine immobilization
what is the most common cause of pediatric seizures? - Answer- fever
when is it appropriate to use an AED in a witnessed pediatric cardiac arrest? - Answer-
as soon as possible
a 7 year old boy was having difficulty breathing during his physical education class.
he appears tired and has audible wheezing. his vital signs are:
BP 98/66
HR 124
RR 32
what should the treatment of this pt include? - Answer- administering a nebulized
beta-agonist medication
what is the first step in caring for a patient with tracheostomy tube who is having
difficulty breathing? - Answer- suction the tracheostomy tube
a 3 month old infant is found unresponsive in his crib and has cool, mottled skin. his
vital signs are:
HR 50
RR 6
, what is the initial Tx for this pt? - Answer- perform chest compressions ant ventilate
with a bag mask device
which of the following is an indication for insertion of an intraosseous needle? -
Answer- you are unable to obtain peripheral access within 90 seconds in a 2 year old
child in impending arrest
a 4 year old boy fell down a 15 foot embankment and landed on packed dirt. he is
unresponsive and has pale, cool skin and a capillary refill time of 4 seconds. addition
assessments reveals a 2cm laceration on the left side of his forehead with minimal
bleeding and distended abdomen. his vital signs are:
BP 78/56
HR 146
RR 48
what are the initial Mgmt steps for this pt? - Answer- maintain cervical spine
stabilization
establish iv access and give 20 ml/kg bolus
complete spinal immobilization
transport
what is dysrhythmia for a 3 year old with a heart rate of 180 BPM, a narrow QRS
complex, and a variable R-R interval called? - Answer- sinus tachycardia
what is the initial airway MGMT for a child who is seizing and has gurgling
respirations? - Answer- suction the oropharynx
a 3 year old boy reportedly fell down a flight of stairs and has swollen, deformed
right forearm. you also note several small, healing, circular burns on his right arms