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, A patient is unresponsive following a motor vehicle The caloric test is performed when c-spine has been cleared, the patient is not
collision and is brought to the emergency department. conscious or suffered tympanic membrane rupture. 10 mL of ice water is instilled
Pupils are fixed and dilated and the patient is noted to be into the ear canal with patient in 30 degree elevation. If there is no response it can
profoundly bradycardic. Which of the following tests can be confirmed of brain death. CT scan can used to determine injuries or bleeding
be used to test for brain function? within the body. Nerve conduction velocity (NCV) is a test use to evaluate and
diagnose disorders of the muscles and motor neurons. Neurosonography uses
ultra-high-frequency sound waves to analyze blood flow in cases of possible
stroke
Discharge instructions for the child with a simple facial 3-5 days
laceration should include suture removal within
A pale 5-month-old presents with melena and fussiness. does the baby drink whole milk?
A PRIORITY assessment question to ask the caregivers is: intestinal bleeding can occur with infants less than 12 months old who consume
whole milk.
common allergies for people w spina bifida Banana, kiwi, milk and chestnuts have been shown to cause reactions in children
with spina bifida in addition to latex
A toddler, living in the southwest region of the United Centruroides (i.e. the Bark scorpion) stings, which are found in the southwest
States, is brought to the emergency department after region of the U.S., create neurotoxic symptoms in younger children. Scorpion
sustaining a scorpion sting. Which symptoms are MOST venom can affect the parasympathetic nervous system and result in symptoms
likely to present in this patient? such as increased salivation and muscle tremors. Scorpion stings do not cause
necrosis at site or fever. Petechiae and coagulopathy is not a symptoms of
scorpion stings but more likely to be from some species of snakes. Malaise and
headache are too generalized to be specific to scorpion
A 2-year-old patient is brought in by parents after being This patient likely ingested Metformin, an oral hypoglycemic. This medication has
found with their grandmother's diabetic medication two a long half-life and will cause symptoms over an extended period. Octreotide is
hours ago. Parents state the bottle only had 5 tablets in it used when the glucose is unresponsive to dextrose administration at a dose of
and they were able to take 3 out of the patient's mouth 1mcg/kg. T
before they swallowed them. The child is sleepy, difficult
to arouse, tachypneic and tachycardic. A glucose check
reads 43 mg/dL. IV dextrose is administered without
improvement of the glucose level. The nurse knows the
PRIORITY intervention is administration of:
A patient presents to the ER with exposure to glass Calcium gluconate!
etching chemicals. The parent says they don't know how Hydrofluoric acid is commonly found in glass etching chemicals. The first line
much was spilled on the child but are concerned for agent to neutralize the chemical is calcium gluconate. The other agents will not
exposure. What agent will the nurse anticipate cause the chemical neutralization that is needed to stop the burning process.
administering to neutralize the chemical?
1) mineral oil
2) calcium gluconate
3) sodium bicarb
4) potassium chloride
subluxation of the radial head. is referred to as _______ nursemaids