PEDS Chapter 29
1.
The nurse is caring for a 6-year-old girl who was injured in a
bicycle accident. Which question would be most important for the
nurse to ask during the health history?
A)
"Has she been diagnosed with any chronic disorders?"
B)
"Is your daughter currently taking any medications?"
C)
"Is she allergic to any medications or drugs?"
D)
"Tell me how the bicycle accident happened." - Correct Answer -
Ans:
D
Feedback:
The priority inquiry is to determine the nature of the emergency
so that appropriate interventions may be initiated. This will also
provide direction for obtaining more in-depth information as time
,PEDS Chapter 29
permits. Information about allergic reactions to drugs,
medications being taken, and chronic disorders that may affect
treatment will be gathered next.
2.
The nurse is caring for a 7-year-old boy experiencing respiratory
distress who is scheduled to have a chest radiograph. What would
be most important for the nurse to include in the child's plan of
care?
A)
Administering a sedative to help calm the child
B)
Assisting the child to lie still during the chest radiograph
C)
Accompanying the child to continue observation
D)
Informing the child that he might hear a loud banging noise -
Correct Answer - Ans:
B
Feedback:
,PEDS Chapter 29
Chest radiographs that disclose alterations in normal anatomy or
lung expansion, or evidence of pneumonia, tumor, or foreign
body, are commonly performed for respiratory emergencies.
Therefore, the nurse would need to assist the child in remaining
still during the procedure. A sedative may be ordered for
magnetic resonance imaging (MRI). Accompanying the child to
continue observation would be necessary if the child was to
undergo a computed tomography scan. Telling the child about a
loud banging noise would be appropriate if the child was having
an MRI.
3.
A 5-year-old girl is cyanotic, dusky, and anxious when she arrives
in the emergency department. Which action would be most
appropriate?
A)
Ventilating the child with a bag-valve-mask
B)
Estimating the child's weight using a Broselow tape
C)
Providing therapy using automated external defibrillation
D)
Using rescue breathing and chest compressions - Correct Answer
- Ans:
, PEDS Chapter 29
A
Feedback:
The child is exhibiting signs of ineffective oxygenation and
ventilation. Therefore, ventilating the child with a bag-valve-mask
and 100% oxygen would be effective and efficient. Estimating the
child's weight with a Broselow tape is typically done by
ambulatory care providers. According to the American Heart
Association, automated external defibrillators are recommended
for use in children who are older than age 1 year who have no
pulse and have suffered a sudden, witnessed collapse outside the
hospital setting. Rescue breathing and chest compressions are
implemented for children who are not breathing and do not have
a pulse or when the pulse rate is less than 60 beats per minute.
4.
When caring for an 8-year-old boy injured in an automobile
accident, the nurse demonstrates understanding of the principles
of Pediatric Advanced Life Support (PALS) by which action?
A)
Assisting ventilation with a bag-valve-mask (BVM) device
B)
1.
The nurse is caring for a 6-year-old girl who was injured in a
bicycle accident. Which question would be most important for the
nurse to ask during the health history?
A)
"Has she been diagnosed with any chronic disorders?"
B)
"Is your daughter currently taking any medications?"
C)
"Is she allergic to any medications or drugs?"
D)
"Tell me how the bicycle accident happened." - Correct Answer -
Ans:
D
Feedback:
The priority inquiry is to determine the nature of the emergency
so that appropriate interventions may be initiated. This will also
provide direction for obtaining more in-depth information as time
,PEDS Chapter 29
permits. Information about allergic reactions to drugs,
medications being taken, and chronic disorders that may affect
treatment will be gathered next.
2.
The nurse is caring for a 7-year-old boy experiencing respiratory
distress who is scheduled to have a chest radiograph. What would
be most important for the nurse to include in the child's plan of
care?
A)
Administering a sedative to help calm the child
B)
Assisting the child to lie still during the chest radiograph
C)
Accompanying the child to continue observation
D)
Informing the child that he might hear a loud banging noise -
Correct Answer - Ans:
B
Feedback:
,PEDS Chapter 29
Chest radiographs that disclose alterations in normal anatomy or
lung expansion, or evidence of pneumonia, tumor, or foreign
body, are commonly performed for respiratory emergencies.
Therefore, the nurse would need to assist the child in remaining
still during the procedure. A sedative may be ordered for
magnetic resonance imaging (MRI). Accompanying the child to
continue observation would be necessary if the child was to
undergo a computed tomography scan. Telling the child about a
loud banging noise would be appropriate if the child was having
an MRI.
3.
A 5-year-old girl is cyanotic, dusky, and anxious when she arrives
in the emergency department. Which action would be most
appropriate?
A)
Ventilating the child with a bag-valve-mask
B)
Estimating the child's weight using a Broselow tape
C)
Providing therapy using automated external defibrillation
D)
Using rescue breathing and chest compressions - Correct Answer
- Ans:
, PEDS Chapter 29
A
Feedback:
The child is exhibiting signs of ineffective oxygenation and
ventilation. Therefore, ventilating the child with a bag-valve-mask
and 100% oxygen would be effective and efficient. Estimating the
child's weight with a Broselow tape is typically done by
ambulatory care providers. According to the American Heart
Association, automated external defibrillators are recommended
for use in children who are older than age 1 year who have no
pulse and have suffered a sudden, witnessed collapse outside the
hospital setting. Rescue breathing and chest compressions are
implemented for children who are not breathing and do not have
a pulse or when the pulse rate is less than 60 beats per minute.
4.
When caring for an 8-year-old boy injured in an automobile
accident, the nurse demonstrates understanding of the principles
of Pediatric Advanced Life Support (PALS) by which action?
A)
Assisting ventilation with a bag-valve-mask (BVM) device
B)
