Swift River Pediatrics Exam Test with Verified Answers Graded A+
Bridgett Allen - Room 301
Patient Overview:
6-year-old girl with Down syndrome. Her
mother brings her to the community clinic
for an ill visit. The mother states "Bridgett
just isn't acting like herself these days.
She is tired all the time and is short of
breath just after climbing the stairs. She
doesn't keep up with her older brothers
at all. She's usually always moving. She
just wants to sit and watch television."
The nurse notes that Bridgett is demon-
strating increased work of breathing and
Educational
an oxygen saturation of 91% with the
Health
pulse correlating with her heart rate of
Safety
138 beats/minute. Bridgett's other vital
signs include: 30 breaths/minute, 98/60
mmHg, 37.4o C./99.3o F. Bridgett's cap-
illary refill is 2 seconds, her fingers and
toes are warm and dry. The nurse notes
a murmur during auscultation of heart
sounds. Bridget is found to be 26.4 kg
which is approximately 3 kg greater than
Bridgett's weight one month ago. During
that visit, Bridgett was treated for an otitis
media. Bridgett has frequent ear infec-
tions requiring antibiotic therapy. Bridgett
is referred to the local children's hospital.
Hannah Johnson - Room 302
Patient Overview
10-year-old female presented to the ED
45 minutes ago with dehydration, dy-
suria, and significant weight loss of 18
Educational Needs
pounds over the last 2 months. Both par-
Health
ents are with the child, the father is in-
sisting that he be notified of all inter-
ventions before they are initiated. Initial
assessment reveals: Skin dry and warm
to touch, B/P 90/58, T 99.2, HR 110, RR
, Swift River Pediatrics Exam Test with Verified Answers Graded A+
30. Child appears thin. Breathing is fast
and deep. Noted fruity odor to breath.
Initial labs: CBC WNL, K+ 2.89, BG 459,
Urinalysis: Positive for ketones, glucose,
Pain
and bacteria. Orders: IV 0.9% normal
Safety
Saline at 150 ml/hour, Add 20 mEq K+
after first liter, Ampicillin 250 mg PO q 6
hours, finger stick blood glucose (FSBG)
q 1 hour.
Higher numbered acuities are at most
risk.
Hannah Johnson, acuity 3, room 302
10-year-old female presented to the ED
45 minutes ago with dehydration, dy-
suria, and significant weight loss of 18
pounds over the last 2 months. Both par- Decreased effectiveness of breathing
ents are with the child, the father is in- pattern
sisting that he be notified of all inter- Dehydration
ventions before they are initiated. Initial Infection
assessment reveals: Skin dry and warm Knowledge deficit
to touch, B/P 90/58, T 99.2, HR 110, RR Potential for injury
30. Child appears thin. Breathing is fast Growth and development
and deep. Noted fruity odor to breath.
Initial labs: CBC WNL, K+ 2.89, BG 459,
Urinalysis: Positive for ketones, glucose,
and bacteria. Orders: IV 0.9% normal
Saline at 150 ml/hour, Add 20 mEq K+
after first liter, Ampicillin 250 mg PO q 6
hours, finger stick blood glucose (FSBG)
q 1 hour.
Higher number acuities are at most risk.
Bridgett Allen, Acuity 3, Room 301
6-year-old girl with Down syndrome. Her
mother brings her to the community clinic
Bridgett Allen - Room 301
Patient Overview:
6-year-old girl with Down syndrome. Her
mother brings her to the community clinic
for an ill visit. The mother states "Bridgett
just isn't acting like herself these days.
She is tired all the time and is short of
breath just after climbing the stairs. She
doesn't keep up with her older brothers
at all. She's usually always moving. She
just wants to sit and watch television."
The nurse notes that Bridgett is demon-
strating increased work of breathing and
Educational
an oxygen saturation of 91% with the
Health
pulse correlating with her heart rate of
Safety
138 beats/minute. Bridgett's other vital
signs include: 30 breaths/minute, 98/60
mmHg, 37.4o C./99.3o F. Bridgett's cap-
illary refill is 2 seconds, her fingers and
toes are warm and dry. The nurse notes
a murmur during auscultation of heart
sounds. Bridget is found to be 26.4 kg
which is approximately 3 kg greater than
Bridgett's weight one month ago. During
that visit, Bridgett was treated for an otitis
media. Bridgett has frequent ear infec-
tions requiring antibiotic therapy. Bridgett
is referred to the local children's hospital.
Hannah Johnson - Room 302
Patient Overview
10-year-old female presented to the ED
45 minutes ago with dehydration, dy-
suria, and significant weight loss of 18
Educational Needs
pounds over the last 2 months. Both par-
Health
ents are with the child, the father is in-
sisting that he be notified of all inter-
ventions before they are initiated. Initial
assessment reveals: Skin dry and warm
to touch, B/P 90/58, T 99.2, HR 110, RR
, Swift River Pediatrics Exam Test with Verified Answers Graded A+
30. Child appears thin. Breathing is fast
and deep. Noted fruity odor to breath.
Initial labs: CBC WNL, K+ 2.89, BG 459,
Urinalysis: Positive for ketones, glucose,
Pain
and bacteria. Orders: IV 0.9% normal
Safety
Saline at 150 ml/hour, Add 20 mEq K+
after first liter, Ampicillin 250 mg PO q 6
hours, finger stick blood glucose (FSBG)
q 1 hour.
Higher numbered acuities are at most
risk.
Hannah Johnson, acuity 3, room 302
10-year-old female presented to the ED
45 minutes ago with dehydration, dy-
suria, and significant weight loss of 18
pounds over the last 2 months. Both par- Decreased effectiveness of breathing
ents are with the child, the father is in- pattern
sisting that he be notified of all inter- Dehydration
ventions before they are initiated. Initial Infection
assessment reveals: Skin dry and warm Knowledge deficit
to touch, B/P 90/58, T 99.2, HR 110, RR Potential for injury
30. Child appears thin. Breathing is fast Growth and development
and deep. Noted fruity odor to breath.
Initial labs: CBC WNL, K+ 2.89, BG 459,
Urinalysis: Positive for ketones, glucose,
and bacteria. Orders: IV 0.9% normal
Saline at 150 ml/hour, Add 20 mEq K+
after first liter, Ampicillin 250 mg PO q 6
hours, finger stick blood glucose (FSBG)
q 1 hour.
Higher number acuities are at most risk.
Bridgett Allen, Acuity 3, Room 301
6-year-old girl with Down syndrome. Her
mother brings her to the community clinic
