ENPC Questions Test A 100% correct answers |graded A+

ENPC Questions Test A 100% correct answers |graded A+ Components in the prioritization of pediatric emergency care (4) PAT, Focused Assessment (objective information), Focused pediatric Hx(subjective information), assignment of an acuity rating decision Pediatric Assessment Triangle : (3) components Appearance. Work of Breathing. Circulation to the skin. This forms the "general impression". If there is an acute disruption in 1 component, child is "sicker". If there is an acute disruption in 2+ components the child is "sickest" PQRST for Pain (pg86) Precipitating and palliating factors Quality Radiation Severity, symptoms, and site Time or triggering factors What age is the respiratory system considered fully developed? 8 years old 6P's Assessment for Musculoskeletal Trauma (pg 283) Pallor : color different from uninjured Pain Pulselessness Parasthesia Paralysis Poikilothermia Burn Transfer Criteria 1. Partial thickness >10% of BSA 2. Face, hands, feet, genetalia, perineum or major joints 3. Third degree burns in any age group. 4. Electrical burns, including lightning injury, and chemical burns. 5. Inhalation injury. 6. Burn injury in pt with preexisting medical disorders that could complicate tx. 7. Concomitant trauma (such as fx) in which the burn injury poses the greatest risk of morbidity or mortality. 8. Burned children in hospital wo qualified equipment or personnel to care for them 9. Pt who will require special social, emotional, or rehabilitative intervention. Infants are obligate nose breathers. If nose is obstructed ___________ mouth then suction nose Neutropenic pt with a temperature Don't take rectal temp. No invasive procedures if not necessary. Nonblanchable Rashes of concern Meningocoxcemia Petiachia/Purpura Normal Urine Output for child 1 to 2ml / Kg / Hr Oral Rehydration for 9month old with mild dehydration. Glucose and sodium solution, every 2 to 5min with 5 to 10ml 6week old infant, no medical hx. eating poorly, vomiting, "hard to wake up", responsive to pain. Anterior fontanel bulging, tachypnic. Diagnostic evaluation expected? Skeletal survey Possible shaken baby syndrome Minimal Acceptable BP's Newborn = 60 Infant = 70 Child = 70 + (2 x age in yrs) Decompensated shock in children #1 sign Hypotension TBI considerations MD has to say when they can return, not the pt or caregiver. Should be a "gradual return to play" Bradycardia pharm treatment Epinephrine (1:10,000), 0.01mg/kg every 3-5min A preschooler has a small laceration that required 2 stitches. The nurse covers the wound with a bandage knowing that it will comfort the child to have it covered. What is the developmental reason for this intervention? A. Preschoolers are magical thinkers and imagine bandages keep their insides from coming out B. Preschoolers fear physical disability and believe a bandage will prevent disability C. Preschoolers explore orally and will likely chew or suck on the stitches if left uncovered D. Preschoolers are concerned with body image and don't want to appear different than peers A. Magical thinkers An 11-year-old presents to the emergency department with a complaint of hitting his head while playing soccer. The nurse enters the room and performs an across-the-room assessment. He is staring at the wall. He has no increased work of breathing, and his color is pink. Using the pediatric assessment triangle (PAT), what classification will the nurse assign? A. Well B. Sick C. Sicker D. Sickest B. Sicker A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral spinal alignment, padding should be placed under which area? A. Shoulders B. Head C. Neck D. Waist A. Shoulders The nurse is planning to begin oral rehydration therapy for a 9-month-old with mild dehydration. She provides the caregivers with a glucose and sodium solution and instructs them to administer small amounts: A. Every 2 to 5 minutes B. Every 10 to 12 minutes C. Every 15 minutes D. Every 30 minutes A. 2-5