ENPC Chapter 4 Question with complete solution 2023
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ENPC Chapter 4 Question with complete solution 2023Components 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) comp...
enpc chapter 4 question with complete solution 2023
components in the prioritization of pediatric emergency care 4 pat
focused assessment objective information
focused pediatric hxsubjective in
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ENPC Chapter 4 Question with complete
solution 2023
Components in the prioritization of pediatric emergency care (4) - correct answers
PAT, Focused Assessment (objective information), Focused pediatric Hx(subjective
information), assignment of an acuity rating decision
Pediatric Assessment Triangle : (3) components - correct answers Forms the "general
impression".
Appearance. Work of Breathing. Circulation to the skin.
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" Pg 54
Pediatric Assessment Triangle : Appearance - correct answers Most important.
Reflects adequacy of ventilation, oxygenation, brain perfusion, & central nervous
system function.
Assess for : tone, interactiveness, consolability, look/gaze, & speech/cry.
Pediatric Assessment Triangle : Breathing - correct answers More accurate indicator
of oxygenation & ventilation than RR or auscultation of chest sounds.
Look and listen for abnormal airway sounds, abnormal positioning, retractions, and
nasal flaring.
Pediatric Assessment Triangle : Circulation to skin - correct answers Allows
assessment of adequacy of CO & core perfusion or perfusion of vital organs.
Inspect skin color in central areas, lips, & mucous membranes.
Look for pallor, mottling, & cyanosis
Mottling skin - correct answers Patchy skin color. Areas where the skin color is
irregular. Refers to blood vessel changes that cause a patchy appearance in skin.
Sick pt - correct answers Consider lower-acuity rating, observe for change in PAT,
provide comfort measures and reassurance to child and caregiver
Sicker pt - correct answers Consider higher-acuity rating, provide focused clinical
intervention ( i.e. O2 in distress).
Sickest pt - correct answers Immediate transport to treatment area, resuscitation
efforts to support oxygenation, ventilation, & circulation, ped team activated.
Avoid rectal temp in ped pts _____ - correct answers Potential or actual
immunocompromised, rectal surgery, chronic illness-no bacterial through abrased wall
Neutropenic pt with a temperature - correct answers Don't take rectal temp.
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