ENPC - PEDIATRIC NURSING PROCESS WITH COMPLETE SOLUTIONS
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Course
ENPC
Institution
ENPC
AVPU
Alert, Verbal, Pain, Unresponsive
Airway and Alertness - if trauma is suspected
states the need for a second person to provide manual cervical spinal stabilization AND demonstrates manual opening of the airway using the jaw-thrust maneuver
Airway and Alertness - if NO trauma is...
ENPC - PEDIATRIC NURSING PROCESS
WITH COMPLETE SOLUTIONS
AVPU - answer Alert, Verbal, Pain, Unresponsive
Airway and Alertness - if trauma is suspected - answer states the need for a second person to
provide manual cervical spinal stabilization AND demonstrates manual opening of the airway
using the jaw-thrust maneuver
Airway and Alertness - if NO trauma is suspected - answer opens airway with a head tilt/chin lift
or jaw thrust or asks patient to open mouth
Airway and Alertness - demonstrates and describes techniques for determining the patency of
the airway, using inspection, auscultation, and palpation - answer - is there vocalization
-is there tongue obstructing?
-Are there any missing teeth?
-Are there any foreign objects?
-Is there any blood, vomit, or secretions?
-Is there any edema?
-Is there any snoring, gurgling, or stridor?
-Is there any bone deformity?
Perform appropriate airway interventions if necessary and reassess for effectiveness. - answer
Suction airway
Place folded towel under shoulders/torso
Allow to maintain preferred position
Insert an oral or nasopharyngeal airway
Indicate need for intubation
, Demonstrate and describe techniques for determining breathing effectiveness using inspection,
auscultation, and palpation. - answer Inspect for the following:
-Spontaneous respirations
-Rate, depth, and pattern of respirations
-Symmetrical chest rise and fall
-Skin color: Pallor, mottling, cyanosis
-Signs of increased work of breathing
Adventitious sounds
Abnormal position
Retractions
Head bobbing
Nasal Flaring
-Auscultate breath sounds in lung fields.
-SQ emphysema
-Tracheal deviation or jugular venous distention
Common interventions if breathing is present and effective - answer Position patient in position
of comfort to facilitate respiratory effectiveness.
Facilitate family presence to relieve anxiety and provide comfort
Deliver supplemental oxygen as indicated by the pediatric patient's clinical condition,
monitoring oxygen saturation to avoid hyperoxia
Perform appropriate interventions if necessary and reassess for effectiveness (Breathing and
ventilation). These may include the following: - answer Apply oxygen
Provide ventilations with a bag-mask device
indicate need for intubation
indicate need for needle thoracentesis
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