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PEDS Practice: Ch. 29 Nursing Care During a Pediatric Emergency Questions and Correct Answer
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PEDS Practice: Ch. 29 Nursing Care During a Pediatric Emergency Questions and Correct Answer
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Elscores 8/18/2024 6:16:34 PMPEDS Practice: Ch. 29 Nursing
Care During a Pediatric
Emergency Questions and Correct
Answer
A 12-year-old boy has broken his arm and is showing signs and symptoms of shock. Which
action should the nurse take first?
~: Establish a suitable IV site.
The goal of treating shock is to restore circulating blood volume. This requires that vascular
access be obtained to administer fluids and vasoactive drugs. Hyperventilation is reserved for
temporary treatment of severe intracranial pressure. Analgesics should not be administered
prior to neurologic and cardiovascular examination being performed. Chelation therapy is a
treatment for metallic poisoning.
The nurse is providing support to the parents of a 10-year-old boy receiving emergency care.
The boy is their foster child. Which comment will be most effective?
~: "Hold your child's hand while this is going on."
The atmosphere during an emergency can be chaotic and overstimulating. Keep the parents or
other family with the child whenever possible. Involve the parents in the child's care; tell the
parents in concrete terms what they can do to support the child (e.g., hold the child's hand and
talk quietly to him or her). Attempt to talk quietly and soothingly and provide comfort
, Elscores 8/18/2024 6:16:34 PM
measures. Involving parents in the care helps them to cope. Tell them in concrete terms what
they can do to help. Talking about hypovolemia may be too technical. When in doubt,
simplify. Many professional organizations, such as the Emergency Nurses Association and
the American Heart Association, support giving parents the option to be present during
resuscitation efforts. Any caregiver with a parental role should remain with the child when
possible.
The nurse is preparing an in-service program on pediatric cardiopulmonary resuscitation. The
nurse would include a discussion that cardiopulmonary arrest in infants and children is most
likely the result of:
~: respiratory failure.
Cardiopulmonary arrest in infants and children typically results from disorders that lead to
respiratory failure and shock. In adults, the most common causes of cardiopulmonary arrest
are lethal arrhythmias secondary to heart disease. Although neurologic trauma can lead to
respiratory failure, it alone is not the most likely factor.
Assessment of a child reveals a tension pneumothorax. The nurse would prepare the child for:
~: needle thoracotomy.
A needle thoracotomy is indicated for tension pneumothorax to relieve the air collected in the
space. Intubation is indicated for apnea and in situations in which the airway cannot be
maintained. Suctioning would be indicated for excessive airway secretions that influence
airway patency. Defibrillation is used to stimulate or alter the heart's electrical rhythm.
, Elscores 8/18/2024 6:16:34 PM
A young client in the intensive care unit is in a coma after a severe head injury. The primary
nurse is teaching a nursing student how to assess the client's level of consciousness using a
coma scale. What type of scale could be used for this purpose?
~: Glasgow scale
The Glasgow Coma Scale is used to grade comas according to level of consciousness. The
Apgar score is assigned immediately after delivery to determine how the infant tolerated the
birth. Wong-Baker FACES and the visual analogue scales are used to rate pain.
The child's physician requests that the nurse should notify her if the child's urine output is
less than 1 mL/kg of body weight each hour. The child weighs 56 lb (25.46 kg). Calculate the
minimum amount of urine output the child should produce each hour. Record your answer
using a whole number.
~: 25
Urine output should be calculated using weight in kilograms. 25.46 kg x 1 mL/kg = 25.46
mL/hour The child must produce 25 mL/hour
When assessing a client in an emergency situation, to guide the assessment the nurse should
be aware that most pediatric cardio-pulmonary arrests stem from what cause?
~: Airway and breathing problems
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