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ENPC 5th edition solved 100% correct!!
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ENPC 5th edition solved 100% correct!!
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ENPC 5th editionAsk about any new bed-wetting or sleep disturbances
Pediatric patients with anxiety and PTSD may present with physical complaints.
Assess for other behavioral symptoms to facilitate appropriate care and follow-
up. CORRECT ANSWERA 5 year-old with no health problems presents to the
Emergency Department with a sudden onset of chest pain and shortness of
breath. Parents state that the family was involved in a bad car crash one week
ago. A thorough assessment and workup has not revealed any abnormalities.
Which of the following steps is the best next step to take?
Ensuring all firearms in the home are locked in a safe place with no access by the
patient.
Promoting injury prevention with caregivers of patients with a history of
depression or suicidal ideation by encouraging that all firearms and medications
are under lock to prevent overdoses or suicide attempt. CORRECT ANSWERYou
are discharging a patient to home with a history of depression. Discharge teaching
should include which of the following?
Obtain vascular access for rapid fluid administration
,Rapid vascular access and fluid administration are the priority interventions.
CORRECT ANSWERA 2-year old has uniformly demarcated burns to bilateral lower
extremities, approximately 30% of the childs total body surface area. The father
states he briefly left the room while the child was in the bath and the child
apparently played with the faucet. Which of the following interventions has the
highest priority?
Draw and send a metabolic panel and venous blood gas, administer a fluid bolus,
and obtain a point of care glucose
Electrolyte imbalances need to be identified and treated to prevent another
seizure. CORRECT ANSWERA 7-year-old arrives via ambulance. The patient's
mother reports witnessing a seizure at home. The patient has no seizure history.
Upon examination, the patient is post-ictal with a heart rate of 142 beats per
minute, respiratory rate of 36 breaths per minute, and blood pressure of 86/72
mm Hg. Significant burns are noted to the patient's back and lower extremities.
The mother states the burns accidentally occurred 3 days ago, but she was afraid
to bring patient in due to an ongoing child welfare investigation. Which of the
following are the MOST appropriate immediate interventions?
ventilation to address hypoxia is the priority intervention. CORRECT
ANSWERWhat is the priority intervention for symptomatic bradycardia in a four-
year-old child?
Commotio cordis
Comotio Cordis "occurs when chest is struck during the refractory period of the
cardiac conduction cycle. This type of injury usually occurs in recreational sports
, such as baseball or ice hockey." CORRECT ANSWERA 14-year-old high school
student who was pitching for his baseball team was hit in the chest by the ball
and had a sudden cardiac arrest. Of the following, which is the most likely cause
of the cardiac arrest?
Focused Assessment: Vital Signs: "As the patient compensates for altered tissue
perfusion, the pulse pressure narrows and the heart rate increases" - (need to
rewrite either the question or the answers)
Widening Pulse pressure - not correct (suppose to be narrow pulse pressure)
Bradycardia - not correct
Decreasing diastolic blood pressure - late sign
Weak peripheral pulses - late sign CORRECT ANSWERA 5-year-old child presents
to the emergency department after being hit by a car. She complains of left upper
quadrant pain and the focused assessment with sonography for trauma (FAST)
exam shows fluid around her spleen. Which of the following findings would be an
early indication of ongoing blood loss?
Increasing heart rate
Pathophysiology: Cardiac Output. In pediatric patients, cardiac out is primarily
regulate by increasing heart rate CORRECT ANSWERA 5-year-old patient presents
to the emergency department with severe dehydration due to viral
gastroenteritis. He has signs of shock due to his hypovolemia. Which of the
following physiologic responses to shock has the greatest impact on improving
cardiac output in the pediatric patient?
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