ENPC 6th Edition Course Exam QUESTIONS AND ANSWERS 100% CORRECT!
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Course
ENPC 6th Edition Course Exa
Institution
ENPC 6th Edition Course Exa
A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP of 70/44 mm Hg, and HR of 144 beats per minute. Which of the following laboratory values would be most expected in this child? ...
, ENPC 6th Edition Course Exam
QUESTIONS AND ANSWERS 100%
CORRECT!
A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry
mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP
of 70/44 mm Hg, and HR of 144 beats per minute. Which of the following laboratory
values would be most expected in this child? - ANSWERHypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis. Manifestations
include signs of dehydration ( dry mucous membranes, hypotension, tachycardia),
incontinence (polyuria), vomiting, abdominal pain, Kussmaul respirations (to counter the
acidosis), polydipsia, anorexia, and weight loss. Expected laboratory values would
reveal an acidotic state with a pH level below 7.3, an elevated serum bIcarbonate level,
and an elevated blood glucose level > 200 mg.dL.
An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing noted on
auscultation in the right upper lobe of the lung field after a choking event 4 days ago.
The white blood cell count is elevated and the patient noted to be tachypneic,
tachycardic, agitated, and has an increased respiratory effort. At the time of the event,
the patient was started on antibiotics with subsequent increasing manifestations instead
of improvement. Which of the following would be considered to be definitive treatment
for the suspected diagnosis? - ANSWERComputed tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking incident with
subsequent failure to improve on antibiotics. Wheezing or decreased lung sounds in
one area of the pulmonary system is a high indicator for a foreign body along with signs
of hypoxia such as cyanosis, tachypnea, tachycardia, increased respiratory effort,
agitation or lethargy, and elevated white blood cell counts indicating an infectious
process. The definitive treatment would be a bronchoscopy in order to retrieve the
suspected foreign body instead of diagnostic tests to locate the foreign body itself.
A child in cardiopulmonary arrest is receiving chest compressions and manual
ventilations with a bag-mask device. Once return of spontaneous circulation has been
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