1. In caring for a patient with salicylate intoxication, the critical care
nurse would anticipate which of the following as a primary treatment
measure?
A. Administration of protamine sulfate
B. Administration of glucose
C. Transfusion of packed RBCs
D. Replacement of fluid and electrolytes - ANSWER-D. Replacement
of fluid and electrolytes
2. An adolescent with the developmental age of a 4-year-old requires
placement of a chest tube. The best way to prepare the patient for this
procedure is to
A. Use short simple sentences and limit descriptions to concrete
explanations.
B. Show the patient a chest tube and explain how it will feel.
C. Explain in detail why a chest tube is needed and how it works.
D. Tell the parents what will be done so they can explain it to their
child. - ANSWER-Use short simple sentences and limit
descriptions to concrete explanations.
,3. A child admitted with a gunshot wound to the head, accidentally
inflicted by an older sibling. The parents are overcome with grief and
appear to be ignoring the following statements made by the older
sibling: "It was an accident; I didn't mean to do it; I'm sorry!" Which of
the following actions by the nurse would be most appropriate?
A. Discuss the importance of gun safety with the older sibling
while the parents are at the bedside.
B. Seek additional support for the parents for ways they can assist
the older sibling
C. Tell the parents that they need to provide support for the older
sibling
D. Tell the older sibling, "Accidents happen; I know you didn't
mean to do it." - ANSWER-Seek additional support for the parents for
ways they can assist the older sibling
4. Which of the following laboratory findings is indicative of the
syndrome of inappropriate ADH secretion (SIADH)?
A. Serum sodium = 148 mEq/L
B. Decreased serum osmolality
C. Blood urea nitrogen (BUN) = 28 mg/dl
D. Serum potassium = 5.1 mEq/L - ANSWER-Decreased serum
osmolality
,5. A 3-year-old is admitted to the ICU with a 10-hour history of an
acute-onset asthma attack. Initial assessment reveals the following
HR 160
pH 7.25
RR 48
pCO2 35
BP 112/76
pO2 40 T
32*C
HCO3 22
A. Administration of NaHCO3
B. Fluid resuscitation
C. Racemic epinephrine
D. Intubation - ANSWER-Intubation
6. A 2-year-old is experiencing manifestations of digoxin (Lanoxin)
toxicity. BP is 94/60, capillary refill time is 2 seconds and the
electrocardiogram reveals AV block with a heart rate of 60. The critical
care nurse would anticipate which of the following interventions?
A. Performance of cardioversion
B. Administration of Atropine
C. Performance of vasovagal maneuvers
D. Monitoring of HR and rhythm and perfusion status - ANSWER-
Monitoring of HR and rhythm and perfusion status
, 7. An adolescent with asthma is readmitted just a week after
discharge from the hospital. On questioning, the nurse learns that the
patient refuses to use the inhalers at school. The nurse should
A. Talk to the teen about long-term consequences of the disease if the
treatment plan is not followed
B. Talk to the school nurse to find out why they are not monitoring
the medications at school
C. Help the parents set up a disciplinary contract with the teen
D. Arrange for the teen to attend an asthma support group - ANSWER-
Arrange for the teen to attend an asthma support group
8. An unconscious 5-month-old is admitted. The parent reports the
baby fell off the table during a diaper change by an older sibling. What
findings would indicate further inquiry of the history?
A. A reddened or bruised are on the skull
B. Poorly reactive pupils
C. Retinal hemorrhage
D. A linear skull fracture - ANSWER-Retinal hemorrhage
1. A 1-month-old infant presents with poor feeding, vomiting and
diarrhea since birth. The infant is lethargic and in mild respiratory
distress. The mother reports having another infant with the same
symptoms who died at 2 months of age. Which finding would cause
the nurse to suspect an inborn error of metabolism?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller nyagajoseph539. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $30.49. You're not tied to anything after your purchase.
