Pals exam stuvia - Study guides, Class notes & Summaries

1. A 5-year-old child presents with lethargy, increased work of breathing, and pale color. The primary assessment reveals that the airway is open and the respiratory rate is 30/min, with crackles heard on auscultation. The cardiac monitor shows sinus tachycardia at a rate of 165/min. The pulse oximeter displays an oxygen saturation of 95% and a pulse rate of 93/min. On the basis of this information, which of the following provides the best interpretation of the oxygen saturation of 95% by pulse ...

Conditions that [blank] air resistance lead to increased respiratory [blank]. - CORRECT ANSWER-Increased Effort What are the signs of increased respiratory effort that can lead to fatigue & respiratory failure? - CORRECT ANSWER-Nasal flaring Retractions Head bobbing Seesaw respirations Determine the respiratory rate by counting the number of times the chest rises in [blank] seconds & multiplying by [blank]. - CORRECT ANSWER-30 2 Tachypnea is often the first sign of respiratory [bla...

Which topics are included in the PALS course ? - CORRECT ANSWER-PALS includes the following: (1) Overview of assessment (2) Recognition and management of respiratory distress and failure (3) Recognition and management of shock (4) Recognition and management of cardiac arrhythmias (5) Recognition and management of cardiac arrest (6) Postresuscitation management of patients with pulmonary and cardiac arrest (7) Review of pharmacology What should be the primary focus of the clinician on ...

Goal of the PALS Provider Course? - CORRECT ANSWER-...is to improve outcomes for pediatric patients by preparing healthcare providers to recognize and intervene in pt's with respiratory emergencies, shock, and cardiopulmonary arrest using high-performance team dynamics and high-quality individual skills. AHA update for CPR sequence from A-B-C to C-A-B?? - CORRECT ANSWER-Compressions - Airway - Breathing Why is high quality CPS critical during cardiac arrest? - CORRECT ANSWER-To provide ad...

In which of the following situations may IO access be used? A. An extremity with signs of infection B. An extremity with signs of a crush injury C. An extremity with a previous unsuccessful IO attempt D. An extremity with slow a capillary refill time - CORRECT ANSWER-D. An extremity with slow a capillary refill time A 2-week-old infant is being evaluated for irritability and poor feeding. His blood pressure is 55/40 mm Hg, and capillary refill time is 5 seconds. Which statement best d...

Where can you check a pulse on an infant and a child? - CORRECT ANSWER-infant - brachial child - femoral What should you do to check for breathing? - CORRECT ANSWER-Look for chest rise and fall. How long should assessing for breathing and a pulse take? - CORRECT ANSWER-No longer than 10 seconds If the child does not have a normal breathing and a pulse of 64/min is present, you will need to - CORRECT ANSWER-Provide rescue breathing What is the preferred technique for infant compressi...

You are caring for a child who was resuscitated after a drowning event. The child is intubated and ventilated with 100% oxygen with equal breath sounds and exhaled CO2 detected. The heart rate is slow and the monitor shows sinus bradycardia. The skin is cool, mottled, and moist; distal pulses are not palpable and the central pulses are weak. Intravenous access has been established. The core temperature is 37.3oC. Based on the PALS bradycardia algorithm, which of the following should be provided ...

A previously healthy infant with a history of vomiting and diarrhea is brought to the emergency department by her parents. During your assessment, you find that the infant responds only to painful stimulation. The infant has good bilateral breath sounds, cool extremities, and a capillary refill time of more than 5 seconds. The infant's blood pressure is 85/65 mmHg and glucose is 30 mg/dL. You administer 100% oxygen via face mask and start an IV. Which treatment is the most appropriate for this ...

A 12-year-old child being evaluated in the pediatric intensive care unit displays the following ECG waveform. The team interprets this as which arrhythmia? - ANSWER-second degree Laboratory tests are ordered for a child who has been vomiting for 3 days and is diaphoretic, tachypneic, lethargic and pale. Which test would the provider use to determine the adequacy of oxygen delivery? - ANSWER-Lactate A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed respira...

Single Rescuer - CORRECT ANSWER-Check for responsiveness Check pulse Infant: palpate brachial Child:palpate a carotid or femoral pulse Compression placement Infant: 2 fingers chest compression or 2 thumb encircling hand technique. Child: 1 or 2 hands mid chest compression Depth: Infant: 1/3 the AP diameter of the infant's check (1 1/2") Child: approximately 2" Rate: 100-120 Ratio: 30:2 Two or more Rescuer - CORRECT ANSWER-Same Ratio: 15:2 If the infant or child has normal breat...