PEDS Chapter 29 a a
1.
The nurse is caring for a 6-year-
a a a a a a
old girl who was injured in a bicycle accident. Which question would be
a a a a a a a a a a a a a
most important for the nurse to ask during the health history?
a a a a a a a a a a
A)
"Has she been diagnosed with any chronic disorders?"
a a a a a a a a
B)
"Is your daughter currently taking any medications?"
a a a a a a a
C)
"Is she allergic to any medications or drugs?"
a a a a a a a a
D)
"Tell me how the bicycle accident happened." - Correct Answer -
a a a a a a a a a a
a Ans: D a
Feedback:
The priority inquiry is to determine the nature of the emergency so that a
a a a a a a a a a a a a a
ppropriate interventions may be initiated. This will also provide direction f
a a a a a a a a a a
or obtaining more in-depth information as time permits. Information
a a a a a a a a
,PEDS Chapter 29 a a
about allergic reactions to drugs, medications being taken, and chronic disord
a a a a a a a a a a
ers that may affect treatment will be gathered next.
a a a a a a a a
2.
The nurse is caring for a 7-year-
a a a a a a
old boy experiencing respiratory distress who is scheduled to have a chest
a a a a a a a a a a a
radiograph. What would be most important for the nurse to include in the
a a a a a a a a a a a a a
achild's plan of care?
a a a
A)
Administering a sedative to help calm the child
a a a a a a a
B)
a
Assisting the child to lie still during the chest radiograph
a a a a a a a a a a
C)
Accompanying the child to continue observation a a a a a a
D)
Informing the child that he might hear a loud banging noise -
a a a a a a a a a a a
aCorrect Answer - Ans:
a a a
B
Feedback:
,PEDS Chapter 29 a a
Chest radiographs that disclose alterations in normal anatomy or lung ex
a a a a a a a a a a
pansion, or evidence of pneumonia, tumor, or foreign body, are commonly
a a a a a a a a a a
a performed for respiratory emergencies. Therefore, the nurse would need
a a a a a a a a
ato assist the child in remaining still during the procedure. A sedative may
a a a a a a a a a a a a a
be ordered for magnetic resonance imaging (MRI).
a a a a a a
Accompanying the child to continue observation would be necessary if the c
a a a a a a a a a a a
hild was to undergo a computed tomography scan. Telling the child about
a a a a a a a a a a a a
a loud banging noise would be appropriate if the child was having an MRI
a a a a a a a a a a a a a
.
3.
A 5-year-
a
old girl is cyanotic, dusky, and anxious when she arrives in the emergency de
a a a a a a a a a a a a a
partment. Which action would be most appropriate?
a a a a a a
A)
Ventilating the child with a bag-valve- a a a a a
mask B) a
Estimating the child's weight using a Broselow tape
a a a a a a a a
C)
Providing therapy using automated external defibrillation
a a a a a a
D)
Using rescue breathing and chest compressions - Correct Answer -
a a a a a a a a a
Ans: A
a a
, PEDS Chapter 29 a a
Feedback:
The child is exhibiting signs of ineffective oxygenation and ventilation. The
a a a a a a a a a a
refore, ventilating the child with a bag-valve-
a a a a a a
mask and 100% oxygen would be effective and efficient. Estimating the chi
a a a a a a a a a a a
ld's weight with a Broselow tape is typically done by ambulatory care pro
a a a a a a a a a a a a
viders. According to the American Heart Association, automated external
a a a a a a a a a
defibrillators are recommended for use in children who are older than age
a a a a a a a a a a a
1 year who have no pulse and have suffered a sudden, witnessed collaps
a a a a a a a a a a a a a
e outside the hospital setting. Rescue breathing and chest compressions
a a a a a a a a a a
are implemented for children who are not breathing and do not have a p
a a a a a a a a a a a a a
ulse or when the pulse rate is less than 60 beats per minute.
a a a a a a a a a a a a
4.
When caring for an 8-year-
a a a a
old boy injured in an automobile accident, the nurse demonstrates underst
a a a a a a a a a a
anding of the principles of Pediatric Advanced Life Support (PALS) by whic
a a a a a a a a a a a
h action?
a
A)
Assisting ventilation with a bag-valve-
a a a a
mask (BVM) device B)
a a a
Treating ventricular fibrillation using a defibrillator
a a a a a a
C)
Managing compensated shock to prevent decompensated shock
a a a a a a
1.
The nurse is caring for a 6-year-
a a a a a a
old girl who was injured in a bicycle accident. Which question would be
a a a a a a a a a a a a a
most important for the nurse to ask during the health history?
a a a a a a a a a a
A)
"Has she been diagnosed with any chronic disorders?"
a a a a a a a a
B)
"Is your daughter currently taking any medications?"
a a a a a a a
C)
"Is she allergic to any medications or drugs?"
a a a a a a a a
D)
"Tell me how the bicycle accident happened." - Correct Answer -
a a a a a a a a a a
a Ans: D a
Feedback:
The priority inquiry is to determine the nature of the emergency so that a
a a a a a a a a a a a a a
ppropriate interventions may be initiated. This will also provide direction f
a a a a a a a a a a
or obtaining more in-depth information as time permits. Information
a a a a a a a a
,PEDS Chapter 29 a a
about allergic reactions to drugs, medications being taken, and chronic disord
a a a a a a a a a a
ers that may affect treatment will be gathered next.
a a a a a a a a
2.
The nurse is caring for a 7-year-
a a a a a a
old boy experiencing respiratory distress who is scheduled to have a chest
a a a a a a a a a a a
radiograph. What would be most important for the nurse to include in the
a a a a a a a a a a a a a
achild's plan of care?
a a a
A)
Administering a sedative to help calm the child
a a a a a a a
B)
a
Assisting the child to lie still during the chest radiograph
a a a a a a a a a a
C)
Accompanying the child to continue observation a a a a a a
D)
Informing the child that he might hear a loud banging noise -
a a a a a a a a a a a
aCorrect Answer - Ans:
a a a
B
Feedback:
,PEDS Chapter 29 a a
Chest radiographs that disclose alterations in normal anatomy or lung ex
a a a a a a a a a a
pansion, or evidence of pneumonia, tumor, or foreign body, are commonly
a a a a a a a a a a
a performed for respiratory emergencies. Therefore, the nurse would need
a a a a a a a a
ato assist the child in remaining still during the procedure. A sedative may
a a a a a a a a a a a a a
be ordered for magnetic resonance imaging (MRI).
a a a a a a
Accompanying the child to continue observation would be necessary if the c
a a a a a a a a a a a
hild was to undergo a computed tomography scan. Telling the child about
a a a a a a a a a a a a
a loud banging noise would be appropriate if the child was having an MRI
a a a a a a a a a a a a a
.
3.
A 5-year-
a
old girl is cyanotic, dusky, and anxious when she arrives in the emergency de
a a a a a a a a a a a a a
partment. Which action would be most appropriate?
a a a a a a
A)
Ventilating the child with a bag-valve- a a a a a
mask B) a
Estimating the child's weight using a Broselow tape
a a a a a a a a
C)
Providing therapy using automated external defibrillation
a a a a a a
D)
Using rescue breathing and chest compressions - Correct Answer -
a a a a a a a a a
Ans: A
a a
, PEDS Chapter 29 a a
Feedback:
The child is exhibiting signs of ineffective oxygenation and ventilation. The
a a a a a a a a a a
refore, ventilating the child with a bag-valve-
a a a a a a
mask and 100% oxygen would be effective and efficient. Estimating the chi
a a a a a a a a a a a
ld's weight with a Broselow tape is typically done by ambulatory care pro
a a a a a a a a a a a a
viders. According to the American Heart Association, automated external
a a a a a a a a a
defibrillators are recommended for use in children who are older than age
a a a a a a a a a a a
1 year who have no pulse and have suffered a sudden, witnessed collaps
a a a a a a a a a a a a a
e outside the hospital setting. Rescue breathing and chest compressions
a a a a a a a a a a
are implemented for children who are not breathing and do not have a p
a a a a a a a a a a a a a
ulse or when the pulse rate is less than 60 beats per minute.
a a a a a a a a a a a a
4.
When caring for an 8-year-
a a a a
old boy injured in an automobile accident, the nurse demonstrates underst
a a a a a a a a a a
anding of the principles of Pediatric Advanced Life Support (PALS) by whic
a a a a a a a a a a a
h action?
a
A)
Assisting ventilation with a bag-valve-
a a a a
mask (BVM) device B)
a a a
Treating ventricular fibrillation using a defibrillator
a a a a a a
C)
Managing compensated shock to prevent decompensated shock
a a a a a a
