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An 8-month-old child presents with purpura, irritability, and a rectal temperature of 39.4?C (102.9?F).
An intervention of high priority is:
A. Encouraging the caregiver to hold and comfort the child.
B. Monitoring for signs and symptoms of increased intracranial pressure (ICP).
C. Collecting urine for toxicology screen.
D. Encouraging oral fluids and food.
B. Monitoring for signs and symptoms of increased intracranial pressure (ICP).
The Pediatric Assessment Triangle is used to:
A. Identify all life-threatening conditions that the child presents with.
B. Perform a complete head-to-toe assessment on the child.
C. Assess the status of the child's airway only upon arrive in the ED.
D. Determine the severity of the child's illness or injury using the "across-the-room" assessment.
D. Determine the severity of the child's illness or injury using the "across-the-room" assessment.
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The caregivers of a 6-year-old boy who is brought to the emergency department for abdominal pain
should first be asked:
A. "Are his immunizations current?"
B. "Has anything happened to him at school recently?"
C. "What is the reason for the child's visit and how long has he been ill?"
D. "Has he been complaining of a sore throat or earache?"
C. "What is the reason for the child's visit and how long has he been ill?"
, A 9-month-old infant is crying loudly through the nursing assessment, and the caregiver is becoming
distraught. The nurse should ask the caregiver to:
A. Read a story to the infant.
B. Offer the infant a pacifier.
C. Return when the infant is consoled.
D. Ignore the infant's behavior.
B. Offer the infant a pacifier.
During an intubation attempt, the childs heart rate drops to 40 beats/minute. Which intervention is
indicated?
A. Ask the physician to stop the intubation attempt and perform bag-mask ventilation.
B. Apply cricoid pressure and establish intravenous access.
C. Inform the physician of the heart rate and ask the physician to intubate faster.
D. Administer blow-by oxygen and begin chest compressions.
A. Ask the physician to stop the intubation attempt and perform bag-mask ventilation.
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A 6- week-old infant is pale, has marked substernal retractions, expiratory grunting, and poor muscle
tone. The emergency nurse should first:
A. Obtain intravenous access.
B. Apply a pulse oximeter.
C. Prepare a chest x-ray.
D. Administer 100% oxygen.
D. Administer 100% oxygen.