Multisystem Flashcards
A 4-week-old infant is admitted following an episode of cyanosis and floppiness that occurred 30 minutes after feeding. The infant is now feeding well. This episode is most likely A. a "tet spell" B. an apparent life threatening event C. a neonatal seizure D. near sudden infant death syndrome
B. an apparent life threatening event
Prior to an abdominal computed tomography scan, an intravenous contrast agent is administered. The child quickly develops hives, tachycardia, hypotension, and dyspnea. The priority intervention is to A. apply supplemental oxygen B. inject subcutaneous epinephrine C. administer an antihistamine D. prepare for cricothyrotomy
A. apply supplemental oxygen
Which of the following food products is associated with hemolytic uremic syndrome in children? Consumption of A. raw honey B. unpasteurized milk C. peanut butter D. saltwater shellfish
B. unpasteurized milk
A 5-year-old child is admitted to the PICU with a diagnosis of hemolytic uremic syndrome following raw spinach consumption. The intervention most likely indicated in the care of this child is A. gastric lavage B. extracorpeal membrane oxygenation C. hemodialysis D. high frequency jet ventilation
C. hemodialysis
An adolescent is admitted to the PICU after a commotio cordis cardiac arrest. The child responded to immediate defibrillation with return of spontaneous circulation, but remains unconscious. The nurse anticipates the next intervention will be A. hyperbaric oxygen B. corticosteroid administration C. neuromuscular blockade D. induced hypothermia
D. induced hypothermia
A child with biliary atresia and acute renal failure is admitted with respiratory distress. Which of the following procedures can the nurse anticipate will be performed to provide symptom relief? A. Pericardiocentesis B. Thoracentesis C. Paracentesis D. Arthrocentesis
C. Paracentesis
During helicopter transport, an injured child received multiple boluses of packed red blood cells for hemorrhagic shock. Upon PICU arrival the nurse anticipates administration of A. fresh frozen plasma and platelets B. furosemide and calcium chloride C. acetaminophen and diphenhydramine D. intravenous antibiotics
A. fresh frozen plasma and platelets
A patient is admitted to the PICU following a bicycle crash yesterday. The child flew forward, slamming her abdomen into the handlebars. The patient is mildly febrile and complains of gradually increasing abdominal pain. The nurse notes distension and rebound tenderness and suspects injury to the A. liver B. intestines C. spleen D. kidneys
B. intestines
A child is admitted following a near drowning incident. Which finding in the patient's history has the greatest impact on potential long-term outcome? The child was submerged in A. a fresh water lake B. the ocean C. a swimming pool D. an icy creek
D. an icy creek
A 3-week-old infant is admitted with a 2-day history of irritability, poor feeding, diarrhea, and minimal urine output. Capillary blood glucose level is 78 mg/dL. Vital signs are: HR 190/min; BP 58/32 mm Hg; RR 34/min; temperature 39 C (102.2 F); SpO2 97% on room air. What is the priority intervention for this neonate?
A. Continuous intravenous dopamine infusion
B. Isotonic fluid boluses with 0.9% saline
C. Crystalloid fluid resuscitation with D5.25NS
D. Intravenous 10% dextrose administration
B. Isotonic fluid boluses with 0.9% saline
A 16-year-old patient is admitted with toxic shock syndrome. Vital signs are: HR 150/min; BP 84/50 mm Hg; RR 29/min; temperature 39.8*C. The child has received 4 liters of 0.9% saline. Physical exam revelas brisk capillary refill and bounding pulses. Which of the following interventions is indicated next?
A. Initiate a dopamine drip
B. Transfuse 10/mL/kg fresh frozen plasma.
C. Begin a norepinephrine infusion
D. Administer another fluid bolus
C. Begin a norepinephrine infusion
A school-age child admitted to the PICU has severe sepsis. Appropriate pharmocologic interventions EXCLUDE administration of A. hydrocortisone B. activated protein C C. intravenous antibiotics D. vasopressors
B. activated protein C
A child is admitted for acetaminophen overdose. The nurse anticpates care of this child will involve A. aggressive fluid resuscitation B. urine alkalinization therapy C. emergent hemodialysis D. N-acetylcysteine administration
D. N-acetylcysteine administration
A 2-year-old patient is admitted following ingestion of an unkown number of furosemide and metformin tablets obtained from grandma's house. The nurse will monitor for hypoglycemia and A. generalized seizure activity B. electrolyte imbalances C. increased work of breathing D. frequent, watery diarrhea
B. electrolyte imbalances
A 2-year old child admitted for severe malnutrition requires decontamination following removal from a house where mathamphetamine was manufactured. The decontamination process includes
A. clothing removal and a total body wash
B. chlorhexidine skin scrub and shampoo
C. vinegar application to irritated areas
D. lindane therapy and head shaving
A. clothing removal and a total body wash
