Ch24 Acutely Ill Children And Their Needs Complete Test Bank

1)

Change in neurological status/level of consciousness

2)

Indwelling urinary catheter being accidentally pulled out

3)

Absence seizures

4)

Tachycardia

1)

Performing a blind finger sweep of the mouth

2)

Performing five chest thrusts with two fingers

3)

Suctioning secretions or mucus

4)

Placing the newborn on a flat surface

1)

Showing the family where the code blue button is located on the wall

2)

Signs to be aware of that would warrant calling the RRT

3)

Letting the family know that if they are uncomfortable suctioning their child's airway, they may summon the RRT

4)

Reminding the family that only the nurse may call the RRT for rapid assistance for their child in an emergency

1)

H Polyuria

2)

Hypotension

3)

Hypovolemia

4)

Change in mental status

1)

Diphenhydramine

2)

Amoxicillin

3)

Methylprednisolone

4)

Epinephrine

1)

Identifying the reason for the phone call

2)

Giving the patient’s presenting complaint

3)

Providing the most recent vital signs

4)

Asking if the provider will be coming to assess the patient

1)

Move a child with a high PEWS score to a lower level of care.

2)

objectivelyAssess a child’s behavior and clinical status.

3)

Have practice code blue scenarios.

4)

Assess patients with low PEWS scores more frequently.

1)

Code red

2)

Code blue

3)

Code pink

4)

Code gray

1)

Code red

2)

Code blue

3)

Code pink

4)

Code gray

1)

Calling for help

2)

Determining unresponsiveness

3)

Performing chest compressions

4)

Giving a resuscitative breath

1)

Presence of petechiae

2)

Retinal hemorrhage

3)

Paradoxical breathing

4)

Abnormal heart sounds

1)

Making sure that the child's stuffed animal gets packed with the child’s belongings

2)

Giving the family a pamphlet from the PICU they are being transferred to

3)

Explaining the situation and need for a higher level of care to the family in a calm manner

4)

Giving an SBAR report to the nurse assuming the child’s care

1)

Supine

2)

Prone

3)

Side-lying

4)

Trendelenburg

1)

An infant who requires an IV catheter for antibiotic administration

2)

A toddler-aged patient who is experiencing separation anxiety

3)

A preschool-aged patient who requires a procedure with the implementation of restraints

4)

A school-aged patient who has a grand mal seizure in the playroom

1)

The team should be activated for customer service issues.

2)

The team should be activated when an immediate care conference is required.

3)

The team can be activated only by the family, but the nurse can assist with this process.

4)

The team can be activated for signs and symptoms indicating the child is deteriorating, such as trouble breathing.

1)

Find an AED.

2)

Initiate compressions.

3)

Give a rescue breath.

4)

Provide supplemental oxygen therapy.

1)

Cyanosis in a newborn

2)

An infant not waking every 2 hours to nurse

3)

Petechiae in a 6-year-old

4)

A 2-year-old crying during blood glucose testing

5)

Retinal hemorrhages in a 2-month-old infant with reflux

1)

Ensure that manual resuscitator bags and appropriate size masks are available for each patient.

2)

Place the call light out of reach.

3)

Ensure that connectors and tubing needed to administer oxygen are available in each occupied room.

4)

Make sure that suction devices can be ordered from hospital supply if needed.

5)

Check that each bed is in the low position with side rails up.

1)

Isotonic crystalloid IV fluids

2)

Epinephrine

3)

Insulin

4)

Hydrocortisone

5)

Diazepam

1)

RRTs can significantly lower mortality rates.

2)

RRTs can be called by anyone who sees a patient deteriorating.

3)

Calling an RRT is the same as calling a code blue.

4)

The system is often abused by families.

5)

RRTs significantly lower cardiopulmonary arrests outside of ICUs.

1)

If the patient is up-to-date on his or her immunizations

2)

Information on recent vital signs and/or vital sign trends

3)

If the phone call is urgent

4)

The reason for the phone call

5)

If the patient has seasonal allergies

1)

Pediatric Advanced Life Support (PALS) certified nurse

2)

Respiratory therapist to manage the child’s airway

3)

Pharmacist

4)

Child Life Specialist

5)

Nursing supervisor who can provide staffing support and support for the family

1)

Does the health-care decision maker have a close, caring relationship with the patient?

2)

Is this person willing and able to make the needed medical treatment decisions?

3)

Is there a consensus among the individuals as to the proper decision or decision maker?

4)

Does this person help pay for the child’s health insurance?

5)

Is this person aware of the family’s and the patient’s (child’s) values and beliefs?

1)

Placing the child in a prone position

2)

Preparing for intubation and mechanical ventilation

3)

Protecting the child’s vascular access line

4)

Administering prescribed anti-anxiety medications

5)

Using color-coded resuscitation tape to obtain accurate height and weight

1)

Irritability

2)

Lethargy

3)

Hypoventilation

4)

Vomiting

5)

Seizures