Exam 34: Emergency Care of the Child

Assessment of a child with a submersion injury focuses on which system?

Which nursing action is most appropriate to assist a preschool-age child in coping with the emergency department experience?

What is an appropriate nursing intervention for a 6-month-old infant in the emergency department?

You are the nurse working triage in the emergency department.A school-age child is brought in for treatment,carried by her mother.What is part of a primary assessment that should be performed first on this child?

Regardless of the cause of traumatic injury,most children do well unless the injuries are extremely severe.Even children with traumatic brain injuries (TBI)have far more favorable chances of recovery than most adults.Is this statement true or false?

A 2-year-old child is in the playroom.The nurse observes him picking up a small toy and putting it in his mouth.The child begins to choke.He is unable to speak.Which intervention is appropriate?

The father of a child in the emergency department is yelling at the physician and nurses.Which action is contraindicated in this situation?

Which initial assessment made by the triage nurse suggests that a child requires immediate intervention?

Which observations made by an emergency department nurse raises the suspicion that a 3-year-old child has been maltreated?

In which situation is the administration of milk or water indicated after ingestion?

A 3-year-old is brought to the emergency department by ambulance after her body was found submerged in the family pool.The child has altered mental status and shallow respirations.She did not require resuscitative interventions.Which condition should the nurse monitor first in this child?

What condition does the nurse recognize as an early sign of distributive shock?

What is the nurse's immediate action when a child comes to the emergency department with sweating,chills,and fang bite marks on the thigh?

The emergency department nurse notices that the mother of a young child is making a lot of phone calls and getting advice from her friends about what she should do.This behavior is an indication of

You are the nurse caring for a child who is diagnosed with septic shock.He begins to develop an dysrhythmia and hemodynamic instability.Endotracheal intubation is necessary.The physician feels that cardiac arrest may soon develop.What drug do you anticipate the physician will order?

A preschool child in the emergency department has a respiratory rate of 10 breaths per minute.How should the nurse interpret this finding?

The nurse observes abdominal breathing in a 2-year-old child.What does this finding indicate?

How should the nurse instruct the mother who calls the emergency department because her 9-year-old child has just fallen on his face and one of his front teeth fell out?

Which action should the nurse incorporate into a care plan for a 14-year-old child in the emergency department?

Automatic external defibrillators (AEDs)are becoming increasingly more available in community settings.They are very effective for correcting serious rhythm disturbances in adults; however,they are not recommended for use in children.