A 1-year-old with acute renal failure (ARF) is edematous with minimal urine output. Vital signs: HR 146, BP 176/92, RR 42; the child has nasal flaring and retractions. Despite oral Kayexalate, serum potassium continues to rise. Which treatment will most benefit the child?

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Pediatric Emergency Nursing PICO Questions Questions

Question 1 of 5

A 1-year-old with acute renal failure (ARF) is edematous with minimal urine output. Vital signs: HR 146, BP 176/92, RR 42; the child has nasal flaring and retractions. Despite oral Kayexalate, serum potassium continues to rise. Which treatment will most benefit the child?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

An 11-month-old girl infant is found to have low weight and height consistent with FTT. She was exclusively breast feeding till the age of 4 month, and then artificial milk-formula was added. She has had a normal growth pattern till the age of 6 month when the mother introduced juices and cereals. Examination is unremarkable apart from significant decline of normal growth pattern. Of the following, the MOST likely cause is

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

minutes after birth the normal heart rate of the infant may range between:

Correct Answer: C

Rationale: The normal heart rate of a newborn infant is typically between 120 and 160 beats per minute within the first minutes after birth. This range is considered normal for a healthy newborn and reflects the development of the infant's cardiovascular system. It is important to monitor the newborn's heart rate closely in the immediate post-birth period to ensure that it remains within this normal range. Any deviations from this range may indicate a need for further evaluation and intervention.

Question 4 of 5

Nurse Analiza is administering a medication via the intraosseous route to a child. Intraosseous drug administration is typically used when a child is:

Correct Answer: C

Rationale: Intraosseous drug administration is typically reserved for pediatric patients who are critically ill and under the age of 3. This route is chosen when intravenous access cannot be readily established or when the patient is in urgent need of medication administration. Young children have easily accessible bone marrow spaces, making intraosseous administration a quick and effective means of delivering medications in emergency situations. Older children tend to have more developed vasculature, making it easier to establish intravenous access in those cases.

Question 5 of 5

The nurse is assessing a newborn who had undergone vaginal delivery. Which of the following findings is least likely to be observed in a normal newborn?

Correct Answer: D

Rationale: The heart rate of a normal newborn is typically 120 to 160 bpm. Therefore, a heart rate of 80 bpm would be least likely to be observed in a normal newborn. This finding may indicate bradycardia, which should be further evaluated and managed by the healthcare provider. Other options such as an uneven head shape, irregular respirations, (+) Moro reflex are common and expected in newborns.

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