An advanced life support EMS crew arrives at your facility with a pediatric patient whose chief presentation is anaphylaxis. Throughout the evaluation and transport, they have administered subcutaneous 0.01 mg/kg epinephrine, intravenous 2 mg/kg methylprednisolone, and 1 mg/kg diphenhydramine according to their protocols. Under what form of medical command were these actions taken?

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Emergency Pediatric Care Questions

Question 1 of 5

An advanced life support EMS crew arrives at your facility with a pediatric patient whose chief presentation is anaphylaxis. Throughout the evaluation and transport, they have administered subcutaneous 0.01 mg/kg epinephrine, intravenous 2 mg/kg methylprednisolone, and 1 mg/kg diphenhydramine according to their protocols. Under what form of medical command were these actions taken?

Correct Answer: B

Rationale: Off-line command refers to pre-established protocols guiding EMS actions without real-time physician input.

Question 2 of 5

The nurse is assessing the neurologic status of an 11-month-old girl. Which finding would be cause for concern?

Correct Answer: D

Rationale: A sluggish pupillary reaction indicates potential neurologic impairment and warrants immediate concern.

Question 3 of 5

The nurse has performed an across-the-room assessment of an 8-year-old child and has classified her as emergent. Which of the following signs and symptoms has the nurse seen?

Correct Answer: D

Rationale: Blue lips (cyanosis) indicate severe hypoxia, classifying the child as emergent requiring immediate intervention.

Question 4 of 5

After assessing a child's airway, breathing, and circulation (ABCs), which of the following would the nurse do next?

Correct Answer: C

Rationale: Assessing level of consciousness follows ABCs to evaluate neurological status and guide further interventions.

Question 5 of 5

The nurse is assessing the respiratory status and lungs of a 6-year-old child. Which of the following would the nurse report immediately?

Correct Answer: B

Rationale: Minimal air movement indicates severe respiratory compromise requiring immediate intervention.

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