The nurse is caring for a 10-month-old infant with signs of respiratory distress. Which is the best way to maintain this child's airway?

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Emergency Pediatric Care Quizlet Questions

Question 1 of 5

The nurse is caring for a 10-month-old infant with signs of respiratory distress. Which is the best way to maintain this child's airway?

Correct Answer: A

Rationale: Inserting a small towel under the shoulders helps maintain an open airway in infants by aligning the airway properly.

Question 2 of 5

An unconscious client is brought to the emergency department after ingesting too much prescribed medication. Which of the following is the highest priority nursing intervention?

Correct Answer: A

Rationale: Establishing a patent airway is the highest priority to ensure oxygenation in an unconscious overdose patient.

Question 3 of 5

A 3-year-old child with croup has the following vital signs: heart rate 90, respiratory rate 48, blood pressure 100/52, and temperature 98.8°F (37.1°C). The parents ask the nurse if these vital signs are normal. The nurse's best response is:

Correct Answer: A

Rationale: A respiratory rate of 48 is high for a 3-year-old, indicating that the croup is affecting his breathing. A heart rate of 90, blood pressure of 100/52, and temperature of 98.8°F (37.1°C) are within normal ranges for a 3-year-old.

Question 4 of 5

When developing a plan of care for a hospitalized child, the nurse knows that children in which age group are most likely to view illness as a punishment for misdeeds?

Correct Answer: C

Rationale: Preschool-age children often engage in magical thinking and may view illness as a punishment for misdeeds, unlike infants (who lack cognitive ability), school-age children (who understand biological causes), or adolescents (who think more complexly).

Question 5 of 5

A pediatric ED nurse, who is caring for a 12-year-old patient with septic shock, perceives a potential complication of fluid resuscitation upon noting:

Correct Answer: D

Rationale: Pulmonary edema should be monitored for closely as in septic shock, fluids can third space and leak into the lungs causing hypoxia and respiratory distress. The pt should receive additional fluids less rapidly and the practitioner may choose to move on to vasopressor therapy.

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