Which of the following physical findings suggest a cause of hypotension other than spinal cord injury?

Correct Answer: D

Rationale: The correct answer is D: Presence of deep tendon reflexes. In hypotension due to spinal cord injury, deep tendon reflexes are typically absent below the level of injury. This is known as spinal shock. The presence of deep tendon reflexes suggests intact spinal cord function and points towards a cause of hypotension other than spinal cord injury. Prispism (A) is not a physical finding associated with hypotension or spinal cord injury. Bradycardia (B) can be a common finding in spinal cord injury due to autonomic dysregulation. Diaphragmatic breathing (C) is also not directly related to hypotension or spinal cord injury.

Correct Answer: C

Rationale: Rationale: C is correct because blood transfusion can be delivered through an intraosseous access in pediatric resuscitation due to the rapid and reliable infusion of fluids and medications. A is incorrect as intraosseous access is considered early in pediatric resuscitation without a set number of percutaneous attempts. B is incorrect as cut down at the ankle is not a preferred access technique in pediatric resuscitation. D is incorrect as internal jugular cannulation is not the next preferred option after failed percutaneous venous access in pediatric resuscitation.

Correct Answer: C

Rationale: The correct answer is C: Be treated for hypovolemic shock. The patient's low blood pressure (60/40) and rapid pulse (140 bpm) indicate hypovolemic shock due to significant blood loss from the crash. Treating hypovolemic shock involves administering fluids to restore blood volume and improve perfusion to vital organs. This is crucial to stabilize the patient's condition before further interventions. Choice A (Undergo exploratory celiotomy) is incorrect as it is not the immediate priority in this case. Choice B (Be treated for neurogenic shock) is incorrect because the patient's symptoms are more indicative of hypovolemic shock. Choice D (Undergo immediate nasotracheal intubation) is also incorrect as the priority should be addressing the hypovolemic shock first to stabilize the patient's condition.

Correct Answer: B

Rationale: The correct answer is B: Multiple organ failure. Inadequate organ perfusion leads to decreased oxygen and nutrient delivery to various organs, causing cellular dysfunction and potential organ failure. This can result in a cascade of events affecting multiple organs, ultimately leading to systemic complications. Vasodilatation (A) is a response to inadequate perfusion, not a consequence. Decreased base deficit (C) is a laboratory parameter indicating metabolic acidosis, not a consequence of inadequate perfusion. Acute glomerulonephritis (D) is a specific kidney condition unrelated to inadequate organ perfusion.

Correct Answer: C

Rationale: The correct answer is C: Skilled nursing facilities. Long-term care involves ongoing assistance with daily activities for individuals who are unable to care for themselves. Skilled nursing facilities provide 24-hour nursing care, rehabilitation services, and assistance with activities of daily living. Hospitals (A) focus on acute care rather than long-term care. Adult day services facilities (B) offer daytime care and activities but not 24-hour care. Ambulatory surgical centers (D) provide outpatient surgical procedures, not long-term care. Skilled nursing facilities best meet the comprehensive care needs for long-term care residents.