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. This finding indicates intact neurological function and rules out spinal cord injury as the cause of hypotension. Spinal cord injury typically results in loss of deep tendon reflexes. Prispism (choice A) is a painful erection, which is not directly related to hypotension. Bradycardia (choice B) indicates a slow heart rate but does not specifically suggest a cause of hypotension. Diaphragmatic breathing (choice C) is a breathing pattern that may occur in various conditions but does not directly point to a specific cause of hypotension.

Correct Answer: C

Rationale: The correct answer is C: Blood transfusion can be delivered through an intraosseous access. In pediatric resuscitation, intraosseous access is commonly used for rapid vascular access when peripheral IV access is difficult. This route allows for the delivery of fluids, medications, and even blood products such as transfusions. It is a reliable and effective alternative in emergency situations. Explanation for why other choices are incorrect: A: "Intraosseous access should only be considered after five percutaneous attempts" - This statement is incorrect as intraosseous access is often the preferred route in pediatric resuscitation when peripheral IV access is difficult. B: Cut down at the ankle is a preferred initial access technique - This statement is incorrect as intraosseous access is typically preferred over cut down procedures in pediatric resuscitation. D: Internal jugular cannulation is the next preferred option when percutaneous venous access fails - This statement is incorrect as intraosseous

Correct Answer: C

Rationale: The correct answer is C: Be treated for hypovolemic shock. Rationale: 1. The patient's low blood pressure (60/40) and high pulse rate (140 bpm) indicate hypovolemic shock due to significant blood loss from the crash. 2. Treatment for hypovolemic shock involves restoring intravascular volume with intravenous fluids to improve perfusion and stabilize the patient's condition. 3. Initiating treatment for hypovolemic shock is crucial to prevent further complications and improve the patient's chances of survival. Summary: - Choice A (Undergo exploratory celiotomy) is incorrect as it involves abdominal surgery and is not indicated based on the presented symptoms. - Choice B (Be treated for neurogenic shock) is incorrect as the symptoms are more indicative of hypovolemic shock. - Choice D (Undergo immediate nasotracheal intubation) is incorrect as airway management is not the primary concern in this scenario, addressing hypov

Correct Answer: B

Rationale: The correct answer is B: Multiple organ failure. Inadequate organ perfusion leads to tissue hypoxia, causing cellular dysfunction and ultimately multiple organ failure. Vasodilatation (A) is a compensatory mechanism to increase blood flow, not a consequence of inadequate perfusion. Decreased base deficit (C) is not a direct consequence but rather an indicator of metabolic acidosis. Acute glomerulonephritis (D) is a specific kidney condition and not a general consequence of inadequate organ perfusion. Multiple organ failure is the most severe outcome of inadequate perfusion as it signifies the failure of various organs due to systemic hypoperfusion.

Correct Answer: C

Rationale: The correct answer is C: Skilled nursing facilities. Long-term care, which involves ongoing assistance with activities of daily living, is typically provided in skilled nursing facilities due to their specialized care and 24-hour nursing staff. Hospitals (A) focus on acute care, adult day services facilities (B) offer daytime programs, and ambulatory surgical centers (D) provide outpatient surgical procedures, making them unsuitable for long-term care.