Which one of the following statements is true regarding access in pediatric resuscitation?

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: 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.

Correct Answer: A

Rationale: The correct answer is A because a policy is a predetermined course of action that guides decision-making and behavior in specific situations. It is not an action that must be taken every time a situation occurs, a specific method of doing something, or the chain of command within a facility. Policies are guidelines for consistent and effective decision-making, not just routine actions or specific methods.

Correct Answer: D

Rationale: The correct answer is D: Durable Power of Attorney for Health Care. This is an example of an advance directive because it allows an individual to appoint someone to make healthcare decisions on their behalf if they become unable to do so. This document specifically addresses medical treatment preferences and end-of-life care. A: Last Will and Testament deals with distribution of assets after death, not healthcare decisions. B: Power of Attorney grants authority over legal and financial matters, not healthcare decisions. C: Divorce Decree is a legal document dissolving a marriage, not related to healthcare directives. In summary, the Durable Power of Attorney for Health Care is the correct choice as it specifically pertains to healthcare decision-making in advance.