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PICU V1 EXAM
You are taking care of a 4 year old with a femur fracture. The radiologist states there are other bones in various stages of healing. What is your concern? - ANSWERS-Suspect child abuse.
What should you record when suspecting child abuse? - ANSWERS-All the above
Why isn't atropine given first for bradycardia in pediatric patients? - ANSWERS- The majority of pediatric resuscitations can be resolved when their airway and breathing is restored.
Your patient has a viral pneumonia with copious secretions requiring suctioning. What supplies would you gather to complete the task? - ANSWERS-Appropriate size catheter, oxygen, gloves, mask & gown.
What are the signs that an asthmatic is getting better? - ANSWERS-Less wheezes, good air exchange.
What does the pulse oximeter reading measure? - ANSWERS-Oxygen saturation of the hemoglobin.
The BEST way to decrease nosocomial infections is to? - ANSWERS-Wash hands before every patient contact.
What are some early signs of sepsis? - ANSWERS-Increase WBC
Your patient with diabetes is exhibiting signs of insulin overdose. What physical assessment signs do you observe? - ANSWERS-Cool, pale, sleepy.
A patient has a sunken fontanela, no tears, and tenting skin. The MOST likely diagnosis is? - ANSWERS-Dehydration
A patient is head bobbing, has nasal flaring, and retractions. The MOST LIKELY diagnosis is? - ANSWERS-Respiratory Distress
Why do you want to keep a baby from becoming hypothermic? - ANSWERS-The baby could become bradycardia, hypotensive, & apneic.
You want to assess perfusion in a child. What do you check? - ANSWERS-Cap refill, pulses, warmth of extremity.
What is the normal urine output in a pediatric patient? - ANSWERS-1-2 mL/kg/hr
What is the preferred maintenance IV fluid for a pediatric patient whose electrolytes are normal? - ANSWERS-D5.2NS+2KCL/
You are taking care of a surgical patient who is now crying that it hurts. He points to the crying face on the Wong-Baker FACES pain rating scale. He is 5 years old and weighs 20 kg. How much morphine is an appropriate dose and what is the correct route? - ANSWERS-2 mg IV slow push
You are taking care of a 5 month old Post G-tube placement whose heart rate is
- What could be the problem? - ANSWERS-Pain and dehydration
What is the proper dose of Tylenol for a 8 kg baby? - ANSWERS-120 mg
Your 2-month-old patient exhibits significant nasal congestion. What is your concern in placing an 8 Fr. NG tube? - ANSWERS-? Potential puncture of the nasal septum.? (Wrong answer: It is too big)
The FIRST priority in a pediatric resuscitation is to: - ANSWERS-Manage Airway
