, Multiple Organ Dysfunction Syndrome, and Burns inChildren MULTIPLE CHOICE 1. What is the most common type of shock in children? a. Hypovolemic b. Cardiogenic c. Neurogenic d. Septic ANS: A H... ypovolemic shock, the most common type of shock in children, is associated with a reduction in the intravascular volume relative to the vascular space. It is most frequently caused by dehydration and trauma. PTS: 1 DIF: Cognitive Level: Remembering 2. Hypotension is likely to occur when an infant or child is greater than % dehydrated. a. 2 b. 5 c. 7 d. 10 ANS: D Hypotension typically develops when dehydration is greater than 10% in the infant or child or greater than 6% in the adolescent. PTS: 1 DIF: Cognitive Level: Remembering 3. A healthcare professional assesses that a child’s capillary refill time is 4 sec. What does the healthcare professional evaluate that finding to mean? a. The child is in shock. b. The child must have septic shock. c. The child has compensated shock. d. This finding is normal. ANS: A Normal capillary refill time is <2 sec (brisk). A refill time of 4 sec in prolonged and indicates a perfusion deficit possibly from shock. In septic shock, the capillary refill time may be normal or faster than normal due to vasodilation. PTS: 1 DIF: Cognitive Level: Applying 4. A 2-year-old is in shock. The healthcare professional assesses the child’s heart rate as 52 beats/min. What action by the healthcare professional is most appropriate? [Show More]
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