ENPC 5th edition Update

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Ask about any new bed-wetting or sleep disturbances Pediatric patients with anxiety and PTSD may present with physical complaints. Assess for other behavioral symptoms to facilitate appropriate care... and follow-up. Correct Answer: A 5 year-old with no health problems presents to the Emergency Department with a sudden onset of chest pain and shortness of breath. Parents state that the family was involved in a bad car crash one week ago. A thorough assessment and workup has not revealed any abnormalities. Which of the following steps is the best next step to take? Ensuring all firearms in the home are locked in a safe place with no access by the patient. Promoting injury prevention with caregivers of patients with a history of depression or suicidal ideation by encouraging that all firearms and medications are under lock to prevent overdoses or suicide attempt. Correct Answer: You are discharging a patient to home with a history of depression. Discharge teaching should include which of the following? Obtain vascular access for rapid fluid administration Rapid vascular access and fluid administration are the priority interventions. Correct Answer: A 2-year old has uniformly demarcated burns to bilateral lower extremities, approximately 30% of the childs total body surface area. The father states he briefly left the room while the child was in the bath and the child apparently played with the faucet. Which of the following interventions has the highest priority? Draw and send a metabolic panel and venous blood gas, administer a fluid bolus, and obtain a point of care glucose Electrolyte imbalances need to be identified and treated to prevent another seizure. Correct Answer: A 7-year-old arrives via ambulance. The patient's mother reports witnessing a seizure at home. The patient has no seizure history. Upon examination, the patient is post-ictal with a heart rate of 142 beats per minute, respiratory rate of 36 breaths per minute, and blood pressure of 86/72 mm Hg. Significant burns are noted to the patient's back and lower extremities. The mother states the burns accidentally occurred 3 days ago, but she was afraid to bring patient in due to an ongoing child welfare investigation. Which of the following are the MOST appropriate immediate interventions? ventilation to address hypoxia is the priority intervention. Correct Answer: What is the priority intervention for symptomatic bradycardia in a four-year-old child? Commotio cordis Comotio Cordis "occurs when chest is struck during the refractory period of the cardiac conduction cycle. This type of injury usually occurs in recreational sports such as baseball or ice hockey." Correct Answer: A 14-year-old high school student who was pitching for his baseball team was hit in the chest by the ball and had a sudden cardiac arrest. Of the following, which is the most likely cause of the cardiac arrest? [Show More]

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