Paediatrics > QUESTIONS & ANSWERS > Volume 5 Chapter 4 Verified Questions and Answers, All Answers Correct (All)

Volume 5 Chapter 4 Verified Questions and Answers, All Answers Correct

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A viral infection of the pediatric upper airway that results in inflammation of the subglottic region is knownas: Ans- croup. A 13-year-old girl is having a sleepover at a friend's house and has be... en found unresponsive. She responds to painful stimuli by groaning. Her pupils are 3 mm PERRL. Her skin is cool, pale, and moist. Breath sounds are clear and equal, although breathing is shallow and she is snoring. Vital signs are HR 92, BP 96/70, RR 22, and SpO2 96 percent on room air. Which of the following should you do first? Ans- Open the airway with a head-tilt/chin-lift maneuver. A 3-year-old child presents with a high fever, flushed cheeks, crying, and refusal to take food or fluids. He is sitting up and refuses to lie down. Lung sounds are clear and equal. Vital signs are HR 128, capillary refill less than 2 seconds, RR 28, and SpO2 98 percent on room air. Which of the following treatment plans would be appropriate for this patient? Ans- Administer humidified oxygen, transport in a position of comfort, and alert the receiving hospital. A 4-year-old boy presents with a history of increasing respiratory difficulty over the previous 6 hours, including grunting and wheezing, particularly with active play. His skin is warm and dry. There is no cyanosis of the lips or nail beds. On your arrival, the patient's respiratory rate is 27 per minute. You notice grunting on expiration and an occasional dry cough. Auscultation of the lungs reveals widespread wheezing throughout all lung fields. Vital signs are HR 116, capillary refill less than 2 seconds, and SpO2 97 percent on room air. According to the parents, the child has suffered episodes similar to this one when visiting friends overnight but has had only one episode at home. The pediatrician has not prescribed medications for home use. What should you do? Ans- Transport and administer albuterol 2.5 mg by small-volume nebulizer. A 2-year-old child ingested some lamp oil intended for use in an old-fashioned kerosene lamp. The patient presents with a depressed respiratory rate, gastrointestinal irritation, and a diminished level of consciousness. What type of poisoning do you suspect? Ans- Hydrocarbon A four-year-old male patient presents with stridor, a cough, and hoarseness when speaking. The paramedic should: Ans- place the patient in a position of comfort and transport immediately. Above what respiratory rate would a 10-year-old child be considered to be breathing abnormally fast? Ans- 30/min According to the pediatric assessment triangle, which of the following is used to assess the work of breathing when forming a general impression of the patient? Ans- Presence of grunting, stridor, wheezing, crowing An inflammation of an airway structure that is often due to a bacterial infection in children and is known to be potentially life threatening is: Ans- epiglottitis. During triage of a 6-year-old patient, you discover the following: The patient is awake, breathing 32 times/minute, has a palpable pulse, and responds to verbal stimuli. What is the correct triage category for this patient? Ans- Yellow JumpSTART provides a framework for triage decisions that is: Ans- objective. Shouting helps assess an infant's: Ans- response to verbal stimuli. The most accurate method for determining the size of airway to use in pediatric resuscitation is touse: Ans- a length-based resuscitation tape, such as a Broselow Tape. The pediatric advanced life support (PALS) criteria for a physiologically unstable child does not include: Ans- a heart rate of 100 beats per minute. What is a common complication of a tracheostomy tube that a mucus plug may cause? AnsObstruction What is not a routine challenge of pediatric care for the paramedic? Ans- Children cannot receive care without a parent or guardian present. What is the oxygenation goal for a pediatric patient receiving oxygen? Ans- SpO2 of 94 percent or greate [Show More]

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