FREE Pediatric CCRN Ultimate Questions and Answers
Clinical indicators seen in a kid who has been given the diagnosis of failure to thrive include what?
Failure to thrive can have a variety of clinical signs, including delayed motor development, apathy, avoidance of eye contact, and growth failure.
Which tissue is not impacted by leukemia?
Kidney is not a tissue typically affected by leukemia.
Leukemia is a type of cancer that primarily affects the blood and bone marrow, where blood cells are produced. It involves the abnormal production of white blood cells, which are responsible for fighting infections in the body.
Esophageal varices that are bleeding may be treated acutely by?
Octreotide (Sandostatin) or vasopressin (DDAVP) are two medications used to treat acute esophageal bleeding varices.
What are SIDS?
Sudden Infant Death Syndrome (SIDS) refers to the unexplained and unexpected death of an apparently healthy infant under one year of age, typically occurring during sleep. SIDS is also sometimes referred to as crib death.
What does the air lack in terms of breathing?
The absence of breathing in the air is referred to as respiratory arrest. Respiratory arrest occurs when a person stops breathing or experiences a complete cessation of breathing. It is a medical emergency that requires immediate attention and intervention.
Respiratory arrest can have various causes, including severe respiratory conditions, drug overdose, trauma, drowning, choking, or certain medical conditions that affect the respiratory system. It can also occur as a result of cardiac arrest, where the heart stops pumping effectively, leading to a lack of oxygen supply to the body.
A little child with colitis is admitted. The patient experiences respiratory discomfort, abdominal distention, and capillary refill times longer than four seconds eight hours after being admitted. The nurse should have what following suspicions?
This patient is exhibiting bowel perforation symptoms, along with potential shock. Abdominal perforation is a possible outcome of colitis. Due to the patient's abdominal distension, the diaphragm is being compressed upward, which reduces lung capacity and worsens respiratory discomfort. A shock sign is a capillary refill time of more than four seconds.
What causes a loud, high-pitched sound during breathing?
Stridor is a sharp, pitchy sound that can occur during breathing. It is typically caused by a narrowing or obstruction in the upper airway, specifically the trachea or larynx. Stridor is often heard as a high-pitched wheezing or harsh sound that is more prominent during inhalation but can also occur during exhalation. It can be a symptom of various conditions or underlying causes, such as infections, allergies, foreign body obstruction, or structural abnormalities in the airway. Stridor in breathing may indicate an issue that requires medical attention, especially if it is associated with difficulty breathing or other concerning symptoms.
What is breathing difficulty?
Respiratory distress refers to a condition in which a person experiences difficulty or labored breathing due to inadequate gas exchange in the lungs. It is a broad term used to describe a range of symptoms and signs related to respiratory impairment.
Which of these is a sign of leukemia?
Both anemia and infection can be symptoms of leukemia.
Leukemia is a cancer of the blood and bone marrow, where abnormal production of white blood cells occurs. The presence of leukemia can disrupt the normal production and function of other blood cells, leading to various symptoms.
What does an airway opening (for surgical purposes) entail?
An opening made for the airway for surgical purposes is called a tracheotomy.
A tracheotomy, also known as a tracheostomy, is a surgical procedure that involves creating a direct opening into the trachea (windpipe) through the neck. This procedure is performed to establish an alternative airway when the normal airway is blocked or compromised, or when long-term ventilatory support is required.
Which of the subsequent interventions would be most beneficial in helping to manage a child who needs PEEP of 14 cm water?
Through alveolar recruitment, HFOV enhances oxygenation without the drawbacks of high PEEP, which is also employed to improve oxygenation.
A one-month-old baby who has been underweight, frequently throwing up, and irritable since birth presents. The mother claims that she had another baby with the same symptoms who passed away at the age of two months. Which further exam result would make the nurse think there might be a metabolic inborn error?
This is a typical sign of a metabolic problem, particularly if there is a family history of young sibling deaths.
Which of the following observations supports the assertion that a 6-month-old has brain death?
When the PaCo2 is greater than 60 mmHg and there are no spontaneous respirations, the patient's apnea test is compatible with the diagnosis of brain death.
A patient complains of sporadic palpitations that come and go and are accompanied by weakness. The heart rate is 125, the PR interval is reduced, and the upstroke is slurred before each enlarged QRS complex, according to an ECG. It is possible to explain this slurred upstroke (Delta wave) by?
The early part of the QRS complex is prolonged during ventricular pre-excitation, and this "initial slurring" is visible as Delta waves on the ECG. In a person with Wolff-Parkinson-White, an abnormal conduction pathway between the atrium and the ventricle causes the ventricular pre-excitation. A Delta wave and a wider QRS are the results of the ventricle's subsequent premature depolarization.
A patient who has delirium and receptive aphasia will be enrolled in a clinical trial. How should the nurse act to guarantee that the right kind of informed consent is obtained?
When a patient is unable to give consent, a legal guardian may intervene.
Which of the following physical examination findings is present in a patient who is undergoing albuterol (Proventil) inhalation therapy for an acute asthma attack?
Wheezing typically occurs during an asthma attack unless there is significantly decreased airflow due to bronchospasm and inflammation. Beta-2 receptor agonists, such as albuterol (Proventil), can cause agitation.