Distress
How often should the pulse ox site be changed
at least every 4 hours
What must you have in order to administer oxygen to your pt
a - face mask
b - flow meter and christmas tree
c- a doctor's order
d- the parents consent
c - a doctors order
The pO2 in an ABG tells you the patients
a - hypoxemia on 3L
b- oxygentation status
c - exercise tolerance
d - respiratory status
b - oxygenation status
What must you have prior to performing CPT
a MD order
A child is admitted to the PICU after being rescued from a burning building. On assessment, the nurse observes singed nasal hairs and eyebrows, wheezing, and altered LOC. At this time, the primary nursing action should be assessment of
a - neurological status
b- respiratory effort
c - skeletal injury
d - extent of burn injury
b- respiratory effort
From the options, identify the group of 3 early signs of respiratory distress
a - nasal flaring, tachypnea, retractions
b - cyanosis, head bobbing, lethargy
c - clubbing, sweating, nervous bouncing
d - anxiety, confusion, retractions
a - nasal flaring, tachypnea, retractions
After placing a patient on oxygen, you want to
a - document
b - notify the MD
c- monitor pt response
d - explain the procedure to visitors
c - monitor pt response
The pCO2 in an ABG tells you about the patients
a - ventilation status
b-metabolic acidosis
c- if the PEEP is adequate
d - level of concentrations
a - ventilation status
With the device you can accurately provide up to 90% oxygen to a non-intubated pt
a-HFNC
b - face mask
c - non-rebreather mask
d - blow by
c - non-rebreather mask
A neutropenic patient is admitted showing signs of respiratory infection. Blood and sputum cultures are obtained. The nurse should anticipate
a- beginning antibiotics immediately
b- immediate placement in strict isolation
c- No intervention until the causative organism is identified
d- transbrochial biopsy
a- beginning antibiotics immediately
Of the following scenarios, which would indicate the respiratory failure is imminent
a- RR of 50
b - lethargic, sweaty, grunting
c - anxious and clingy
d - difficultly cooperating with exam
b - lethargic, sweaty, grunting
FiO2 changes can be made by whom
Bedside RN or RT (with titration order)
The HCO3 in an ABG tells you
a - appropriate dose of bicarb to administer
b - if ventilator setting are effective
c - why the patient is breathing slow
d - metabolic status
d - metabolic status
CPT should be avoided in the following circumstances, except
a - up to 2 hours after meals
b - if the pt is lying in the lateral position
c - after a recent vent change
d - if the pt is receiving heparin therapy
b - if the patient is laying in the lateral position
Following bronchoscopy for removal of a foreign body, the patient becomes dyspneic with retractions and stridor. This is most probably due to:
a - hypoxia
b- edema
c-anxiety
d -atelectasis
d -atelectasis
Treatment options for an ABG showing respiratory acidosis are:
a - sodium bicarbonate
b-oxygen
c- quiet, peaceful room
d - intubation
d - intubation
Can flow changes be made by the RN
Yes -after verbal discussion with RT
The base excess in a ABG can tell you
a - if metabolic acidosis is unresolved
b - a negative value is alkaolsis
c - acidotic or alkalotic status
d - what to assess in a pediatric emergency
c - the acidotic or alkalotic statu
a- chronic bronchitis
b - BPD
c - asthma
d - multiple sclerosis
c - asthma
An infant with RDS requiring mechanical ventilation (PIP 35 cm, PEEP 10 CM) suddenly desaturates and becomes bradycardic. The most likely explanation is with of the following?
a - pneumomediastinum
b - hemothorax
c- pleural effusions
d - pneumothorax
d - pneumothorax
You will know the patient's CO2 is increasing when all of the following is present except,
a - pt finally goes to sleep
b- pt is no longer focusing on objects
c - pt is less responsive to noxious stimuli
d - pt has change in LOC
a - pt finally goes to sleep
Name 2 types of patient populations where oxygen administration is contraindicated
What is the code dose of NaCHO3
1 meq/kg
Which medication does not have the side effect of hypokalemia
a- atrovent
b - pulmocort
c - albuteral
d - lasix
a - atrovent
A long term complication for a child with BPD is
a - cor-pulmonale
b - barotraumas
c - cystic fibrosis
d- cardiomyopathy
a - cor-pulmonale