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Use this scenario to answer questions 36-37:You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is having increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive to voice commands. His oxygen saturation is 72% on room air and 89% when on a nonrebreathing oxygen mask. He has shallow respirations with a respiratory rate of 38/min. Auscultation of the lungs reveals bilateral crackles. What medication would be most appropriate?

Use this scenario to answer questions 46-49:You are caring for a 12-year-old girl with acute lymphoblastic leukemia. She is responsive, but she does not ffeel well and appears to be flushed. Her temperature is 39 °C (102.2 °F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is 100/40 mm Hg, and oxygen saturation is 96% on room air. Your assessment reveals mild increase in work of breathing and bounding pulses. The child is placed on 100% oxygen by nonrebreathing mask. Laboratory studies document lactic acidosis. On the basis of the patient’s clinical assessment and history, what type of shock does this patient most likely have?

A team member, who is not the Team Leader, is unable to perform an assigned task because it is beyond their scope of practice. What action should the team member take?

An 8-year-old child is brought to the emergency department by his mother for difficulty breathing. He has a history of asthma and nut allergies. His mother tells you that he recently ate a cookie at a family picnic. What condition is most likely to be present in this child?

Use this scenario to answer questions 16-17:An unresponsive 14-year-old girl is pale and cool to the touch. Her blood pressure is 70/45 mm Hg, heart rate is 190/min, and respiratory rate is 12/min. The SpO2 is not detectable. Capillary refill time is 5 seconds. An IV is in place. The cardiac monitor displays the rhythm shown here. If pharmacological interventions are unavailable or delayed, what intervention is indicated?

Use this scenario to answer questions 6-7: An unresponsive 9-year-old boy was given a dose of rectal valium by his caretaker for a prolonged seizure. His blood pressure is 80/40 mm Hg, heart rate is 45/min, respiratory rate is 6/min, and SpO2 is 60% on room air. He is unresponsive and cyanotic. The cardiac monitor displays the rhythm shown here. What action do you take next?

Use this scenario to answer questions 16-17:An unresponsive 14-year-old girl is pale and cool to the touch. Her blood pressure is 70/45 mm Hg, heart rate is 190/min, and respiratory rate is 12/min. The SpO2 is not detectable. Capillary refill time is 5 seconds. An IV is in place. The cardiac monitor displays the rhythm shown here. What rhythm is seen on the patient’s cardiac monitor?

Use this scenario to answer questions 36-37:You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is having increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive to voice commands. His oxygen saturation is 72% on room air and 89% when on a nonrebreathing oxygen mask. He has shallow respirations with a respiratory rate of 38/min. Auscultation of the lungs reveals bilateral crackles. What assessment finding is consistent with respiratory failure in this child?  

You are performing the Airway component of the primary assessment. What finding would lead you to conclude that a child has an upper airway obstruction?

For patients with ST-segment elevation myocardial infarction, which best describes the recommended maximum goal for first medical contact–to–balloon inflation time for percutaneous coronary intervention?