Use this scenario to answer questions #39-42: You are carin…

Use this scenario to answer questions #39-42: You are caring for a 12-year-old girl with acute lymphoblastic leukemia. She is responsive, but she does not feel 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 receiving 100% oxygen by nonrebreathing mask. What assessment finding is most important in your determination of the severity of the patient’s condition?  

Use this scenario to answer questions #44 and #45: An unres…

Use this scenario to answer questions #44 and #45: 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?

An 8-year-old child is brought to the emergency department b…

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 #11 and #12: You are…

Use this scenario to answer questions #11 and #12: 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?