TRZ

35問 • 12ヶ月前

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A premature infant receiving positive pressure ventilation appears to be in acute respiratory distress with signs of hypotension and asymmetrical chest movement. Which of the following would you recommend first?

Chest transillumination

While assisting with the delivery of a newborn infant, the physician asks for you to obtain an Apgar score on the patient. Which of the following ranges is considered to be a normal score?

7–10

Upon assessment of a high-risk infant, you note bradycardia and spells of apnea. Which of the following would you recommend?

Mechanical ventilation

During the assessment of a 1-week-old infant, which of the following signs would indicate that the infant has an increased work of breathing?

Nasal flaring

A newborn 28-week gestational age neonate is being treated in an oxygen hood with an FiO2 of 50%. The physician believes that the patient has infant respiratory distress syndrome. The following blood gas results were obtained: pH 7.36, PaCO2 38 mmHg, HCO3 25 mEq/L, BE 0 mEq/L, and PaO2 46 mmHg. Based on this information, which of the following would you recommend?

Start nasal CPAP at 5-8 cmH2O

An arterial blood gas sample needs to be obtained from a newborn infant. The physician ordered the sample from arterialized capillary blood because the artery would be too difficult to stick. Which of the following sites would you recommend?

The lateral area of the heel

A neonate with meconium aspiration syndrome is receiving mechanical ventilation. If you were to increase the pressure limit, this would increase the risk of which of the following?

Pneumothorax

A 2-year-old girl is showing signs of a severe asthma attack. The physician has ordered a short-acting bronchodilator medication that is available in both MDI and SVN doses. Which of the following delivery methods would you recommend for this patient?

An MDI with a holding chamber and mask

A 4-year-old child has been admitted to the emergency department with wheezing and stridor. An AP x-ray shows an area of prominent subglottic edema, but the lateral neck x-ray appears normal. Which of the following is most likely the problem?

Croup

A premature newborn infant with an Apgar score of 3 is showing signs of hypoxemia, grunting, and intercostal retractions. Which of the following would you recommend?

Instill surfactant into the airway

The physician has ordered ribavirin (virazole) via aerosol for an infant with severe RSV. Which of the following devices would you recommend for administration?

Small particle aerosol generator

An 11-year-old boy has just arrived in the ER with cystic fibrosis and a pulmonary infection. Upon assessment, you note very thick secretions. Which of the following drugs would you recommend for this patient?

Nebulized dornase alpha

You are called to the NICU to assist with the intubation of a newborn infant. While gathering supplies, which of the following laryngoscope blades would you select?

Miller

You are called to the NICU to assist with the intubation of a newborn infant. While gathering supplies, which of the following laryngoscope blades would you select?

20 ppm

You are needed to help assess a newborn infant that appears to have an increased work of breathing. Which of the following signs is an indication of respiratory distress?

Chest wall retractions

After entering the room of a pediatric patient, you could immediately hear harsh, high-pitched sounds on inspiration. Which of the following best describes this finding?

The sounds are stridorous

During the assessment of a term newborn infant who is healthy, you would expect normal vital signs to include all of the following EXCEPT:

Respiratory rate of 20 breaths/min

A premature newborn infant that has a low Apgar score and needs immediate resuscitation and chest compressions. Which of the following statements regarding neonatal resuscitation is CORRECT?

The compression to ventilation ratio should be 3:1

A 21-month-old infant with asthma is receiving mechanical ventilation with an in-line small volume nebulizer in place. After the treatment was started, the alarm of the heated humidifier was activated. Which of the following is the most likely cause?

Low gas temperature

While treating a 3-month-old infant, you note that she has periods of apnea that result in bradycardia and cyanosis. Which of the following medications would you recommend?

Caffeine citrate

You were called by the physician to obtain a capillary blood sample. Which of the following is TRUE regarding this sample type?

The sample pH and PCO2 correlate well with standard ABG results

A 4-year-old child is admitted with the following signs and symptoms: Fever, Difficulty swallowing, Drooling, and Stridor. A lateral neck x-ray was taken and showed supraglottic swelling. Which of the following is the most likely diagnosis?

Epiglottitis

Which of the following patients is the best candidate for high-frequency oscillation ventilation?

A neonate with refractory hypoxemia

You are called to assist with the intubation of a premature infant. Which laryngoscope blade would you recommend?

Miller blade number 0

While reviewing the lateral neck radiograph of a 3-year-old boy, you note that there is a clear air column through the upper airway and narrowing of the tracheal air column below the larynx. Which of the following conditions is most likely present?

Laryngotracheobronchitis

A high-risk newborn infant needs immediate resuscitation. While performing chest compressions, how far should the sternum be compressed?

One-third of the AP diameter of the chest

You were called to help with the treatment of a newborn in the neonatal ICU. The physician states that the infant needs hyperventilation. This form of treatment would be recommended in which of the following patients?

An infant with persistent pulmonary hypertension

During the assessment of a newborn infant, you note that the AP and lateral dimensions of the chest are equal. This likely indicates which of the following?

Normal chest anatomy

The nurse called and requested that you suction a 2-week-old infant with excess secretions. What range of negative pressure should be used on this patient?

-60 to -80 mmHg

You were called for an assessment in the NICU. While observing an infant’s chest configuration, you note that it is the same size in both the AP and the lateral dimensions. This most likely indicates which of the following?

A normal chest

An infant in the NICU has been receiving inhaled nitric oxide, but the physician put in a new order to stop the therapy. After doing so, the infant becomes hemodynamically unstable. Which of the following is the best action to take at this time?

Return the infant to the prior NO dosage

A “code blue” is being performed on a 5-year-old pediatric patient who is in respiratory arrest. Which of the following bag-mask ventilation rates would you recommend?

12-20 breaths/min

You collected an ABG on an infant who is receiving oxygen via oxyhood at 60%. The results are as follows: pH 7.36, PaO2 47 torr, and PaCO2 44 torr. Which of the following would you recommend?

Nasal CPAP at 4 cmH2O

A newborn infant was given a five-minute Apgar score of 8. Which of the following would you recommend?

Give the infant to the mother for bonding

A 6-month-old infant with cystic fibrosis was admitted to the emergency department with retained secretions. Which of the following airway clearance techniques would you recommend for this patient?

Postural drainage with percussion

ch. 2

Darya Rose · 83問 · 2年前

ch. 2