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 #24-26: You are cari…

Use this scenario to answer questions #24-26: You are caring for a 30-month-old boy with a 2-day history of fever, vomiting, and diarrhea. His parents state that he has been sleeping much more. His heart rate is 190/min, temperature is 38.3°C (101°F), blood pressure is 59/29 mm Hg, respiratory rate is 70/min and shallow, and oxygen saturation is 94% on 100% oxygen. His capillary refill time is 4 to 5 seconds, and he has mottled, cool extremities. The infant weighs 6 kg. You have decided that this infant needs fluid resuscitation. How much fluid should you administer?

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?