Author Question: A 5-year-old girl is cyanotic, dusky, and anxious when she arrives in the emergency department. ... (Read 37 times)

tingc95 · **on:** Jun 27, 2018

A 5-year-old girl is cyanotic, dusky, and anxious when she arrives in the emergency department. Which of the following would be most appropriate?

A) Ventilating the child with a bag-valve-mask
B) Estimating the child's weight using a Broselow tape
C) Providing therapy using automated external defibrillation
D) Using rescue breathing and chest compressions

Question 2

A child is prescribed trazodone. Which of the following would the nurse be least likely to include in the plan of care related to this drug?

A) Monitoring blood pressure for orthostatic hypotension
B) Assessing the child for sedation and drowsiness
C) Administering the drug with a snack
D) Monitoring for tardive dyskinesia

spencer.martell · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
The child is exhibiting signs of ineffective oxygenation and ventilation. Therefore, ventilating the child with a bag-valve-mask and 100 oxygen would be effective and efficient. Estimating the child's weight with a Broselow tape is typically done by ambulatory care providers. According to the American Heart Association, automated external defibrillators are recommended for use in children who are older than age 1 year who have no pulse and have suffered a sudden, witnessed collapse outside the hospital setting. Rescue breathing and chest compressions are implemented for children who are not breathing and do not have a pulse or when the pulse rate is less than 60 beats per minute.

Answer to Question 2

D
Feedback:
Trazodone does not cause tardive dyskinesia; antipsychotics do. It can cause orthostatic hypotension, sedation, and drowsiness. It should be given after meals or with snacks to minimize gastrointestinal upset.