A nurse receives report on patients in the pediatric intensive ...

[Tazate]

A nurse receives report on patients in the pediatric intensive care unit who are at risk for hypoperfusion. Which child should the nurse see first?
 
  A.
  Hypotensive
  B.
  Oliguric
  C.
  Tachycardic
  D.
  Weak pedal pulses

Question 2

The nursing manager is collaborating with health-care providers to determine appropriate candidates for ventilator weaning in the pediatric intensive care unit. Which child is the best candidate?
 
  A.
  Oxygen requirement: 60
  B.
  Peak inspiratory pressure: 32 cm H2O
  C.
  Spontaneous tidal volume: 2 mL/kg
  D.
  Ventilator rate: 6 breaths/minute

[kthug]

Answer to Question 1

ANS: A
All options are signs of hypoperfusion, but hypotension is a late and ominous sign in a child. The nurse should see this child first.

Answer to Question 2

ANS: D
Signs that a child is a good candidate for ventilator weaning include oxygen requirements of less than 40, peak inspiratory pressure of 16-25 cm H2O, spontaneously initiated breaths with tidal volume of 4-6 mL/kg, and a ventilator rate of 6-10 breaths/minute. The child whose ventilator rate is 6 breaths/minute is the best candidate of these children.