You are transporting an unresponsive intubated 4-year-old child. An IO catheter is in place, and you are ventilating the child at an age-appropriate rate. Suddenly, the child becomes cyanotic and experiences a significant drop in her heart rate and oxygen saturation, and loss of a capnographic waveform. You attempt to auscultate her lung sounds but are unable to hear over the drone of the engine. You should:
A) extubate immediately and ventilate with a bag-mask device.
B) increase your ventilation rate and reassess the child's condition.
C) administer 0.02 mg/kg of atropine via rapid IO push and reassess.
D) look for vapor mist in the ET tube and attach a colorimetric device.
Answer: A) extubate immediately and ventilate with a bag-mask device.
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The hospital has a well-designed, fully functioning ethics committee. What ethical debate topics, concerning the entire social network rather than an individual patient, might now be addressed by this committee?
1. Autonomy 2. Informed consent 3. Duplication of services 4. Do-not-resuscitate orders
The mother of an adolescent receiving methylphenidate (Concerta) for attention-deficit hyperactivity disorder tells the nurse that her son is better and asks why she can't just get refills on the prescription. What is the best response by the nurse?
1. "Just drop by and I will get a prescription for you without seeing your son." 2. "We can't do that; maybe you can find another doctor's office that will do it." 3. "The law does not allow us to give you refills on this medication." 4. "The medication can be addictive so your son needs a monthly medical evaluation."
The nurse is caring for a neonate born with a myelomeningocele. Surgery to repair the defect is scheduled the next day. The most appropriate way to position and feed this neonate is which position?
a. Prone and tube-fed b. Prone, head turned to side, and nipple-fed c. Supine in an infant carrier and nipple-fed d. Supine, with defect supported with rolled blankets, and nipple-fed
Write twenty-four thousandths of a liter using the correct notation: ________
Fill in the blank(s) with the appropriate word(s).