SR Pedi Answers Update(Over 50 Scenarios)

Hayden Clark Room 305 Hayden Clark, 6-year-old male, weighing 44 lbs., comes to school looking disheveled, and not wearing a coat with the outside temperature in the low 40’s. You responded correctly to 6 out of 6 evaluations: Category Educational Needs Health LOC Pain Psych Safety Your response Increased acuity Increased acuity Normal acuity Normal acuity Normal acuity Increased acuity Explanation Education needed for child and parents relating to clothing, hygiene, and physiological needs. Status assessment reports patient not wearing coat in 40-degree weather. Status assessment reports no indication of increased LOC acuity Status assessment reports no indication of increased Pain acuity Status assessment reports does not give clear indication to increased Psych acuity Status assessment reports not wearing coat which places patient at risk for hypothermia Hannah Johnson Room 304 Hannah Johnson, 10-year-old female presented to the ED 45 minutes ago with dehydration, dysuria, and significant weight loss of 18 pounds over the last 2 months. Both parents are with the child, the father is insisting that he be notified of all interventions before they are initiated. Initial assessment reveals: Skin dry and warm to touch, B/P 90/58, T 99.2 F, 37.3 C, HR 110, RR30. Child appears thin. Breathing is fast and deep. Noted fruity odor to breath. Initial labs: CBC WNL, K+ 2.89, BG 459, Urinalysis: Positive for ketones, glucose, and bacteria. Orders: IV 0.9% normal Saline at 150 ml/hour, Add 20 mEq K+ after first liter, Ampicillin 250 mg PO q 6 hours, finger stick blood glucose (FSBG) q 1 hour. You responded correctly to 4 out of 6 evaluations: Category Educational Needs Health LOC Pain Psych Safety Your response Increased acuity Increased acuity Normal acuity Increased acuity Normal acuity Increased acuity Explanation Status assessment reports abnormal and possible newly diagnosis of type 1 diabetes. Status assessment reports abnormal labs and weight loss. Status assessment reports no indication of increased LOC Status assessment reports dysuria. Status assessment reports no indication of Psychiatric deficits Status assessment reports IV's and High Blood Glucose.Amanda Blaire Room 301 Amanda Blaire, 14-year-old female, who was in an ATV accident and now has a fractured tibia and fibula. Her vital signs are Temperature 98.6 F, 37.0 C, HR 87, BP 111/72, RR 18, PaO2 97%. She is post-op day 1 with continuous traction and skeletal pins to immobilize leg. Category Educational Needs Health LOC Pain Psych Safety Your response Increased acuity Increased acuity Normal acuity Increased acuity Normal acuity Increased acuity Status Status Status Status Status Status Explanation Assessment reports fracture and surgery and rehabilitation needs Assessment reports fractures, major surgery, and rehabilitation ne assessment reports no indication of increased LOC acuity Assessment reports fractures, major surgery, and rehabilitation ne assessment reports no indication of increased Psychiatric acuity Assessment reports fractures, major surgery, and rehabilitation ne Baby Harris Room 302 Baby Harris, 4-hour-old newborn male, weight 6.6 lbs. with a length of 18” and approximate gestational age of 36 weeks. Late prenatal care. Mom has history of methamphetamine and heroin addiction. In addition, the mom admits to smoking 1 pack per day through pregnancy. Urine drug test on baby positive for heroin and methamphetamine. VS: T 98.1 F, 36.7 C, HR 178, R 70, PaO2 96%.