Preventing and Managing Bedsores in Healthcare
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Questions and Answers

What is the temperature threshold for considering triaging up to level 2 Pediatric Fever Danger zone for infants 1-3 months old?

  • 102.2 F
  • 100.2 F
  • 100.4 F (correct)
  • 103.0 F

    • What is the name of the sound caused by upper airway obstruction, which is high-pitched in croup and foreign body aspiration?

  • Grunting
  • Wheezing
  • Rales
  • Stridor (correct)

    • What is the likely cause of bilateral wheezing in a pediatric patient?

  • Pneumothorax
  • Reactive airway disease (correct)
  • Foreign body aspiration
  • Asthma

    • What is the reason for the increased susceptibility of infants to respiratory distress and failure?

    <p>Less compensatory reserve</p> Signup and view all the answers

    What is the effect of audible expiratory grunting on airway pressure?

    <p>Increases airway pressure</p> Signup and view all the answers

    What is the reason for the increased need for oxygen in infants?

    <p>Increased metabolic rate</p> Signup and view all the answers

    What is the definition of Pediatric Sepsis Fire Criteria?

    <p>Temperature abnormality (&lt; 36°C OR &gt; 38°C) AND any HR/RR abnormality</p> Signup and view all the answers

    What is the age range for considering triaging up to level 2 Pediatric Fever Danger zone with a temperature of > 102.2 F?

    <p>3-36 months</p> Signup and view all the answers

    What is the name of the sound caused by lower airway obstruction?

    <p>Wheezing</p> Signup and view all the answers

    What is the difference in the way infants breathe compared to adults?

    <p>Infants breathe predominantly using abdominal muscles</p> Signup and view all the answers

    What is the primary cause of pediatric croup?

    <p>Viral respiratory illness</p> Signup and view all the answers

    What is the typical age range for pediatric appendicitis?

    <p>15-24 years old</p> Signup and view all the answers

    What is the characteristic of the cough in pediatric croup?

    <p>Barky cough</p> Signup and view all the answers

    What is the name of the surgical procedure used to treat pyloric stenosis?

    <p>Pyloromyotomy</p> Signup and view all the answers

    What is the typical presentation of pediatric intussusception?

    <p>Stools mixed with blood and mucus</p> Signup and view all the answers

    What is the name of the condition caused by a ligament slipping out of place in the elbow joint?

    <p>Nursemaid's Elbow</p> Signup and view all the answers

    What is the typical treatment for pediatric croup?

    <p>Humidified air and cool mist</p> Signup and view all the answers

    What is the primary symptom of pediatric appendicitis?

    <p>Periumbilical pain</p> Signup and view all the answers

    What is the typical age range for pediatric pyloric stenosis?

    <p>3-5 weeks of life</p> Signup and view all the answers

    What is the name of the sign indicating peritonitis in pediatric appendicitis?

    <p>Rebound tenderness</p> Signup and view all the answers

    What is the primary goal of using a 'good HOLD' during IV insertion in pediatric patients?

    <p>To minimize pain and comfort the child</p> Signup and view all the answers

    What is the purpose of utilizing a Stat-lock and arm board during IV insertion?

    <p>To secure the IV device</p> Signup and view all the answers

    What is the benefit of using a vein illuminator during IV insertion?

    <p>To locate the vein more easily</p> Signup and view all the answers

    What is the purpose of using sucrose in pediatric patients under 12 months?

    <p>To comfort the child during a stressful procedure</p> Signup and view all the answers

    What is the benefit of using a distraction technique during IV insertion?

    <p>To reduce the child's focus on the procedure</p> Signup and view all the answers

    What is the name of the device that allows healthcare providers to deliver blood or fluids quickly and effectively?

    <p>LifeFlow</p> Signup and view all the answers

    How much fluid can be delivered using the LifeFlow device in less than 2 minutes?

    <p>500 mL</p> Signup and view all the answers

    What is the benefit of positioning a child for IV insertion?

    <p>To comfort the child and make them feel more in control</p> Signup and view all the answers

    What is the purpose of using a child life specialist during IV insertion?

    <p>To distract the child and reduce anxiety</p> Signup and view all the answers

    What is the purpose of using numbing options during IV insertion?

    <p>To reduce pain during the procedure</p> Signup and view all the answers

    What is the main reason for the lower elastic recoil in pediatric lungs compared to adult lungs?

    <p>Fewer and smaller alveoli</p> Signup and view all the answers

    What is the typical age range for pediatric croup?

    <p>Under 3 years old</p> Signup and view all the answers

    What is the primary cause of pediatric appendicitis?

    <p>Obstruction of the appendiceal lumen</p> Signup and view all the answers

    What is the characteristic of the vomiting in pediatric pyloric stenosis?

    <p>Forceful and projectile</p> Signup and view all the answers

    What is the treatment for intussusception that does not respond to air/barium enema?

    <p>Surgical intervention</p> Signup and view all the answers

    What is the purpose of providing cool mist or humidified air in pediatric croup?

    <p>To relieve respiratory distress</p> Signup and view all the answers

    What is the name of the sign indicating peritonitis in pediatric appendicitis?

    <p>Rebound tenderness</p> Signup and view all the answers

    What is the typical presentation of pediatric intussusception?

    <p>Sudden onset of symptoms with severe pain</p> Signup and view all the answers

    What is the name of the condition characterized by inflammation and edema of the tissue surrounding the vocal cords and trachea?

    <p>Croup</p> Signup and view all the answers

    What is the typical age range for pediatric pyloric stenosis?

    <p>3-5 weeks old</p> Signup and view all the answers

    What is the first step in the delivery of a newborn?

    <p>Support perineum controlled descent</p> Signup and view all the answers

    What is a common complication of endometriosis?

    <p>Uterine lining outside actual uterine wall</p> Signup and view all the answers

    What is the primary goal of identifying a highly infectious disease?

    <p>To isolate patients quickly</p> Signup and view all the answers

    What is the purpose of oxytocin 10U IM during delivery?

    <p>To induce labor</p> Signup and view all the answers

    What is the key to preventing the spread of highly infectious diseases in the healthcare setting?

    <p>Strong triage and symptom awareness</p> Signup and view all the answers

    What is a primary concern when assessing an older adult in the ED for infection?

    <p>Rapid respiratory rate</p> Signup and view all the answers

    What is the name of the framework that focuses on four key areas when caring for older adults in the ED?

    <p>Age-Friendly 4Ms</p> Signup and view all the answers

    What is a common oral health issue in older adults that can contribute to aspiration pneumonia?

    <p>All of the above</p> Signup and view all the answers

    What is the name of the program that aims to improve care for older adults in hospitals?

    <p>NICHE</p> Signup and view all the answers

    What is a common indicator of potential elder abuse in the ED?

    <p>All of the above</p> Signup and view all the answers

    What is the most threatening sign of preeclampsia?

    <p>HELLP syndrome</p> Signup and view all the answers

    What is the primary goal of the preeclampsia protocol?

    <p>To prevent seizures</p> Signup and view all the answers

    What is the treatment for eclampsia?

    <p>All of the above</p> Signup and view all the answers

    What is the purpose of electronic fetal monitoring in preeclampsia?

    <p>To monitor fetal heart rate</p> Signup and view all the answers

    What is the recommended position for a pregnant woman with eclampsia?

    <p>Left lateral position</p> Signup and view all the answers

    What is the purpose of the 'Synthesis of information' in the patient handoff report?

    <p>To provide an opportunity for the oncoming RN to summarize the patient's condition</p> Signup and view all the answers

    What is the main goal of the 'Purposeful Rounds' approach in patient care?

    <p>To address the patient's physical and emotional needs</p> Signup and view all the answers

    What is the purpose of the 'Building and Empathy' statement in patient communication?

    <p>To show understanding and compassion for the patient's feelings</p> Signup and view all the answers

    What is the focus of the 'Patient Experience' workflow in healthcare?

    <p>Enhancing the patient's experience and satisfaction</p> Signup and view all the answers

    What is the main goal of 'Patient Safety in the Emergency Department' initiatives?

    <p>To prevent errors and ensure patient safety</p> Signup and view all the answers

    What is the most common type of stroke?

    <p>Ischemic stroke</p> Signup and view all the answers

    In what order should a patient with uncontrolled bleeding be assessed during the Primary Assessment?

    <p>C, then A, then B</p> Signup and view all the answers

    What is the cause of blocked or narrowed blood vessels in ischemic stroke?

    <p>Fatty deposits that build up in blood vessels</p> Signup and view all the answers

    What is a transient ischemic attack (TIA) also known as?

    <p>Ministroke</p> Signup and view all the answers

    What should be done to a severed limb in a trauma patient?

    <p>Wrap the part in sterile gauze and place in a plastic bag</p> Signup and view all the answers

    What is the time goal for door to attending physician evaluation in stroke?

    <p>/= 140 mmHg</p> Signup and view all the answers

    What is the purpose of Calcium gluconate in a trauma patient?

    <p>To offset the effects of potassium released when a tourniquet is released</p> Signup and view all the answers

    What is the importance of identifying the signs and symptoms of stroke immediately?

    <p>To prevent permanent damage</p> Signup and view all the answers

    What is the focus of the 'Patient Experience' workflow in healthcare?

    <p>The Nursing Bundle</p> Signup and view all the answers

    What is the purpose of the 'LMNOP' mnemonic in trauma nursing?

    <p>To perform a full set of vital signs and other tasks</p> Signup and view all the answers

    What is the leading cause of death in individuals ages 1-44 years old?

    <p>Trauma</p> Signup and view all the answers

    Which of the following is NOT a common etiology of trauma?

    <p>Drowning</p> Signup and view all the answers

    What is the systolic blood pressure criterion for a trauma patient?

    <p>Less than 90 mmHg</p> Signup and view all the answers

    Which of the following is an anatomic criterion for a trauma patient?

    <p>Penetrating injuries to the head</p> Signup and view all the answers

    What is the mechanism of injury criterion for falls in older adults?

    <p>Falls &gt; 20 ft or equivalent</p> Signup and view all the answers

    Which of the following is a high-risk motor vehicle collision?

    <p>Head-on collision with significant passenger space intrusion</p> Signup and view all the answers

    Who should be transported to a pediatric-capable trauma center?

    <p>Children under 15 years old</p> Signup and view all the answers

    What is a significant indication for transportation to a trauma center?

    <p>All of the above</p> Signup and view all the answers

    What is the focus of the Across the Room Assessment?

    <p>Gathering informed observational data</p> Signup and view all the answers

    What is the primary goal of the trauma assessment?

    <p>To identify and treat life-threatening injuries</p> Signup and view all the answers

    What is the primary issue in distributive shock?

    <p>Fluid is not getting to where it needs to go</p> Signup and view all the answers

    What is the treatment for anaphylactic shock?

    <p>Give epinephrine in the thigh (IM) followed by steroids and diphenhydramine</p> Signup and view all the answers

    What is the last stage of sepsis?

    <p>Septic shock</p> Signup and view all the answers

    Who determines the MCI level?

    <p>FDNY</p> Signup and view all the answers

    What is the purpose of mass decontamination?

    <p>To respond to a critical and complex function within mass casualty response</p> Signup and view all the answers

    What is the primary goal of Emergency Department Triage?

    <p>To decrease morbidity and mortality for all ED patients</p> Signup and view all the answers

    What is the purpose of the Emergency Severity Index (ESI)?

    <p>To evaluate patient acuity and needed resources</p> Signup and view all the answers

    What is the time frame for assigning an acuity level using the Comprehensive Triage?

    <p>2-5 minutes</p> Signup and view all the answers

    What is the purpose of the Primary Assessment in Emergency Department Triage?

    <p>To perform a brief primary assessment on all incoming patients</p> Signup and view all the answers

    What is the objective of donning Personal Protective Equipment (PPE) in Infectious Disease and High Consequence Pathogens?

    <p>To prevent the spread of infection from patient to healthcare provider</p> Signup and view all the answers

    What are the two goals of rapid and streamlined triage in mass casualty incidents?

    <p>Speed and safety</p> Signup and view all the answers

    What is the primary purpose of the MCI equipment cards during a mass casualty incident?

    <p>To organize and prioritize patient triage</p> Signup and view all the answers

    What is the difference in the triage approach for pediatric patients compared to adults?

    <p>Pediatric patients are triaged using a different approach due to their higher degree of resilience and likelihood of surviving with longer periods of apnea</p> Signup and view all the answers

    What was the scenario used in the full-scale exercise to test response components?

    <p>Improvised explosive device (IED) scenario in Midtown</p> Signup and view all the answers

    What is the purpose of decompressing the Kimmel Core during a mass casualty incident?

    <p>To allow for rapid admission of patients to inpatient units</p> Signup and view all the answers

    What is the primary focus of the START triage algorithm?

    <p>Determining patient acuity and priority</p> Signup and view all the answers

    What was the outcome of the full-scale exercise, according to the takeaways?

    <p>The triage, decanting, and surgery prioritization needed enhancements</p> Signup and view all the answers

    What is the purpose of the roll-up door in the Kimmel ambulance entrance during a mass casualty incident?

    <p>To move MCI equipment cards into the triage area</p> Signup and view all the answers

    What percentage of patients with 'potentially survivable wounds' could have been saved, according to the exercise?

    <p>Up to 1/3</p> Signup and view all the answers

    What is the purpose of hands-on mass decontamination training for NYULH staff?

    <p>To prepare staff for decontamination procedures during a mass casualty incident</p> Signup and view all the answers

    What are the two specific goals of rapid and streamlined triage?

    <p>Speed and identifying who needs the most help</p> Signup and view all the answers

    What is the name of the triage algorithm used for pediatric patients?

    <p>JumpSTART</p> Signup and view all the answers

    What is the focus of the full-scale decontamination scenario drill?

    <p>Decontamination and decanting</p> Signup and view all the answers

    What was the scenario used in the Mass Casualty Incident Full Scale Exercise?

    <p>IED scenario in Midtown</p> Signup and view all the answers

    What was one of the takeaways from the Mass Casualty Incident Full Scale Exercise?

    <p>Need for enhancements to triage, decanting, and surgery prioritization</p> Signup and view all the answers

    What is the purpose of moving MCI equipment cards from storage to the triage area during a mass casualty incident?

    <p>To prepare for patient arrival</p> Signup and view all the answers

    What is the role of the ED Flow Coordinator in a mass casualty incident?

    <p>To direct patient flow</p> Signup and view all the answers

    What is the purpose of the START algorithm in a mass casualty incident?

    <p>To assess patient acuity</p> Signup and view all the answers

    What is the benefit of providing hands-on mass decontamination training for NYULH staff?

    <p>To increase staff preparedness</p> Signup and view all the answers

    What is the purpose of the triage area during a mass casualty incident?

    <p>To assess patient acuity</p> Signup and view all the answers

    What is the primary objective of the Emergency Department Triage?

    <p>To identify patients who need immediate care and treatment</p> Signup and view all the answers

    What is the 5-level triage instrument used in Emergency Department Triage?

    <p>Emergency Severity Index (ESI)</p> Signup and view all the answers

    What is the first decision point in the Emergency Severity Index (ESI) algorithm?

    <p>Is the patient dying?</p> Signup and view all the answers

    What is the purpose of the Comprehensive Triage in Emergency Department Triage?

    <p>To support the Emergency Severity Index (ESI) algorithm</p> Signup and view all the answers

    What is the importance of the Primary Assessment in Emergency Department Triage?

    <p>To perform a brief primary assessment on all incoming patients</p> Signup and view all the answers

    What is the primary issue in distributive shock?

    <p>Problem with the pipes (blood vessels) and capillaries</p> Signup and view all the answers

    What is the treatment for anaphylactic shock?

    <p>Administer epinephrine, then steroids and diphenhydramine</p> Signup and view all the answers

    What is the purpose of mass decontamination in a mass casualty incident?

    <p>To remove hazardous substances from patients and responders</p> Signup and view all the answers

    What is the characteristic of neurogenic shock?

    <p>Vasodilation due to loss of sympathetic output</p> Signup and view all the answers

    What determines the MCI level in a mass casualty incident?

    <p>The FDNY</p> Signup and view all the answers

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