A 8-year-old child with a history of heart disease suddenly becomes pale, lethargic, and complains of chest pain. Vital signs show tachycardia and weak pulses. What is the likely cause of the child's symptoms?
Febrile seizure
Hypoglycemia
Cardiogenic shock
Foreign body aspiration
The Correct Answer is C
A. Febrile seizure presents with sudden convulsions and fever in children and does not cause pale, lethargic symptoms with chest pain and tachycardia.
B. Hypoglycemia can cause weakness and altered mental status, but it does not typically present with chest pain, tachycardia, and weak pulses.
C. Cardiogenic shock, often seen in children with heart disease, can present with pale, lethargic appearance, chest pain, tachycardia, and weak pulses due to poor cardiac output.
D. Foreign body aspiration can cause sudden respiratory distress and choking, but it does not present with chest pain, pale appearance, tachycardia, and weak pulses.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administering an antipyretic is not the priority in managing status epilepticus. Controlling the seizure activity takes precedence.
B. Administering intravenous diazepam or lorazepam is the first-line treatment for status epilepticus to stop ongoing seizures.
C. Administering oral phenytoin is not appropriate in the acute management of status epilepticus. Intravenous benzodiazepines are the preferred initial treatment.
D. Administering an antihistamine is not the appropriate intervention for status epilepticus. Intravenous benzodiazepines are used to stop the seizure activity.
Correct Answer is C
Explanation
A. Febrile seizure presents with sudden convulsions and fever in children and does not cause pale, lethargic symptoms with chest pain and tachycardia.
B. Hypoglycemia can cause weakness and altered mental status, but it does not typically present with chest pain, tachycardia, and weak pulses.
C. Cardiogenic shock, often seen in children with heart disease, can present with pale, lethargic appearance, chest pain, tachycardia, and weak pulses due to poor cardiac output.
D. Foreign body aspiration can cause sudden respiratory distress and choking, but it does not present with chest pain, pale appearance, tachycardia, and weak pulses.
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