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

Answer and Explanation

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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Correct Answer is A

Explanation

A. Performing back blows and chest thrusts is the appropriate intervention for foreign body airway obstruction in an infant who is unable to breathe, cry, or make any sound.

B. Abdominal thrusts are used for conscious adults and children over 1 year old with foreign body airway obstruction.

C. Administering a drink is not appropriate and can worsen the situation by causing further obstruction.

D. Performing a finger sweep of the mouth can push the object farther down the airway and is not recommended.

A. Administering activated charcoal B. Inducing vomiting C. Contacting the Poison Control Center D. Administering syrup of ipecac

Correct Answer is C

Explanation

A. Administering activated charcoal can be done under the guidance of the Poison Control Center, but it is not the first action to take.

B. Inducing vomiting is not recommended as a first-line intervention for poisoning and should not be done without consulting the Poison Control Center.

C. Contacting the Poison Control Center is the first and most important action in cases of suspected poisoning. They provide expert guidance on managing poisoning cases.

D. Administering syrup of ipecac is no longer recommended as a first-aid measure for poisoning. The Poison Control Center should be consulted first.

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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?

Nursing Test Bank

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Correct Answer is A

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Correct Answer is C

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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?