Study Questions for Simulation Septic Shock 1. Which of the following conditions put a client at risk for septic shock? a. Neonates with an immature immune system b. Children with open wounds or burns c. Children with central lines d. All of the above 2. Which organ takes it blood supply first? Heart or brain? 3. Circulatory failure in septic shock results in a need for more _______________. 4. All types of shock result in reduced __________________ to the body. 5. During the early stage of shock, the patient presents with: a. Chills, Fever, vasodilation b. Cool skin c. Depressed mental state d. Profoundly impaired perfusion 6. Minimally accepted urine output for a child in septic shock is: a. 5 cc/kg/hour b. 20 cc/kg/hour c. At least 1 cc/kg/hr d. 50 cc/kg/hr 7. Initial volume resuscitation for the child in septic shock is: a. Albumin once a day b. Isotonic crystalloids 20cc/kg/hour c. D5W 50 cc/hr d. The child does not need volume resuscitation 8. Important assessment parameters for the child who is in septic shock include: a. Assessment of pulses and capillary refill b. Monitoring of blood pressure c. Assessment of LOC (Level of consciousness) d. All of the above 9. Dr. Weston mentioned a case in the recording about a boy with Cerebral Palsy who became septic due to what problem? a. Burns b. Central line sepsis c. Ruptured appendix d. Aspiration into the lungs from a g-tube feeding Now, please review the lecture notes for these questions: 10. Management of the child with short gut includes: a. Nutritional support with TPN b. Monitoring of liver enzymes c. Observation for signs of sepsis d. All of the above 11. Home management of apnea of prematurity includes which of the following: a. Instructions for stimulating respirations b. Administration of caffeine c. CPR including bag, mask ventilation for apneic episodes d. All of the above 12. Symptoms of appendicitis include which of the following: (select all that apply please) a. Nausea, vomiting, diarrhea b. Pain in the left lower quadrant c. Fever d. Tenderness at Mc Burney point e. There is never pain with appendicitis 13. We will discuss in prebrief: During a left shift with the white count, which part of the differential goes proportionately lower to accommodate for elevations in the others? a. Reticulocyte count b. Lymphocytes c. WBC’s d. Segmented neutrophils 14. Spastic cerebral palsy is characterized by which of the flowing? a. Hypertonicity with poor control of posture, balance, and coordinated motion b. Athetosis and normal movements c. A wide-based gait and performance of rapid, repetitive movements d. Tremors and hypotonia 15. The major goals of therapy for children with cerebral palsy include which of the following? a. Reversing the degenerative processes that have occurred b. Curing the underlying defect that is causing the disorder c. Preventing the spread to individual who are in close contact with the child d. Early recognition and promotion of optimal development
