A nurse in the emergency department is assessing a toddler who has hyperpyrexia, severe dyspnea, and is drooling.
Which of the following actions should the nurse take first?

Administer an antibiotic to the toddler.

Obtain a blood culture from the toddler.

Insert an IV catheter for the toddler.

Prepare the toddler for nasotracheal intubation.

Answer and Explanation

The Correct Answer is D

The nurse should prepare the toddler for nasotracheal intubation first because the toddler is experiencing severe dyspnea and drooling, which are signs of airway obstruction.

Nasotracheal intubation will help to secure the toddler’s airway and improve their breathing.

Choice A is wrong because administering an antibiotic is not the priority intervention for a toddler with airway obstruction.

Choice B is wrong because obtaining a blood culture is not the priority intervention for a toddler with airway obstruction.

Choice C is wrong because inserting an IV catheter is not the priority intervention for a toddler with airway obstruction.

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Correct Answer is C

Explanation

This statement provides the child with factual information about the purpose of the medication and why it is important for them to take it.

Choice A is wrong because it may not be true that the medication tastes like candy and could lead to mistrust.

Choice B is wrong because it does not address the urgency of taking a stat dose of medication.

Choice D is wrong because it does not provide any information about the purpose of the medication and may not be relevant to the child’s feelings.

A. Your child should keep the bicycle at least 3 feet from the curb while riding in the street. B. Your child should walk the bicycle through intersections. C. Your child should ride the bicycle against the flow of traffic. D. Your child's feet should be 3 to 6 inches off the ground when seated on the bicycle.

Correct Answer is B

Explanation

Your child should walk the bicycle through intersections.

Walking the bicycle through intersections can help increase the child’s visibility and reduce the risk of accidents.

Choice A is wrong because it’s important for the child to ride as far to the right as possible, not 3 feet from the curb.

Choice C is wrong because the child should always ride with the flow of traffic, not against it.

Choice D is wrong because when seated on the bicycle, the child’s feet should be able to touch the ground.

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A nurse in the emergency department is assessing a toddler who has hyperpyrexia, severe dyspnea, and is drooling. Which of the following actions should the nurse take first?

Nursing Test Bank

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A nurse in the emergency department is assessing a toddler who has hyperpyrexia, severe dyspnea, and is drooling.
Which of the following actions should the nurse take first?