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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Impetigo is a highly contagious superficial bacterial skin infection commonly caused by Staphylococcus aureus or Streptococcus pyogenes. Treatment includes topical antibiotic (bactericidal) ointments such as mupirocin, keeping lesions clean and covered, and good hand hygiene to prevent spread. Applying a bactericidal ointment directly treats the bacterial infection and promotes healing.
B.Soaking hairbrushes in boiling water for 10 minutesis more appropriate for infestations like lice. Impetigo is spread by direct contact with lesions or contaminated items, but routine washing with soap and water is sufficient. Boiling hairbrushes is unnecessary.
C. Acyclovir is an antiviral medication used for infections such as herpes simplex or varicella. Impetigo is bacterial, not viral, so antiviral therapy is inappropriate.
D.Sealingsoft toys in a plastic bag for 14 daysis used for lice management. Impetigo does not require sealing toys for extended periods. Normal laundering of contaminated items is sufficient.
Correct Answer is A
Explanation
The nurse should position the opening of the bag over the urethra and the anus.
Choice B is wrong because placing a snug-fitting diaper over the drainage bag is not necessary.
Choice C is wrong because there is no need to apply lidocaine gel to the perineum before attaching the bag.
Choice D is wrong because there is no need to stretch the perineum taut when applying the bag.
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