An 8-year-old child on the pediatric unit recovering from severe persistent asthma is on the cardiac monitor. The nurse hears an alarm, and noted the leads on the child are on. The nurse checked for responsiveness, and the child is not responding to tactile response. What are the nurse's next actions?
Maintain the child's airway
Call for help, then check for a pulse
Start chest compression
Inform the physician that the child has no pulse
The Correct Answer is B
A. Maintaining the child's airway is critical, but it should follow after calling for help and checking for a pulse to assess the need for resuscitation.
B. Calling for help ensures additional support arrives while checking for a pulse determines the need for initiating CPR if the child is pulseless.
C. Starting chest compressions is necessary if the child is confirmed to be pulseless after checking for a pulse.
D. Informing the physician is important, but immediate resuscitative actions take priority to ensure the child's survival.
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Related Questions
Correct Answer is C
Explanation
A. A toy hammer and pounding board may help with frustration but might not provide the comfort and reassurance needed.
B. Building blocks can be a good distraction but may not offer the same emotional comfort.
C. A stuffed animal provides comfort, security, and familiarity, which can help alleviate the child's stress and anxiety.
D. A picture book about hospitals might be educational but might not provide immediate comfort or distraction from the absence of parents.
Correct Answer is A
Explanation
A. A previous suicide attempt is the strongest predictor of future suicide completion. It indicates a history of significant distress and an increased risk of subsequent attempts.
B. An active psychiatric disorder is a significant risk factor but is not as strong a predictor as a previous attempt.
C. Loss of a parent can contribute to emotional distress but is less predictive of suicide completion than a previous attempt.
D. Substance abuse increases the risk but is secondary to the history of a previous suicide attempt.
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