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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Obtaining blood culture specimens is important for diagnosing the cause of the infection but is not the immediate priority.
B. Inserting an IV catheter is necessary for medication administration but should follow securing the airway.
C. Administering an antipyretic can help reduce the fever but does not address the immediate threat to the airway.
D. Preparing for nasotracheal intubation is the priority as severe dyspnea and drooling suggest a possible airway obstruction, likely due to epiglottitis. Securing the airway is critical in this situation.
Correct Answer is ["A","B","C"]
Explanation
Rationale:
A. Measuring the infant from the crown of the head to the heels of the feet is the correct method for obtaining length in infants.
B. Placing a disposable covering on the scale ensures hygiene and prevents cross-contamination.
C. Balancing the scale to 0 prior to use ensures an accurate weight measurement.
D. Weighing the infant in a diaper can lead to inaccurate weight measurements. It is best to weigh the infant without a diaper or account for the diaper's weight.
E. A stadiometer is used for measuring height in older children and adults, not for infants.
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