Try Naxlex NCLEX-RN (Free-Trial)

A 13 year old adolescent is brought to the Emergency Department after a near-drowning/submersion event. The child is coughing and having difficulty breathing. 02 saturation is 90% in room air, RR=26/min, HR=102/min. What is the priority intervention for the nurse to take?

Administer sedation

Check capillary refill

Have the child sit in an upright position

Administer oxygen at 2L/min via face mask

Answer and Explanation

The Correct Answer is D

A. Sedation is not a priority; maintaining adequate oxygenation is critical first.

B. Capillary refill can be assessed but is not an immediate intervention.

C. Sitting upright can aid breathing but does not directly address hypoxia.

D. Administering oxygen helps correct hypoxemia, which is the immediate priority in respiratory distress.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Feeding with a sippy cup is appropriate for a 12-month-old child.

B. Taking steps is developmentally typical for this age.

C. A 12-month-old should be able to sit independently. Needing support for sitting may indicate a delay in neuromuscular development.

D. Using a pincer grasp is expected at this age and reflects normal fine motor development.

A. Fever and photophobia B. Increased heart rate and respiratory rate C. Headache and vomiting D. Bulging anterior fontanelle

Correct Answer is C

Explanation

A. Fever and photophobia are common symptoms of meningitis but do not indicate increased ICP.

B. Increased heart and respiratory rates are not specific signs of increased ICP.

C. Headache and vomiting are classic signs of increased ICP in children with meningitis.

D. A bulging anterior fontanelle may indicate increased ICP in infants, but this is not applicable to a 5-year-old.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A 13 year old adolescent is brought to the Emergency Department after a near-drowning/submersion event. The child is coughing and having difficulty breathing. 02 saturation is 90% in room air, RR=26/min, HR=102/min. What is the priority intervention for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which finding will cause the nurse to refer a 12-month-old child for further neuromuscular testing?

Correct Answer is C

Explanation

The nurse is caring for a 5 year old child with meningitis. Which of the following signs or symptoms may indicate increased intracranial pressure in this child?

Correct Answer is C

Explanation

A 13 year old adolescent is brought to the Emergency Department after a near-drowning/submersion event. The child is coughing and having difficulty breathing. 02 saturation is 90% in room air, RR=26/min, HR=102/min. What is the priority intervention for the nurse to take?

Which of the following topics should be included in patient teaching for a child with type 2 diabetes? SATA

Which of the following interventions is appropriate for a child with systemic lupus erythematosus (SLE)?

A nursing student is caring for a child with trisomy 21 (Down syndrome) who has a fever and is experiencing difficulty breathing, Which intervention should the nurse prioritize?

When planning the discharge of a child with juvenile idiopathic arthritis, which intervention should the nurse include in the plan of care to promote joint mobility and reduce pain?

Clinical manifestations of acromegaly include: Choose all that applies: (Select All that Apply.)

A mother is telling the school nurse about her concerns regarding her 13-year-old daughter, who reports headaches. The child's grades have dropped, and the child is sleeping late and going to bed early every night. Which would the nurse identify as the priority?