A 3-year-old child is brought to the emergency room with a head injury after falling from a height. The child is unconscious and not breathing. What is the nurse's immediate action?
Administering rescue breaths
Checking for a pulse
Initiating chest compressions
Initiating abdominal thrusts
The Correct Answer is A
A. Administering rescue breaths is the immediate action for an unconscious child who is not breathing. CPR should be initiated immediately.
B. Checking for a pulse can be done after initiating rescue breaths and chest compressions.
C. Initiating chest compressions is part of CPR but should be preceded by rescue breaths.
D. Initiating abdominal thrusts is used for foreign body airway obstruction, not for an unconscious child with a head injury and respiratory distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administering pain medication is not the priority in septic shock. Prompt administration of antibiotics and fluids is crucial to address the underlying infection and support hemodynamic stability.
B. Administering antibiotics and fluids is the priority intervention in managing septic shock. Early initiation of appropriate antibiotics and fluid resuscitation are key components of septic shock management.
C. Providing antipyretics can be done to address fever, but it is not the priority in managing septic shock.
D. Elevating the head of the bed may be done for comfort or respiratory support but is not the priority in septic shock management.
Correct Answer is C
Explanation
A. Febrile seizure presents with sudden convulsions and fever in children and does not cause pale, lethargic symptoms with chest pain and tachycardia.
B. Hypoglycemia can cause weakness and altered mental status, but it does not typically present with chest pain, tachycardia, and weak pulses.
C. Cardiogenic shock, often seen in children with heart disease, can present with pale, lethargic appearance, chest pain, tachycardia, and weak pulses due to poor cardiac output.
D. Foreign body aspiration can cause sudden respiratory distress and choking, but it does not present with chest pain, pale appearance, tachycardia, and weak pulses.
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