A 5-year-old child falls from a tree and loses consciousness briefly. The child wakes up but appears drowsy and confused. What is the priority action by the nurse?
Apply a cold compress to the head
Administer pain medication
Monitor closely for signs of worsening condition
Transport the child to the emergency department immediately
The Correct Answer is D
A. Applying a cold compress can provide comfort but is not the priority action for a child with head trauma and altered mental status.
B. Administering pain medication is not the priority; the child needs a thorough evaluation and possible imaging studies to assess for head injury.
C. Monitoring closely is important, but with the history of head trauma, immediate medical evaluation is crucial to rule out any serious injury.
D. Transporting the child to the emergency department immediately is the priority to ensure proper assessment and management of head trauma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administering ipecac syrup to induce vomiting is no longer recommended as a first-aid measure for poisoning. The Poison Control Center should be consulted first for guidance.
B. Calling the Poison Control Center is the first action to take in case of suspected poisoning. They provide expert guidance on managing poisoning cases.
C. Administering activated charcoal can be done under the guidance of the Poison Control Center, but it is not the first action to take.
D. Performing abdominal thrusts is used for foreign body airway obstruction, not poisoning.
Correct Answer is D
Explanation
A. Applying a cold compress can provide comfort but is not the priority action for a child with head trauma and altered mental status.
B. Administering pain medication is not the priority; the child needs a thorough evaluation and possible imaging studies to assess for head injury.
C. Monitoring closely is important, but with the history of head trauma, immediate medical evaluation is crucial to rule out any serious injury.
D. Transporting the child to the emergency department immediately is the priority to ensure proper assessment and management of head trauma.
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