A 6-year-old child is found unconscious and not breathing. What is the initial action by the nurse?
Administering epinephrine
Initiating chest compressions and rescue breaths
Checking for a pulse
Calling for emergency medical assistance
The Correct Answer is B
A. Administering epinephrine is part of advanced life support protocols and is done after initiating chest compressions and rescue breaths in pediatric cardiac arrest.
B. Initiating chest compressions and rescue breaths is the immediate action for an unconscious child who is not breathing.
C. Checking for a pulse is not the first step in pediatric cardiac arrest. Starting chest compressions and rescue breaths takes priority.
D. Calling for emergency medical assistance should be done simultaneously with starting chest compressions and rescue breaths.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Applying a tourniquet is not the initial action for controlling bleeding. Direct pressure and elevation are more appropriate.
B. Applying direct pressure and elevating the arm above the level of the heart help control bleeding from the wound.
C. Cleaning the wound with alcohol can wait until after bleeding is controlled. Direct pressure and elevation are the immediate priorities.
D. Administering an oral pain reliever is not the immediate concern; controlling bleeding and preventing infection are the priorities.
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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