A nurse in an emergency department is caring for a child who experienced a submersion injury.
Which of the following is the priority action for the nurse to take?
Assist with intubation
Obtain an ABG sample
Administer an IV bolus
Apply warming blankets
The Correct Answer is A
The correct answer is Choice A.
Choice A rationale: Assisting with intubation is the priority action. A submersion injury can cause respiratory distress or failure, and ensuring a clear airway is critical. Intubation is often necessary to maintain oxygenation and prevent complications like hypoxia or aspiration.
Choice B rationale: Obtaining an ABG sample is important to assess the child’s oxygenation and acid-base balance, but it is not the priority action. Ensuring the airway is clear and secured takes precedence over diagnostic tests.
Choice C rationale: Administering an IV bolus might be necessary for fluid resuscitation if the child is experiencing shock, but establishing and maintaining the airway is the first critical step in managing submersion injuries.
Choice D rationale: Applying warming blankets can be important to prevent hypothermia, especially if the child has been in cold water. However, addressing airway and breathing issues is the top priority before initiating warming measures.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
Children with autism spectrum disorder often thrive on routines and predictability. Varying daily routines can be distressing and may lead to increased anxiety.
Choice B rationale
Background noise, such as from a television, can be overstimulating for a child with autism spectrum disorder. It is generally recommended to provide a quiet environment to help the child feel more comfortable and at ease.
Choice C rationale
This is the correct intervention. Children with autism spectrum disorder may have difficulty with social interactions and may become overwhelmed by prolonged or intense interactions. Keeping staff visits brief allows for positive interactions while minimizing potential stress for the child.
Choice D rationale
Placing the child in a semi-private room may expose them to additional stimuli and potential social interactions, which can be overwhelming for a child with an autism spectrum disorder. A private room may provide a quieter and more controlled environment.
Correct Answer is B
Explanation
Choice A rationale
Bacterial vaginosis and trichomoniasis are both sexually transmitted infections, but they are not nationally notifiable, meaning cases are not required to be reported to the Centers for Disease Control and Prevention.
Choice B rationale
Gonorrhea is a nationally notifiable sexually transmitted infection. This means that confirmed and probable cases are required to be reported to the Centers for Disease Control and Prevention.
Choice C rationale
Human Papilloma Virus (HPV) is a common sexually transmitted infection, but it is not nationally notifiable.
Choice D rationale
Genital Herpes Simplex Virus is a common sexually transmitted infection, but it is not nationally notifiable.
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