A nurse in the emergency department is assessing a toddler who has hyperpyrexia, severe dyspnea, and is drooling.
Which of the following actions should the nurse take first?
Administer an antibiotic to the toddler.
Obtain a blood culture from the toddler.
Insert an IV catheter for the toddler.
Prepare the toddler for nasotracheal intubation.
The Correct Answer is D
The nurse should prepare the toddler for nasotracheal intubation first because the toddler is experiencing severe dyspnea and drooling, which are signs of airway obstruction.
Nasotracheal intubation will help to secure the toddler’s airway and improve their breathing.
Choice A is wrong because administering an antibiotic is not the priority intervention for a toddler with airway obstruction.
Choice B is wrong because obtaining a blood culture is not the priority intervention for a toddler with airway obstruction.
Choice C is wrong because inserting an IV catheter is not the priority intervention for a toddler with airway obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Pilocarpine iontophoresis is a test used to diagnose cystic fibrosis by measuring the amount of chloride in a person’s sweat.
Choice A is wrong because an IV is not necessary for this test.
Choice B is wrong because the test measures chloride in sweat, not protein in urine.
Choice D is wrong because fasting is not required for this test.
Correct Answer is A
Explanation
Overheating is a risk factor for SIDS, so it’s important to dress the baby in lightweight clothing to sleep.
Choice B is wrong because infants should always be placed on their back to sleep, not on their side.
Choice C is wrong because bed-sharing increases the risk of SIDS.
Choice D is wrong because stuffed animals should not be placed in the crib with the baby as they can increase the risk of suffocation 2.
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