A nurse is assessing a 24- month -old toddler.
Which of the following finding should the nurse report to the provider?

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.

Choice A rationale

Pertussis, also known as whooping cough, is a highly contagious bacterial disease. Health care providers are required to report cases of pertussis to the local health department to help track and control the spread of the disease.

Choice B rationale

Placing the child in a protected environment for 48 hours is not a standard action for a child with pertussis. The child will need to be isolated until they have completed a full course of antibiotics to prevent spreading the infection.

Choice C rationale

Administering the pertussis vaccine is not typically done when a child is already infected. The vaccine is used for prevention, not treatment.

Choice D rationale

Restricting oral fluids to 500 mL per day is not a standard action for a child with pertussis. Adequate hydration is important for children with respiratory infections.