A nurse is assessing an 8-year-old child who has early indications of shock. After establishing and stabilizing the child's respirations, which of the following actions should the nurse take next?
Measure weight and height.
Insert an indwelling urinary catheter.
Initiate IV access.
Maintain ECG monitoring.
The Correct Answer is C
A. Measuring weight and height is not an immediate priority in the management of shock.
B. Inserting an indwelling urinary catheter is not a priority in the early management of shock.
C. Initiating IV access is crucial for fluid resuscitation and medication administration in a child with shock.
D. While ECG monitoring is important, it is not as immediately necessary as establishing IV access for shock management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A low-fat diet is inappropriate for children with cystic fibrosis; they require a high-fat, high-calorie diet.
B. Pancreatic enzymes must be taken with every meal and snack to help with nutrient absorption in children with cystic fibrosis.
C. Limiting fluid intake is not appropriate for children with cystic fibrosis; adequate hydration is important.
D. Salt intake should be increased, not restricted, in children with cystic fibrosis due to excessive salt loss in sweat.
Correct Answer is C
Explanation
A. While consistency is important for children with autism, allowing for frequent rule adjustments can be confusing. Rules should be stable to help the child feel secure.
B. A flexible schedule that adjusts to the child's interests may not work well. Children with autism benefit from a predictable, structured routine.
C. Establishing a reward system for positive behavior is a key intervention. Positive reinforcement can encourage desired behaviors and support the child's development.
D. Children with autism often struggle with social interactions, and unsupervised imaginative play may result in challenges. Supervision is important to support safe and appropriate social engagement.
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