A nurse is planning care for an adolescent who has sickle cell anemia.
Which of the following immunization should the nurse include in the plan?

Choice B rationale

Patent ductus arteriosus (PDA) is a condition where the opening between the two major blood vessels leading from the heart fails to close after birth. In the womb, this opening, known as the ductus arteriosus, is a normal part of the baby’s circulatory system. It usually closes shortly after birth. If it remains open, it’s called a patent ductus arteriosus.

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.