An 8-year-old child on the pediatric unit recovering from severe persistent asthma is on the cardiac monitor. The nurse hears an alarm, and noted the leads on the child are on. The nurse checked for responsiveness, and the child is not responding to tactile response. What are the nurse's next actions?
Maintain the child's airway
Call for help, then check for a pulse
Start chest compression
Inform the physician that the child has no pulse
The Correct Answer is B
A. Maintaining the child's airway is critical, but it should follow after calling for help and checking for a pulse to assess the need for resuscitation.
B. Calling for help ensures additional support arrives while checking for a pulse determines the need for initiating CPR if the child is pulseless.
C. Starting chest compressions is necessary if the child is confirmed to be pulseless after checking for a pulse.
D. Informing the physician is important, but immediate resuscitative actions take priority to ensure the child's survival.
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Related Questions
Correct Answer is C
Explanation
A. Offering oral fluids can help keep the child hydrated but does not directly aid in bronchodilation.
B. Oral analgesics may help with pain but do not address airway obstruction or inflammation.
C. Racemic epinephrine nebulizer therapy is effective in reducing airway swelling and providing bronchodilation, improving breathing in croup.
D. Teaching the child to take long, slow breaths can help with calmness but is not as effective in acute bronchodilation.
Correct Answer is A
Explanation
A. Withholding fluids until the client demonstrates a gag reflex ensures that the airway is protected and reduces the risk of aspiration.
B. While a humidifier can help keep the throat moist, it does not directly prevent aspiration.
C. Chest physiotherapy is not necessary for preventing aspiration in this scenario.
D. Suctioning the nasopharynx is useful if needed but is not the primary action to prevent aspiration.
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