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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A previous suicide attempt is the strongest predictor of future suicide completion. It indicates a history of significant distress and an increased risk of subsequent attempts.
B. An active psychiatric disorder is a significant risk factor but is not as strong a predictor as a previous attempt.
C. Loss of a parent can contribute to emotional distress but is less predictive of suicide completion than a previous attempt.
D. Substance abuse increases the risk but is secondary to the history of a previous suicide attempt.
Correct Answer is B
Explanation
A. Developing autonomy would involve behaviors like exploring the environment and showing independence, not withdrawing and sucking the thumb.
B. Anxiety reactions are common in toddlers who are hospitalized or experience separation from their primary caregivers. It is a normal response to unfamiliar and potentially stressful situations. Toddlers at this age are still developing a sense of security and trust in their environment, and being in the hospital can disrupt their routine and comfort.
C. While regression can occur due to stress, the specific behaviors described (sitting quietly, thumb-sucking) are more typical of regression related to developmental delays or changes in routine.
D. Resentment toward the mother would be more complex and not typically seen in an 18-month-old who is still highly dependent on the primary caregiver.
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