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. Explaining that it is a legal requirement for nurses to report suspected child abuse is appropriate and provides a clear and factual reason for the nurse's actions.
B. Deferring to the provider may delay addressing the parent's concerns and does not directly answer the question.
C. Shifting responsibility to the supervisor is not appropriate and can confuse the parent about the process.
D. Saying that the nurse is unable to discuss the matter without further explanation can increase the parent's frustration and does not provide clarity.
Correct Answer is B
Explanation
A. Montelukast is used for long-term control and prevention of asthma symptoms, not for immediate relief.
B. Albuterol is a short-acting beta-agonist that provides rapid relief of acute asthma symptoms by relaxing bronchial smooth muscle.
C. Fluticasone is a corticosteroid used for long-term management of asthma, not for acute attacks.
D. Budesonide is also a corticosteroid used for long-term control and not for immediate relief.
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