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. Administering albuterol before CPT helps open the airways, making the physiotherapy more effective.
B. Performing CPT immediately after eating can cause discomfort or vomiting; it should be done before meals or 1-2 hours after eating.
C. Percussing each lung segment for 15 minutes is excessive; typically, 3-5 minutes per segment is sufficient.
D. Vibration is usually performed during expirations, not inspirations, to help loosen secretions.
Correct Answer is B
Explanation
A. Babbling one-syllable sounds is appropriate for a 7-month-old infant and indicates typical language development.
B. Using a unidextrous grasp (using only one hand) could indicate a preference that needs further evaluation. At this age, infants should use both hands equally, and a strong preference for one hand might signal neurological concerns.
C. Fear of strangers is a normal developmental milestone that typically appears around 6-8 months of age.
D. Showing preferences towards foods is typical as infants begin to develop tastes and preferences during the introduction of solid foods.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.