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 D
Explanation
A. Suction should not be applied during insertion to avoid trauma to the airway.
B. The rest period between suctioning attempts should be at least 30-60 seconds to allow the child to recover.
C. The appropriate suction pressure for infants and children should be set between 60-100 mm Hg.
D. Suctioning should be applied for less than 10 seconds to minimize hypoxia and trauma.
Correct Answer is C
Explanation
A. Temper tantrums are not a type of learning disability but a normal part of toddler development.
B. While severe or frequent tantrums may warrant further evaluation, they typically do not require a psychological consult.
C. Temper tantrums are indeed the toddler's attempt to gain control of a situation. This behavior is part of normal development as they test boundaries and assert independence.
D. Leaving the room during a tantrum might sometimes be appropriate, but it's important to ensure the child's safety and address the behavior constructively.
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