The 6-year-old child is experiencing an acute exacerbation of reactive airway disease. The child passed out and the parents brought the child to the emergency department (ED). Which intervention should the nurse implement first?
Administer subcutaneous Calcitonin via a tuberculin syringe.
Administer IV methylprednisolone
Administer albuterol via nebulizer.
Administer oxygen to maintain oxygen saturation above 95 %.
The Correct Answer is D
A. Administer subcutaneous Calcitonin via a tuberculin syringe: Calcitonin is not used for acute asthma/airway compromise; it’s used in hypercalcemia or some bone disorders and is irrelevant here.
B. Administer IV methylprednisolone: Appropriate for severe asthma but not the immediate first action -corticosteroids reduce inflammation but have a delayed onset (hours) and do not immediately reverse bronchospasm.
C. Administer albuterol via nebulizer: Important and often given urgently in acute asthma to relieve bronchospasm, but if the child has passed out (suggesting immediate airway compromise/hypoxia), airway/oxygenation take absolute priority.
D. Administer oxygen to maintain oxygen saturation above 95 %: ABCs come first: secure airway and breathing and correct hypoxia immediately. In an acute pediatric asthma attack with loss of consciousness, provide oxygen and support ventilation as needed before or concurrently with bronchodilators.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I feel very hungry; I haven't eaten foods or had any fluids for the past 12 hours.": A 12-hour fast may be uncomfortable but is generally acceptable preoperatively (many patients are NPO from midnight); this does not usually require immediate intervention.
B. "I took all my meds including warfarin and atenolol with a sip of water this morning.": Immediate follow-up is needed because warfarin increases perioperative bleeding risk and is commonly held before surgery; the team needs to know right away to manage bleeding risk and possibly delay or alter the procedure.
C. "I donated my own blood in case I need a transfusion, the last donation was 4 days ago.": Incorrect (but important). Recent autologous donation may affect hemoglobin/eligibility for transfusion and should be checked, but it is less immediately dangerous than someone taking warfarin the morning of surgery.
D. "Brought a copy of my health care directive in case my heart stops during surgery.": Bringing an advance directive is appropriate and useful; it does not pose an immediate safety concern requiring urgent follow-up.
Correct Answer is A
Explanation
A. Protamine sulfate: Protamine sulfate is the antidote for heparin (it neutralizes heparin’s anticoagulant effect).
B. Vitamin E: Vitamin E is not an anticoagulant antidote.
C. Potassium chloride: Potassium chloride is an electrolyte supplement, not an antidote for heparin.
D. Vitamin K: Vitamin K reverses warfarin, not heparin.
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