ATI RN
ATI RN Nursing Care of Children 2019 Questions
Extract:
Toddler with hyperpyrexia, severe dyspnea, and drooling
Question 1 of 5
A nurse in the emergency department is assessing a toddler who has hyperpyrexia, severe dyspnea, and drooling. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action for the nurse to take first is to prepare the toddler for nasotracheal intubation (Option
D). This is the most urgent response because the toddler is presenting with severe dyspnea and drooling, which are signs of airway compromise. Nasotracheal intubation is necessary to secure the airway and ensure adequate oxygenation and ventilation. Administering an antibiotic (Option
A) or obtaining a blood culture (Option
B) may be necessary later but addressing the airway is the priority. Inserting an IV catheter (Option
C) can be done after securing the airway.
Therefore, preparing for nasotracheal intubation is the most critical and life-saving action in this scenario.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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