A child who is intubated and on a mechanical ventilator is being transferred from the emergency department to the burn unit. Which action by the nurse takes priority?
A.
Ensure an Ambu bag is at the bedside.
B.
Have sedation available if needed.
C.
Orient the family to the burn unit.
D.
Place the patient on protective isolation.
ANS: A
Maintaining a patent airway is the priority in this child. The nurse should make sure an Ambu bag is at the bedside and that other emergency equipment is available. Sedation may be needed. Orienting the family is important but is not the priority. There is no indication that the child needs protective isolation.
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