The nurse stops at the scene of an accident and finds a child conscious but with a sucking wound of the chest. The immediate action by the nurse would be to:
1. Place the child in trendelenburg.
2. Begin rescue breathing.
3. Begin cardiac resuscitation.
4. Cover the wound with an air occlusive dressing.
4
Rationale 1: This would not be the appropriate response to a sucking chest wound.
Rationale 2: The child is conscious. Rescue breathing is not appropriate at this time.
Rationale 3: There is no need for cardiac resuscitation at this time.
Rationale 4: This prevents more air from entering the chest and is appropriate.
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