You receive a call at 11:50 PM for a 3-year-old boy with respiratory distress. As soon as you enter the child's residence, you can hear a loud, barking cough. You find the child sitting on his mother's lap. He is conscious and appears alert to his surroundings. According to the child's mother, he has been sick for the past few days with a low-grade fever, but then began experiencing a high-pitched cough. His skin is warm and dry, his heart rate is 120 beats/min, and his oxygen saturation is 99% on room air. There are no signs of increased work of breathing. You should:
A) administer high-flow oxygen via pediatric nonrebreathing mask, keep him calm, and transport.
B) establish vascular access, give an appropriate dose of methylprednisolone, and transport.
C) administer 0.5 mL of racemic epinephrine via nebulizer, apply the cardiac monitor, and transport.
D) allow the child to assume a position of comfort, avoid agitating him, and transport him to the hospital.
Answer: D) allow the child to assume a position of comfort, avoid agitating him, and transport him to the hospital.
You might also like to view...
Which skin lesion should be evaluated promptly by a dermatologist?
a. A circumscribed, raised area resembling a blob of brown wax b. A multicolored raised lesion with a fuzzy border c. A bright red, glazed area with satellite lesions around it d. A brown spot on the skin with no raised area
Ordered: Retrovir 2 mg/kg over 1 h. On hand: Retrovir 20-mL vial with 10 mg/mL. The patient weighs
212 lb. Use macrodrip tubing (15 gtt/mL). Dilute the desired dose in 100 mL D5W. The drop rate for this infusion is___________. Fill in the blank(s) with correct word
Which of the following is most commonly taught to help prevent postsurgical respiratory complications?
1. Turning, coughing, and deep breathing 2. Splinting incisions 3. The use of postsurgical compression stockings 4. Measuring intake and output
When forming a group that is focused on individual health changes, which of the following is considered a good group size?
a. 1 to 7 b. 8 to 12 c. 13 to 20 d. Greater than 20