An 11-year-old boy has been brought to the ED by his teacher, who reports that the boy may be having a "really bad allergic reaction to peanuts" after trading lunches with a peer
The triage nurse's rapid assessment reveals the presence of respiratory and cardiac arrest. What interventions should the nurse prioritize?
A) Establishing central venous access and beginning fluid resuscitation
B) Establishing a patent airway and beginning cardiopulmonary resuscitation
C) Establishing peripheral IV access and administering IV epinephrine
D) Performing a comprehensive assessment and initiating rapid fluid replacement
Ans: B
Feedback:
If cardiac arrest and respiratory arrest are imminent or have occurred, CPR is performed. As well, a patent airway is an immediate priority. Epinephrine is not withheld pending IV access and fluid resuscitation is not a priority.
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