A nurse is assessing a child brought to the emergency department with a submersion injury. The assessment should focus on which system?
a. Cardiovascular
b. Respiratory
c. Neurological
d. Gastrointestinal
B
Assessment of the child with a submersion injury focuses on the respiratory system. Airway and breathing are the priorities. Cardiovascular assessment is secondary to airway and breathing. Preventing neurological impairment is a goal of intervention. Because the primary problem in submersion injuries is hypoxia, the focus of assessment is the respiratory system. Gastrointestinal assessment would be less of a priority than assessment of other body systems.
You might also like to view...
In selecting a blood pressure cuff of appropriate size for a client, the nurse should remember that the bladder inside the cuff should encircle what percentage of the adult client's arm for accurate measurement?
a. 50 c. 70 b. 60 d. 80
Which best describes critical pathways?
A) Determines justifiable differences among clients B) Decreases the amount of paperwork required for reimbursement C) Reduces administrative costs D) Provides a means of standardizing care for clients with similar diagnoses
The onset of puberty before age 8 is called ____________________ puberty
Fill in the blank(s) with correct word
When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees
To confirm your suspicions associated with this positive test, you would also perform a test for the __________ sign. a. Kernig b. Babinski c. obturator d. Brudzinski