A New Nurse in the Emergency Department Is Examining a 4-Year-Old

question 27

Multiple Choice

A new nurse in the emergency department is examining a 4-year-old child who is sitting upright,is drooling,and is restless.Which action by the new nurse causes an experienced nurse to intervene?

• A) Attaches a cardiac monitor and oximeter
• B) Attempts to assess throat with a tongue blade
• C) Permits child to remain in an upright position
• D) Prepares to administer racemic epinephrine (MicroNefrin)

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Definitions:

Meningeal Inflammation

Inflammation of the meninges, the protective membranes covering the brain and spinal cord, often causing symptoms like fever, headache, and a stiff neck.

Stiff Neck

A condition characterized by soreness and difficulty in moving the neck, often due to muscle strain or tension.

Severe Headache

A significant and intense pain in the head, often requiring medical attention.

Subcutaneous Fat

A layer of fat located under the skin that helps insulate the body and acts as an energy reserve.