A 10-year-old child is brought to the emergency department by the ...

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A 10-year-old child is brought to the emergency department by the rescue squad from the scene of a house fire. The child is confused and agitated. Which action by the nurse is the priority for this child?
 
  A.
  Assess the child for a head injury.
  B.
  Give the child 100 oxygen.
  C.
  Obtain a complete history of the fire.
  D.
  Wait for the parents to obtain consent.

Question 2

The parent of a 7-month-old baby who has been diagnosed with influenza asks the nurse if the baby can have Tamiflu (oseltamivir). Which response by the nurse is the most appropriate?
 
  A.
  Children younger than 1 year old cannot take this medication,
  B.
  I'm not sure; let's see how much your baby weighs today.
  C.
  No, children can't take it because it contains aspirin products.
  D.
  Yes, and you can take it, too, if you develop flu symptoms.

[tashiedavis420]

Answer to Question 1

ANS: B
The child's confusion and agitation indicate hypoxemia, which is common in victims of fires. The nurse should treat the child first as an emergency, and then obtain consent when the parents arrive (if they are conscious and able to give consent). A head injury can cause confusion and agitation, but with the history of being in a fire, inhalation injuries would be suspected first. A complete history of the fire can wait, but will ultimately be important to obtain.

Answer to Question 2

ANS: A
Tamiflu is contraindicated in children younger than 1 year old. The nurse should advise the parent of this fact.

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Correct answers!

[tashiedavis420]

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