Which is the priority nursing action for a child who presents in ...

[jace]

Which is the priority nursing action for a child who presents in the emergency department after a motor vehicle accident with a sucking wound of the chest?
 
  1. Placing the child in a Trendelenburg position
  2. Beginning rescue breathing for the child
  3. Beginning cardiac resuscitation for the child
  4. Covering the child's wound with an air occlusive dressing

Question 2

Which statements should the nurse include in the discharge medication teaching for a child diagnosed with asthma who is prescribed cromolyn sodium (a mast cell stabilizer)? Select all that apply.
 
  1. The medication works to prevent exacerbations.
  2. The medication should be administered at the first symptom of an asthmatic attack.
  3. The medication should be taken on a daily basis.
  4. The medication should not be administered if the child has a cold.
  5. The medication desensitizes the child against specific allergens.

[asware1]

Answer to Question 1

4
Explanation:
1. This would not be the appropriate response to a sucking chest wound.
2. The child is conscious. Rescue breathing is not appropriate at this time.
3. There is no need for cardiac resuscitation at this time.
4. This prevents more air from entering the chest and is appropriate.

Answer to Question 2

1, 3
Explanation:
1. This statement is true. Cromolyn sodium is used to inhibit an asthmatic response to allergens.
2. This is incorrect. This medication does not improve the child's condition during an asthmatic attack.
3. This is a preventative medication so doses should not be missed.
4. The medication should be taken daily.
5. This medication does not desensitize the child against allergens.