A 2-year-old child is in the playroom. The nurse observes him ...

[melina_rosy]

A 2-year-old child is in the playroom. The nurse observes him picking up a small toy and putting it in his mouth. The child begins to choke. He is unable to speak. Which intervention is appropriate?
 
  a. Heimlich maneuver
  b. Abdominal thrusts
  c. Five back blows
  d. Five chest thrusts

Question 2

A 5-year-old child is brought to the emergency department with copious drooling and a croaking sound on inspiration. Her mother states that the child is very agitated and only wants to sit upright.
 
  What should be the nurse's first action in this situation? a. Prepare intubation equipment and call the physician.
  b. Examine the child's oropharynx and call the physician.
  c. Obtain a throat culture for respiratory syncytial virus (RSV).
  d. Obtain vital signs and listen to breath sounds.

[jaymee143]

Answer to Question 1

A
Feedback
A To clear a foreign body from the airway, the American Heart Association
recommends the Heimlich maneuver for a conscious child older than 1 year of
age.
B Abdominal thrusts are indicated when the child is unconscious.
C Back blows are indicated for an infant with an obstructed airway.
D Chest thrusts follow back blows for the infant with an obstructed airway.

Answer to Question 2

A
Feedback
A This child has symptoms of epiglottitis, is acutely ill, and requires emergency
measures.
B If epiglottitis is suspected, the nurse should not examine the child's throat.
Inspection of the epiglottis is only done by a physician, because it could trigger
airway obstruction.
C A throat culture could precipitate a complete respiratory obstruction.
D Vital signs can be assessed after emergency equipment is readied.