A 3-year-old has a barking cough and harsh stridor while resting. The child becomes frightened during assessment but has no drooling or cyanosis. Which nursing action is most appropriate?
Correct answer: A. Keep the child calm in an upright position and provide prescribed oxygen
- A. Keep the child calm in an upright position and provide prescribed oxygen
- B. Place the child flat and inspect the throat with a tongue depressor
- C. Encourage the child to drink cold fluids while lying in bed
- D. Use vigorous chest percussion to remove the upper airway obstruction
Explanation
Keeping the child calm and upright reduces airway obstruction and work of breathing, while oxygen supports breathing. Throat examination can worsen laryngeal swelling and trigger complete obstruction, so it should be avoided when croup is suspected.
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About Paediatric Emergencies
Paediatric emergencies cover rapid assessment using airway, breathing and circulation, basic life support, respiratory distress, choking, shock, seizures, poisoning, burns, severe dehydration and trauma. Questions focus on recognising danger signs, prioritising immediate nursing actions, calculating weight-based treatment and distinguishing compensated from decompensated shock.
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