A 6-year-old develops wheezing, facial swelling, and faintness shortly after receiving an antibiotic. Which action should the nurse take first?
Correct answer: A. Give intramuscular adrenaline into the anterolateral thigh
- A. Give intramuscular adrenaline into the anterolateral thigh
- B. Give oral antihistamine and observe the child closely
- C. Place the child flat and start rapid oral fluid replacement
- D. Administer nebulized salbutamol before calling for help
Explanation
These findings indicate anaphylaxis with airway and circulation compromise. Intramuscular adrenaline is the first-line treatment because it rapidly treats bronchospasm, airway swelling, and vasodilation; antihistamines and salbutamol are only additional treatments.
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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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