A 7-year-old is unconscious after a collapse. The child has a pulse and is making occasional ineffective breaths. What is the priority nursing action?
Correct answer: B. Begin effective bag-mask ventilation with oxygen
- A. Give oxygen by face mask and observe closely
- B. Begin effective bag-mask ventilation with oxygen
- C. Place the child upright and encourage deep breaths
- D. Start chest compressions immediately without ventilation
Explanation
Ineffective breathing with a pulse indicates respiratory failure, so assisted ventilation is the priority. Chest compressions are indicated when there is no pulse or severe bradycardia with poor perfusion despite effective ventilation.
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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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