A 7-year-old with a head injury has repeated vomiting, increasing drowsiness, and one pupil larger than the other. Which finding should the nurse report immediately?
Correct answer: A. The unequal pupils with worsening level of consciousness
- A. The unequal pupils with worsening level of consciousness
- B. A small bruise over the child’s elbow
- C. Mild thirst after several hours without food
- D. A pulse rate within the child’s usual resting range
Explanation
Unequal pupils and deteriorating consciousness are danger signs of possible raised intracranial pressure or expanding intracranial bleeding. This threatens the airway and brain, so urgent medical review is needed rather than routine observation.
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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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