Moderate

A child is brought after near-drowning. The child is awake, coughing, and breathing, but has low oxygen saturation. Which action has priority?

Correct answer: A. Give high-concentration oxygen and monitor breathing continuously

  • A. Give high-concentration oxygen and monitor breathing continuously
  • B. Encourage the child to walk around to clear the lungs
  • C. Give large amounts of oral water to replace swallowed fluid
  • D. Perform abdominal thrusts to remove water from the lungs

Explanation

Hypoxaemia is the immediate threat after submersion, so breathing support takes priority. Oxygen and continuous respiratory monitoring are required; abdominal thrusts and attempts to force water out can cause injury and delay effective care.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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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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