A child with severe asthma becomes drowsy and has a very quiet chest with minimal air movement. Which action is the priority?
Correct answer: C. Provide high-concentration oxygen and call the emergency team
- A. Leave the child to rest and reassess after 30 minutes
- B. Give oral fluids and place the child flat
- C. Provide high-concentration oxygen and call the emergency team
- D. Encourage deep coughing before starting any treatment
Explanation
Drowsiness and a quiet chest indicate critical airflow obstruction and possible respiratory failure, not improvement. Oxygen, urgent senior assistance, and preparation for assisted ventilation take priority because breathing is failing.
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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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