A child with severe chest trauma has marked respiratory distress, absent breath sounds on the right, and worsening cyanosis. Which action should the nurse take immediately?

Correct answer: A. Give high-concentration oxygen and summon the emergency team

  • A. Give high-concentration oxygen and summon the emergency team
  • B. Place the child flat and wait for a routine chest radiograph
  • C. Encourage coughing to remove fluid from the injured side
  • D. Apply a tight bandage around the entire chest

Explanation

The findings suggest a life-threatening tension pneumothorax, in which impaired breathing can rapidly reduce circulation. Oxygen and immediate escalation are required while preparing for emergency decompression; waiting for routine imaging can delay lifesaving treatment.

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