A pale child with a deep leg wound has a rapid pulse, cool skin, and delayed capillary refill, but the blood pressure is still normal. Which nursing action has priority?
Correct answer: A. Apply firm direct pressure to the bleeding wound
- A. Apply firm direct pressure to the bleeding wound
- B. Give an oral analgesic before treating the wound
- C. Elevate the injured leg without controlling bleeding
- D. Wait for hypotension before starting emergency care
Explanation
The findings indicate compensated shock, and ongoing blood loss can rapidly cause decompensation. Controlling external haemorrhage is a circulation priority and should not be delayed until blood pressure falls.
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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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