A shocked child has no readily usable peripheral intravenous vein after repeated attempts. The child is becoming less responsive and has weak pulses. What access should the nurse prepare for urgently?
Correct answer: A. An intraosseous access attempt by trained staff
- A. An intraosseous access attempt by trained staff
- B. A central venous line after waiting for imaging
- C. A nasogastric tube for rapid fluid administration
- D. A urinary catheter before giving emergency fluids
Explanation
Intraosseous access provides rapid vascular access when intravenous access cannot be obtained during life-threatening shock. It should be inserted by trained staff while resuscitation continues, rather than delaying fluids for less urgent procedures.
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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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