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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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tjrwnghks3 tjrwnghks3
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6 years ago
A 4-year-old girl is brought to the emergency department. She has a frog-like croaking sound on inspiration, is agitated, and is drooling. She insists on sitting upright. Which nursing action is the priority for this patient?
 
  A.
  Maintain the airway.
  B.
  Obtain a throat culture.
  C.
  Start an intravenous line.
  D.
  Transport for a chest x-ray.
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#1
6 years ago
ANS: A
Airway, breathing, and circulation are the primary concerns for all patients. When a patient has acute respiratory distress, the most important nursing intervention is maintaining an airway. Starting an IV is important, but it is not the primary concern. Obtaining a throat culture would be contraindicated at this time, as it could cause vomiting or occlusion of the airway. The child should not be transported for x-ray; it should be done with portable equipment.
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