Question

A 10-month-old is brought to the emergency department by her parents after they found her face down in the bathtub. The mother states, "I just left the bathroom to answer the phone. When I came back, I found her." Which nursing action is priority?

Answer 1

Answer:

B. With a submersion injury, hypoxia is the primary problem. Therefore, assessment of airway, breathing, and circulation are the priority assessments for which the nurse would institute resuscitative measures. Other assessments such as level of consciousness, vital signs, and papillary response would be done once the child's airway, breathing, and circulation are assessed and emergency interventions are instituted.

The correct answer is: Airway, breathing, and circulation

Explanation: