Difficulty: Medium
Average Score: 67%
Simulated
Passage / Scenario
A nurse is assessing an 8-year-old child who has early indications of shock.After stabilizing respirations, which of the following actions should the nurse take next?
Correct answer
C
Rationale
The correct answer is C: Initiate IV access. This action is crucial for ensuring immediate access for administering medications or fluids in case of emergencies. IV access allows for rapid delivery of life-saving treatments. Measuring weight and height (A) is not a priority after stabilizing respirations. Inserting a urinary catheter (B) is not necessary unless there is a specific indication. Maintaining ECG monitoring (D) is important but not the immediate next step after stabilizing respirations.