Certified Pediatric Nurse Exam Practice Questions Related

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Which of the following is the most important assessment during the acute stage of an unconscious patient like Mr. Franco?

  • A. Level of awareness and response to pain
  • B. Papillary reflexes and response to sensory stimuli
  • C. Coherence and sense of hearing
  • D. Patency of airway and adequacy of respiration
Correct Answer: D

Rationale: In the acute stage of an unconscious patient like Mr. Franco, the most critical assessment is ensuring the patency of the airway and evaluating the adequacy of respiration. Maintaining a clear airway is essential to ensure that oxygen can reach the lungs and be circulated to vital organs. Without proper airway management, a patient's condition can quickly deteriorate due to hypoxia, leading to severe complications or even death. Therefore, assessing and securing the airway is the priority in the initial management of an unconscious patient to maintain adequate oxygenation and ventilation. Monitoring the respiration rate, depth, and effort is crucial to identify any signs of respiratory distress or failure that require immediate intervention. Once the airway and breathing are addressed, further assessments related to neurological function and sensory responses can be conducted.