Certified Pediatric Emergency Nurse (CPEN) Practice Exam

What important intervention is critical in near-drowning situations?

1. Immediate renal assessment

2. AIRWAY management

3. Intracranial pressure monitoring

4. Activation of trauma protocols

The correct answer is: AIRWAY management

In near-drowning situations, airway management is a crucial intervention because the primary concern is ensuring adequate oxygenation and ventilation. When a child has experienced near-drowning, there is a significant risk of airway obstruction due to water in the lungs, as well as potential aspiration of water and other substances. Immediate airway clearance and support can be life-saving, as it helps to restore normal breathing and oxygen supply to vital organs. Effective airway management may involve positioning the child appropriately, suctioning to remove any obstructing material, providing supplemental oxygen, and, if necessary, performing advanced airway interventions such as intubation. The urgency of addressing airway issues cannot be overstated in such scenarios, as hypoxia can lead to serious complications, including brain injury or death. Other interventions such as renal assessment, intracranial pressure monitoring, or activation of trauma protocols, while they may have their place in overall patient care, are not considered the immediate priorities in the context of near-drowning. The focus must first be on securing the airway and ensuring that the patient can breathe effectively.