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    ATI RN Pediatric Nursing 2023 Proctored Exam

    A nurse in the emergency department is caring for a toddler. Exhibits Complete the following sentence by using the list of options. The nurse should first:

    Explanation & Rationale

    Choice A rationale: Preparing the child for flexible endoscopy is a necessary step to remove the foreign object from the esophagus. However, before any procedure can be performed, it is essential to obtain informed consent from the parents. This ensures that the parents are aware of the risks, benefits, and alternatives to the procedure and have given their permission for it to be carried out. Choice B rationale: Encouraging the parents to inspect toys for easily removable parts is an important preventive measure to avoid future incidents. However, this is not the immediate priority in this emergency situation. The primary focus should be on addressing the current issue, which involves obtaining informed consent for the necessary procedure. Choice C rationale: Monitoring the child closely for the return of the gag reflex is important to ensure the child’s safety, especially after the procedure. However, this step is relevant after the endoscopy has been performed. The immediate priority is to obtain informed consent to proceed with the endoscopy. Choice D rationale: Obtaining informed consent is the first priority in this scenario. Before any medical procedure can be performed, it is crucial to ensure that the parents are fully informed about the procedure, its risks, benefits, and alternatives, and have given their permission. This step is essential to respect the parents’ rights and to proceed with the necessary medical intervention safely and legally.

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