A 4-year-old female with a decreased level of consciousness is in respiratory distress. Her airway is patent and respirations are 12 per minute. Breath sounds are diminished bilaterally and there is noted accessory muscle use with inspiration and expiration. Her pulse is 84 and SpO₂ 88%. Which of the following should be your immediate action?

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Quizplus · Accepted Answer

The patient's decreased level of consciousness, respiratory distress, and low SpO₂ indicate a need for immediate intervention to improve oxygenation. Positive pressure ventilation will assist with oxygenation and decrease the work of breathing. Once the patient's condition is stabilized, transport to the hospital can be initiated. Rechecking the SpO₂ on another finger or applying CPAP may be appropriate interventions, but positive pressure ventilation is the most urgent priority at this time.

A 4-Year-Old Female with a Decreased Level of Consciousness Is