What is the immediate action a nurse should take for a child who has ingested kerosene and presents with lethargy and gagging?

In cases of kerosene ingestion, the primary concern is the risk of respiratory complications due to aspiration, especially when symptoms such as lethargy and gagging are present. These symptoms indicate a potential for airway compromise. Preparing for intubation with a cuffed endotracheal tube is an appropriate immediate action, as it allows for secure airway management. This is crucial because the child may have impaired consciousness and could be at risk of airway obstruction or aspiration, which can lead to further complications such as chemical pneumonitis.

Securing the airway enables the medical team to manage breathing effectively and ensures that the child's airway is protected during subsequent treatment. It is essential to act quickly in these situations because delayed intubation could lead to severe respiratory distress or failure.

While monitoring vital signs is vital for overall assessment and ongoing care, it does not directly address the immediate airway concerns. Administering activated charcoal would not be appropriate in this situation, as the risk of aspiration is high and charcoal may not be effective in preventing kerosene's effects. Inducing vomiting is also contraindicated in cases of kerosene ingestion due to the risk of further aspiration and potential for increased harm. Thus, preparing for intubation is the most critical and