A Nurse Is Assessing a Critically Ill Child's Respiratory Status

question 32

Multiple Choice

A nurse is assessing a critically ill child's respiratory status.The child is grunting and has nasal flaring,but the pulse oximeter reads the child's oxygen saturation at 96%.Which nursing action is the priority in this situation?

• A) Conduct a thorough assessment and call the provider.
• B) Document the findings in the child's medical chart.
• C) Notify the rapid response team immediately.
• D) Turn up the oxygen and reassess the child in 30 minutes.

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Definitions:

Heartbeat

The rhythmic contraction of the heart, pumping blood through the body's circulatory system.

Temporal Lobe

A region of the brain responsible for processing auditory information and encoding memory, located at the sides of the brain beneath the temples.

Hearing

The sense and physiological process by which sound is perceived through vibrations in the ear.

Memory

The mental capacity to store, retain, and recall information and experiences.