The telephone triage nurse receives a call from a parent who describes a crowing sound when the 18-month-old breathes and the child is hard to wake up. Which is the appropriate nursing action?
1. Making an appointment for the child to see the healthcare provider
2. Obtaining the history of the illness from the parent
3. Advising the parent to hang up and call 911
4. Reassuring the parent and providing instructions on home care for the child
3
Explanation:
1. This action would be appropriate only in nonemergency situations.
2. This action would be appropriate only in nonemergency situations.
3. The nurse should immediately recognize the symptoms of severe upper respiratory distress and advise the parent to call 911.
4. This action would be appropriate only in nonemergency situations.
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