Which independent nursing action is appropriate for a 2-month-old infant who is a direct admission to the pediatric unit with a diagnosis of ALTE (apparent life-threatening event)?
1. Place the child on an apnea monitor.
2. Place the child on nasal cannula oxygen.
3. Draw blood for arterial blood gases.
4. Place the child on contact isolation.
1
Explanation:
1. This is appropriate monitoring of the infant.
2. Oxygen is a dependent order except under emergency situations. There is no evidence the child needs oxygen.
3. Laboratory tests are not an independent action.
4. There is no indication of a respiratory infection. At this time, contact isolation is not indicated.
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