A nursing student is taking care of a 2-year-old girl and notices her oxygen saturation has decreased. The patient has stridor when breathing and her hairline appears singed. The nurse should anticipate:
1. Possible intubation because of the airway being compromised.
2. This is normal for a patient after 36 hours.
3. To reposition the patient for better airway clearance.
4. This is furthering infection and may require antibiotics.
1
Feedback
1. A possible inhalation injury has occurred due to the oxygen saturations, stridor, and hairline being singed. This may not manifest until between the 24 to 48 hours after the initial injury.
2. This is not normal, and a doctor should be notified.
3. Repositioning may help with initially increasing oxygen saturations, but due to the stridor, the saturation level will not remain stable.
4. Infection could be developing, but this is not the priority at this point.
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