Jaycob, a 24-month-old child with a diagnosis of RSV and Tetrology of Fallot, is being cared for by a new nurse. Jaycob is agitated and is crying when care is provided. He begins to drop his oxygen saturations below an acceptable range
The nurse should: 1. Have the parent console the child.
2. Feed the child.
3. Call the doctor for an order for a sedative.
4. Cluster the care and allow the child time to rest.
4
Feedback
1. The question does not state that the parent is available.
2. Feeding the child may cause oxygen saturations to drop lower.
3. All attempts at consoling the child should first be provided before asking for a sedative.
4. Clustering cares will allow for time to rest and result in less stress for the child.
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