The nurse is caring for a child who has been sedated for a painful procedure. The priority nursing activity for this child is to:
1. Allow parents to stay with the child.
2. Monitor pulse oximetry.
3. Assess the child's respiratory effort.
4. Place the child on a cardiac monitor.
3
Rationale:
1. Parents may be allowed to stay with the child, but assessment of breathing effort must take priority.
2. Although equipment is important, and is used routinely during sedation, it does not replace the need for visual assessment.
3. When the child is sedated for a procedure, it is very important for the nurse to actually visualize the child and his effort of breathing.
4. Although equipment is important, and is used routinely during sedation, it does not replace the need for visual assessment.
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