The telephone triage nurse receives a call from a parent who states that her 18-month-old is making a crowing sound when he breathes and is hard to wake up. Which action by the nurse is the most appropriate?
1. Obtain the history of the illness from the parent.
2. Advise the parent to hang up and call 911.
3. Make an appointment for the child to see the healthcare provider.
4. Reassure the parent and provide instructions on home care for the child.
Correct Answer: 2
Rationale: The nurse should immediately recognize the symptoms of severe upper respiratory distress and advise the parent to call 911. Crowing is heard when there is severe narrowing of the airway. The other actions would be appropriate in nonemergency situations.
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