A boy age 2 years arrives at the emergency department of a local hospital with difficulty breathing from an asthmatic attack. Which of the following would be the priority nursing intervention?
A) Giving him his favorite stuffed animal to hold
B) Assessing respirations and administering oxygen
C) Raising the side rails and restraining his arms
D) Asking his mother what are his favorite foods
Ans: B
The priority need for a child having respiratory difficulty is for oxygen. Therefore, the nurse's immediate interventions should be to meet physiologic oxygen needs by assessing respirations and administering oxygen. Oxygen needs are more basic than are needs for food or safety and security.
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