A 2-year-old child with laryngotracheobronchitis (LTB) is fussy and restless in the oxygen tent. The oxygen level in the tent is 25%, and blood gases are normal. What would be the correct action by the nurse?
a. Restrain the child in the tent and notify the physician
b. Increase the oxygen concentration in the tent
c. Take the child out of the tent and into the playroom
d. Ask the mother for help in comforting the child
ANS: B
The child with LTB should be placed in the mist tent with 30% oxygen. Restlessness is caused by poor oxygenation. The child should not be taken out of the oxygenated tent. While the mother could be asked to help comfort the child, and the physician may be notified, the priority is to set the oxygen at the correct level.
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