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. The nurse should
1. obtain the history of the illness fromthe parent.
2. advise the parent to hang up andcall 911.
3. make an appointment for the child tosee the healthcare provider.
4. reassure the parent and provideinstructions on home care for the child.
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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