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