Difficulty: Medium
Average Score: 72%
Full-length
The nurse observes an 18-month-old who has been admitted with a respiratory tract infection (see figure). The nurse should first:
Correct answer
B
Rationale
An 18-month-old with a respiratory tract infection may be in respiratory distress, requiring immediate action by calling the rapid response team. Positioning supine or offering a drink could worsen breathing, and a croup tent is specific to croup, not all infections.