Difficulty: Medium
Average Score: 82%
Simulated
Passage / Scenario
Newborn with signs of respiratory distress, jitteriness, and lethargy.A nurse who is caring for a newborn observes signs of respiratory distress, jitteriness, and lethargy. Which of the following actions should the nurse take?
Correct answer
C
Rationale
Obtaining blood glucose by heel stick is the priority action because the symptoms described could indicate hypoglycemia, especially in a newborn. Prompt assessment and management of blood glucose levels are essential.