Difficulty: Medium
Average Score: 81%
Simulated
Passage / Scenario
A child with a brain tumor has a decreased respiratory rate and is less responsive to verbal commands than he was when the nurses assessed the client the previous hour.What should the nurse do next?
Correct answer
B
Rationale
The nurse should notify the HCP next because the scenario likely requires medical intervention beyond the nurse's scope of practice. Communicating with the HCP ensures timely and appropriate medical management. Raising the head of the bed, obtaining an oximeter reading, and implementing seizure precautions are important actions, but notifying the HCP takes precedence in this situation. These actions can be taken after the HCP has been informed to ensure comprehensive care.