NCLEX RN Exam Practice Practice Question
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.
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