Pediatric nursing · practice question
A 2-year-old toddler in the emergency department is being evaluated for pediatric injury prevention. Assessment data include nasal flaring, grunting, retractions, and SpO2 89%. Which finding requires the nurse to intervene immediately?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Answer and explanation
Correct answer
A. The new finding that nasal flaring, grunting, retractions, and SpO2 89%.
Why
Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
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