Pediatric nursing · practice question
A 6-month-old infant in the pediatric clinic is being evaluated for family presence during hospitalization. Assessment data include nasal flaring, grunting, retractions, and SpO2 89%. Using the clinical judgment model, what is the nurse's first step?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Answer and explanation
Correct answer
A. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.
Why
NCSBN clinical judgment begins with recognizing and analyzing cues before taking action or evaluating outcomes.
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