Pediatric nursing · practice question
A 6-month-old infant in the pediatric clinic is being evaluated for pediatric injury prevention. Assessment data include temperature 103.1°F (39.5°C) with a new petechial rash. Which nursing action is the priority to keep the client safe?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Answer and explanation
Correct answer
C. Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.
Why
Client safety requires direct assessment, hazard reduction, and timely escalation rather than assumptions, abandonment, or policy-only actions.
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