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Pediatric nursing · practice question

A 6-month-old infant in the pediatric clinic is being evaluated for weight-based pediatric medication. Assessment data include parents report decreased wet diapers and lethargy over 24 hours. Using the clinical judgment model, what is the nurse's first step?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
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Answer and explanation

Correct answer

D. 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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