Pediatric nursing · practice question
An 8-year-old child in the pediatric unit is being evaluated for newly diagnosed congenital heart disease. Assessment data include nasal flaring, grunting, retractions, and SpO2 89%. Using ABCs and Maslow, which need should the nurse address first?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Answer and explanation
Correct answer
C. Airway, breathing, and circulation problems before comfort or psychosocial needs.
Why
Physiologic stability and ABCs take priority over comfort, teaching, or psychosocial needs when the client is unstable.
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