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 temperature 103.1°F (39.5°C) with a new petechial rash. Which finding requires the nurse to intervene immediately?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Answer and explanation
Correct answer
A. The new finding that temperature 103.1°F (39.5°C) with a new petechial rash.
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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