Pediatric nursing · practice question
An 8-year-old child in the pediatric unit is being evaluated for postoperative pain in a school-age child. Assessment data include nasal flaring, grunting, retractions, and SpO2 89%. Which nursing action is the priority to keep the client safe?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Answer and explanation
Correct answer
B. 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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