The nurse is caring for a client with infant with Tet spells. Which finding requires immediate follow-up?

Question

Accepted Answer

C. sudden cyanosis and increased work of breathing while crying — A hypercyanotic Tet spell is a priority event requiring immediate calming and knee-chest positioning.

Answer

A. sleepiness after immunizations

Answer

B. mild spit-up after bottle feeding

Answer

D. sweaty scalp during feeds