Case study: Infant with hypercyanotic spell. Based on the current assessment, what is the nurse's priority action?

Question

Accepted Answer

B. place the infant in a knee-chest position and calm the infant — The priority action is to place the infant in a knee-chest position and calm the infant because this addresses the immediate risk in the case.

Answer

A. complete routine care before notifying the provider

Answer

C. encourage the client to rest and increase oral intake

Answer

D. document the finding as expected and reassess in 1 hour