Moderate

A nurse is caring for a child receiving oxygen through nasal prongs. Which finding should be reported first?

Correct answer: C. The child becomes drowsy with increasing chest retractions

  • A. The child asks for a favourite toy
  • B. The child has dry lips and wants water
  • C. The child becomes drowsy with increasing chest retractions
  • D. The child refuses the hospital meal

Explanation

Increasing chest retractions with drowsiness suggests worsening respiratory distress and possible hypoxia. Airway and breathing problems take priority over hydration preferences, play and food intake.

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About Care of the Hospitalised Child

Care of the hospitalised child covers admission assessment, monitoring vital signs, medication safety, pain relief, nutrition, hygiene, infection prevention and safe discharge planning. It also addresses atraumatic care, therapeutic play, communication with children and parents, family participation, separation anxiety, safeguarding and the child’s rights during hospital care.

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