The Nurse Is Providing Care for a Neonate Diagnosed with Tetralogy

The nurse is providing care for a neonate diagnosed with tetralogy of Fallot. Prostaglandin E1 therapy is prescribed to keep the foramen ovale and the ductus arteriosus open. Which is the most important intervention for the nurse to include in the neonate's plan of care?

A) Maintain a separate IV access for continuous administration of the medication.
B) Watch for respiratory distress or apnea after adding medication to the breathing tube.
C) Monitor for and document evidence of flushing, bradycardia, and irritability as expected.
D) Monitor weight and adjust the dosage using a scale of 0.05 to 0.1 mcg/kg/min IV infusion.