The Nurse Is Assigned to Care for an Infant with Tetralogy

The nurse is assigned to care for an infant with tetralogy of Fallot. The mother of the infant calls the nurse to the room because the infant suddenly seems to be having difficulty breathing. The nurse enters the room and notes that the infant is experiencing a hypercyanotic episode. The initial nursing action is to:

A) Call a code.
B) Place the infant in a prone position.
C) Place the infant in a knee-chest position.
D) Contact the respiratory therapy department.