An 8-month-old infant has a hypercyanotic spell while blood is being drawn. What is the priority nursing action?
A) Assess for neurologic defects
B) Place the child in the knee-chest position
C) Begin cardiopulmonary resuscitation
D) Prepare family for imminent death

Question

Quizplus · Accepted Answer

The first action is to place the infant in the knee-chest position. Blow-by oxygen may be indicated. Neurologic defects are unlikely. The child should be assessed for airway, breathing, and circulation. Often, calming the child and administering oxygen and morphine can alleviate the hypercyanotic spell.

An 8-Month-Old Infant Has a Hypercyanotic Spell While Blood Is