The nurse is caring for a 4-year-old who recently returned from a bronchoscopy to remove a swallowed nickel.Which of the following observations would require an immediate intervention?
A)Patient coughs up blood-tinged sputum
B)Patient is drowsy but arousable
C)Pulse = 106 beats/minute
D)Respiratory rate = 26 breaths/minute

Question

Quizplus · Accepted Answer

Coughing up blood-tinged sputum could indicate bleeding, and immediate intervention is required. The other observations are potentially abnormal but do not require immediate intervention.

The Nurse Is Caring for a 4-Year-Old Who Recently Returned