A 10-month-old girl with bronchitis is taken out of the 30% oxygen tent for breakfast because she refuses to eat unless in a high chair. During the feeding, the nurse notes that the child’s respiratory rate has increased, she is becoming more irritable, and she is using accessory muscles to breathe. Which of the following should be the nurse’s first action()
A. Perform postural drainage then complete the feeding.
B. Suction the child’s nose with a bulb syringe.
C. Discontinue the feeding and place the child back in the tent.
D. Assess the pulse rate and respirations and notify the physician.
参考答案：C
解析：
The child who has increasing respiratory difficulty after being removed from an increased oxygen environment should be placed back in the environment. The child’s pulse rate will most likely be increased.