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    Nclex-Rn Readiness Test 16Question 14
    14 / 150
    Child Health

    The nurse is assessing a 4-year-old client who was sent to the emergency department from urgent care. Assessment reveals tripod positioning, blue lips, mottled skin, inspiratory stridor, and excessive drooling. Vital signs are:

    • Temp: 39 C
    • HR: 188
    • RR: 46
    • O2: 82 %

    What is the priority action for the nurse to take at this time?

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