
An infant with an unrepaired tetralogy of Fallot defect is becoming extremely cyanotic during a routine blood draw. Which interventions should the nurse implement? Place in order from the highest-priority intervention to the lowest-priority intervention. Provide the answer using lowercase letters separated by commas (e.g., a, b, c, d).
A) Administer 100% oxygen by blow-by.
B) Place the infant in knee-chest position.
C) Remain calm.
D) Give morphine subcutaneously or by an existing intravenous line.
Correct Answer:
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Hypercyanotic spells, also re...
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