Arab Board Emergency & Disaster Nursing Part 1 Practice Questions - Arab Board Emergency And Disaster Nursing Part 1 Written Examination Exam

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A 7-month-old infant presents with fever, poor feeding, and irritability. The triage nurse notes a heart rate of 196 beats/min, respiratory rate of 64 breaths/min, and SpO2 of 91% on room air. How should the triage nurse interpret these vital signs in the ESI pediatric danger zone?

The vital signs fall into the high-risk danger zone, requiring up-triage to ESI Level 2 The vital signs are age-appropriate for fever, placing the infant in ESI Level 4 The infant only requires oral antipyretics and can be safely assigned to ESI Level 5 The infant must be immediately assigned to ESI Level 1 for endotracheal intubation

Correct Answer:

The vital signs fall into the high-risk danger zone, requiring up-triage to ESI Level 2

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