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    Ati paediatrics Proctored Exam 1

    The nurse is assessing the vital signs of a 3-week-old infant with a respiratory infection and notes that the respiratory rate is 35 breaths/minute. On the basis of this finding, what is the most appropriate action?

    Explanation & Rationale

    A. Administering oxygen is unnecessary, as the respiratory rate is within the normal range for a 3-week-old (30-60 breaths/min). B. A respiratory rate of 35 breaths/minute is normal for an infant, so the nurse should document this finding. C. Reassessing the respiratory rate is unnecessary unless other symptoms are present. D. There is no need to notify the healthcare provider, as the respiratory rate is within normal limits.

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