A Nurse Is Caring for a Toddler Who Is Having

Multiple Choice

A nurse is caring for a toddler who is having an acute asthmatic attack with copious mucus and difficulty breathing. The child's skin is cyanotic, respirations are labored and rapid, and pulse is rapid. What nursing diagnosis would have priority for care of this child?

A) Anxiety
B) Ineffective Airway Clearance
C) Excess Fluid Volume
D) Disturbed Sensory Perception