[Solved]: A 4-year-old patient is being assessed for a foreign…

A 4-year-old patient is being assessed for a foreign body in the nose. The child is awake and alert and watching a video on the caregivers phone. Vitals include HR of 110 beats/minute, RR of 26 breaths per minute, BP of 138/90 mm Hg, and T of 37.3oC (99.3oF) orally. Which of the following interventions should the nurse perform next? A. Check the size of the blood pressure cuff B. Recheck the temperature rectally C. Recheck the blood pressure on the other arm D. Place the patient on cardiac and respiratory monitors