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In the ED, a pediatric pt is placed on mechanical ventilation by means of an ET tube. Several hours later the nurse enters the room and finds pt in respiratory distress. It is MOST IMPORTANT for the nurse to take which of these actions?a) Assess the client for intercostal retractionsb) assess the client's BP in both armsc) auscultate the clients lung soundsd) observe the color of clients fingernail beds
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