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A family brings a young infant to the ED, stating that the infant has had an axillary temperature up to 38.9°C (102°F)

A family brings a young infant to the ED, stating that the infant has had an axillary temperature up to 38.9°C (102°F) at home and has a “funny rash.” The patient has vomitus coming from the mouth. What should the nurse’s first action be? A. Auscultate breath sounds. B. Obtain an accurate weight. C. Undress the infant to observe the rash. D. Suction vomitus from the airway.

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