ATI RN
ATI RN Nursing Care of Children 2019 Questions
Extract:
Four children: toddler with nephrotic syndrome, adolescent with Crohn's disease, preschool-age child with muffled voice, school-age child with diabetes mellitus
Question 1 of 5
A nurse in an urgent care clinic is prioritizing care for four children. Which of the following children should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C: A preschool-age child who has a muffled voice and no spontaneous cough. This child should be assessed first as they are exhibiting symptoms of potential airway obstruction, which is a medical emergency requiring immediate attention to ensure proper oxygenation. A muffled voice and absence of spontaneous cough may indicate an obstructed airway, possibly due to a foreign body or infection. Prompt assessment and intervention are crucial to prevent respiratory compromise.
Choice A: A toddler with nephrotic syndrome and facial edema may require medical attention but does not present an immediate threat to airway or breathing.
Choice B: An adolescent with Crohn's disease and recent weight loss may also require medical attention, but it is not as urgent as assessing a potential airway obstruction in a preschool-age child.
Choice D: A school-age child with diabetes mellitus and a blood glucose of 200 mg/dL may require monitoring and intervention, but it is not as time-sensitive as addressing a potential air
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