In the morning, a nurse receives a report on four pediatric clients each of whom have some form of fluid-volume excess. Which of the following children should the nurse see first? The one with:
1. Periorbital edema and normal respiratory rate.
2. Tachypnea and pulmonary congestion.
3. Dependent and sacral edema, and regular pulse.
4. Hepatomegaly and normal respiratory rate.
2
Rationale:
1. The child with periorbital edema and normal respiratory rate is more stable than the child with tachypnea and pulmonary congestion.
2. A child with respiratory distress should be the first client the nurse checks after receiving report.
3. The child with dependent and sacral edema and regular pulse is more stable than the child with tachypnea and pulmonary congestion.
4. The child with hepatomegaly and normal respiratory rate is more stable than the child with tachypnea and pulmonary congestion.
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