The nurse must assess each of the 2-year-olds listed below. Which one should be evaluated first?
1. A child with a temperature of 101 degrees F
2. A child who has stridor
3. A child who has absent Babinski sign
4. A child who has a pot belly appearance
Correct Answer: 2
Rationale: A child with stridor is at risk for airway compromise; a child with a temperature of 101 degrees F, while sick, is not as ill as the child with stridor; and the child with an absent Babinski sign and the pot-bellied child are normal.
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