The nurse at the beginning of the shift plans to see which client first, based on the following vital signs?
A) The client age 2 years whose respiratory rate is 16 breaths/minute
B) The newborn whose axillary temperature is 98.2 ºF (36.8 ºC)
C) The client age 7 years whose pulse is 120 beats/minute
D) The client age 10 years whose blood pressure is 102/62 mmHg
Ans: A
Normal respiratory rate for a child 1 to 3 years of age is 20 to 40 breaths/minute. Therefore, the nurse should assess the 2-year-old with a respiratory rate of 16 first, as the other clients' vital signs are within normal limits.
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