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