Four children are in the pediatric clinic waiting to be seen. Which patient should the nurse see first?
A.
Afebrile, parent reports harsh barky cough
B.
Pulling on ear, temperature 103 °F (39.5 °C)
C.
Salty-tasting sweat, poor weight gain
D.
Wheezing, retracting, no wet diapers today
ANS: D
This child not only has a respiratory problem, he or she is also dehydrated and is the sickest of the four. The nurse should see this patient first. The child with the barky cough is afebrile and has no signs of respiratory distress. Pulling on the ear indicates an ear infection, and these children often run high fevers. The child with salty-tasting sweat and poor weight gain is demonstrating a chronic condition, most likely cystic fibrosis.
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