Question

The nurse has received morning report on a group of pediatric clients. Which pediatric client will the nurse see first?

A) An infant with rhinorrhea, coughing, and oxygen saturation of 92%
B) A toddler with a temperature of 100.1°F (38°C), and a harsh, barking cough
C) A preschool child with crackles in the right lower lobe and chest pain
D) A school-age child with dysphagia, drooling, and a hoarse voice

Answer 1

The nurse will see D) A school-age child with dysphagia, drooling, and a hoarse voice first.

Step-by-step explanation:

The priority is based on the recognition of potential airway compromise. The school-age child with dysphagia, drooling, and a hoarse voice may be experiencing an acute episode of epiglottitis, a serious condition that can rapidly progress to airway obstruction. Immediate assessment and intervention are crucial to ensure airway patency and initiate appropriate treatment.

Epiglottitis is a medical emergency that requires prompt attention. The characteristic symptoms of dysphagia, drooling, and a hoarse voice indicate potential airway involvement. The nurse should prioritize this child to assess the airway, provide necessary interventions, and facilitate a rapid response from the healthcare team. While the other options present health concerns, the potential for airway compromise in the school-age child takes precedence, requiring urgent evaluation and intervention to prevent respiratory distress or failure.