The pediatric nurse receives report on 4 clients. Which client should the nurse see first?

Question

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A bronchoscopy is an invasive procedure that allows visualization of the internal air passages via a flexible tube (bronchoscope) passed through either the nose or mouth to the internal airways. Following the procedure, the client will need to be monitored for complications such as bleeding, bronchial perforation, pneumothorax, and bronchial spasm. Potential for airway compromise requires that this client be seen first. (Option A) A child with a potential hip dislocation will need to be evaluated, but this is not a priority. (Option C) A CT scan can be done with or without the use of contrast (dye). Use of contrast would require monitoring for an allergic reaction to the dye. This client is young and has no parents present; the nurse will need to ascertain that basic needs are being met. (Option D) This client is awaiting surgery. The nurse will need to assess that consent is signed and check for preoperative prescriptions. Although important, it is not a priority over the 6-year-old client's airway. Educational objective: When deciding which client to see first, the nurse should apply the "ABC" (airway, breathing, circulation) guideline to problems that clients may have or could develop.

The Pediatric Nurse Receives Report on 4 Clients