Difficulty: Medium
Average Score: 93%
Simulated
Passage / Scenario
Four childrenA nurse is reviewing data for four children. Which of the following children should the nurse assess first?
Correct answer
C
Rationale
The nurse should assess the 10-year-old child with sickle cell anemia and severe chest pain first. Severe chest pain in a child with sickle cell anemia could indicate a vaso-occlusive crisis or acute chest syndrome, both of which are serious complications requiring immediate attention to prevent further complications such as respiratory distress or stroke. Monitoring for oxygenation levels and pain management are crucial in this situation. Assessing the child with chest pain is the priority over the other options because it indicates a potentially life-threatening condition that requires urgent intervention. The other choices, while important, do not present immediate life-threatening situations that require immediate assessment and intervention as the child with sickle cell anemia and severe chest pain.