A nurse is assigned to the pediatric unit. Which of the following patients should be assessed first by the nurse?
  1. A nine-month-old baby boy who vomited three times an hour ago
  2. A one-year-old baby boy who cries when his mother leaves
  3. A three-month-old baby girl with a pulse rate of 122
  4. A nine-month-old baby boy who mobilizes through his abdomen
Explanation
Answer - A - The patient that should be assessed first by the nurse is a nine-month-old baby boy who vomited three times an hour ago. An infant's fluid electrolyte balance can easily be upset, which may pose severe problems. Eighty percent of an infant's weight is fluid; most of the fluid is found in the ECF compartment, which can be lost easily.
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