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The Emergency Nurse Is Triaging Four Clients

Question 105

Multiple Choice

The emergency nurse is triaging four clients.  Which client should the nurse assess first?


A) 6-month-old client who is constipated, cannot hold the head up, and has a weak cry after eating honey
B) 4-year-old client who has elbow pain, swelling, and deformity after falling from a playground swing
C) 6-year-old client who has fever and reports right-sided abdominal pain and difficulty tolerating food
D) 9-year-old client who is lethargic and reports having painful urination and back pain

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