Pediatric nursing · practice question
A 6-month-old infant in the pediatric clinic is being evaluated for febrile illness in a toddler. Assessment data include capillary refill 4 seconds with dry mucous membranes and sunken fontanelle. Using ABCs and Maslow, which need should the nurse address first?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Answer and explanation
Correct answer
C. Airway, breathing, and circulation problems before comfort or psychosocial needs.
Why
Physiologic stability and ABCs take priority over comfort, teaching, or psychosocial needs when the client is unstable.
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