The nurse in the emergency department is caring for assigned pediatric clients. Which of the following clients should the nurse see first?

1. A 2-year-old client who is restless, drooling, and has a fever.
2. A 7-year-old client who has right lower quadrant abdominal pain and vomiting.
3. A 9-year-old client with immune thrombocytopenia who has generalized petechiae.
4. A 17-year-old client with cystic fibrosis who has a productive cough of blood-tinged sputum.

The nurse should see the 2-year-old client who is restless, drooling, and has a fever first. These symptoms can indicate a potentially serious condition, such as meningitis or an airway obstruction, which require immediate attention.

The 7-year-old with right lower quadrant abdominal pain and vomiting may have appendicitis, the 9-year-old with immune thrombocytopenia and generalized petechiae needs close monitoring but is not in immediate danger, and the 17-year-old with cystic fibrosis and blood-tinged sputum should be seen after the 2-year-old.

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