The pediatric nurse received report and will be caring for four patients. The nurse prioritizes care and chooses to assess which patient first?

Patient 1 is a 6-year-old with oral lesions from varicella (chicken pox) who is receiving IV fluids due to poor oral intake

Patient 2 is a 14-month-old admitted for meningitis on day 5 out of 10 for IV antibiotics

Patient 3 A 6-month-old with hypoplastic left heart syndrome 5 days after a Glenn procedure. This was the 2nd of 3 planned cardiac surgeries. Vitals were reported to be pulse 110, respiratory rate 30, BP 88/56, oxygen saturation 85%

Patient 4 A 3-year-old admitted for Kawasaki Disease 5 days ago. Temperature has been normal for past 24 hours. Child began complaining of chest pain an hour ago and pulse has increased from 108 to 145 at rest.