You are caring for a 4 year-old female patient, with nausea and vomiting. She is lethargic, reporting that her stomach hurts and that she's really tired, and has just vomited. What is your main concern with this patient?


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- Maintaining a patent airway and aspiration prevention

- Electrolyte imalance

- Imbalanced nutrition

- Rehydration


When a patient has reported vomiting accompanied by lethargy, aspiration is a concern. Maintaining a patent airway (ABC's) is essential. Therefore, in this scenario maintaining a patent airway is the priority. All other interventions/concerns listed are extremely important as well, but when considering the MOST important, it is a patent airway.

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