For a child with cystic fibrosis exhibiting wheezing, what priority should the nurse assess first?

In the context of a child with cystic fibrosis who is exhibiting wheezing, assessing respiratory rate and effort is the priority action. Cystic fibrosis is a genetic condition that affects the respiratory and digestive systems, leading to thick and sticky mucus production that can obstruct airflow in the lungs. When a child is wheezing, it is a sign of airway obstruction, which can compromise their ability to breathe effectively and could lead to respiratory distress.

By prioritizing the assessment of respiratory rate and effort, the nurse can gather crucial information regarding the child's respiratory status. A thorough evaluation would include observing the work of breathing, the presence of accessory muscle use, and any signs of increased respiratory distress such as tachypnea or cyanosis. This information is essential for determining the need for immediate interventions, such as bronchodilator therapy or supplemental oxygen.

Overall hydration status, activity levels, and feeding habits are important aspects of care for a child with cystic fibrosis but are secondary to the immediate assessment and management of respiratory issues. In this scenario, the primary concern revolves around the child's airway and oxygenation, making respiratory assessment the critical initial step.