1. A 3-year-old child presents to the emergency department with a sudden onset of barking cough, inspiratory stridor, and mild respiratory distress. The child was afebrile last night. What is the critical initial nursing assessment to determine the urgency of intervention?

  • Assessing the child's level of consciousness and responsiveness.
  • Asking the parents about the last time the child ate.
  • Determining the exact onset and progression of symptoms, and assessing respiratory effort for signs of impending respiratory failure.
  • Checking the child's weight.
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