From which client should a pediatric nurse collect additional data first?

The priority for a pediatric nurse in this scenario revolves around recognizing signs that may indicate a more significant issue requiring immediate attention. A child who is frequently clearing their throat after surgery, especially post-tonsillectomy, could be exhibiting symptoms suggestive of potential complications. This could include bleeding or an obstructed airway, both of which are critical situations that need to be addressed promptly.

In contrast, a child who is sleeping after a tonsillectomy may actually be in a stable state, and sleep is a common and expected part of recovery. Similarly, a child with a minor infection who is on antibiotics is being treated and monitored, which suggests a manageable situation. Meanwhile, a child presenting with a sore throat and fever may have an infectious process occurring but does not necessarily indicate a surgical complication that requires urgent intervention.

Thus, the scenario of the child frequently clearing their throat stands out as the one requiring additional data collection first, as it might point toward an early warning of a surgical complication that needs prompt assessment or intervention.