Which finding requires priority action from the nurse when assessing children?

The finding of a 3-month-old with a fever and a high-pitched cry necessitates priority action from the nurse because it signals a potential medical emergency. In infants, particularly those under 3 months old, fever is considered a significant concern, as it could indicate serious infections such as meningitis or sepsis. The high-pitched cry can be a sign of increased intracranial pressure or acute illness, both of which are critical indicators that require immediate evaluation and intervention.

Timely recognition and management of these symptoms are crucial, as young infants have immature immune systems and can deteriorate rapidly. Therefore, a comprehensive assessment followed by appropriate medical intervention is essential to address the possible underlying causes of these symptoms.