A nurse is caring for several clients in a head, ear, nose, and throat clinic. Which client should the nurse assess first?

Choice A reason: Continuous rhinorrhea for 3 days may indicate sinus infection or allergies, but it is not immediately life-threatening. Choice B reason: A 2-year-old pulling at their ear and crying likely has otitis media. While painful and requiring treatment, it is not as urgent as uncontrolled bleeding. Choice C reason: Tenderness and pressure behind the cheeks and nose for 2 days suggests sinusitis. This is uncomfortable but not immediately dangerous. Choice D reason: Continuous epistaxis for 1 day is the most urgent condition. Persistent nosebleeds can lead to significant blood loss, airway compromise, or underlying vascular issues. This requires immediate assessment and intervention.