A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first?
A client who received a pain medication 30 min ago for postoperative pain
A client who was just given a glass of orange juice for a low blood glucose level
A client who has 100 mL of fluid remaining in his IV bag
A client who is scheduled for a procedure in 1 hr
The Correct Answer is B
A. A client who has recently received pain medication should be assessed for effectiveness but is not in immediate danger.
B. A client who received orange juice for a low blood glucose level needs to be assessed for a return to normal glucose levels as hypoglycemia is a priority concern.
C. A client with 100 mL of fluid remaining in the IV bag can wait for assessment as their fluid needs can be managed once the infusion is complete.
D. A client scheduled for a procedure in 1 hour is important to assess, but their immediate clinical needs may be less critical than a client with hypoglycemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Rationale
1. History and Physical
Last pregnancy resulted in a preterm spontaneous vaginal birth at 30 weeks
The client's history of a preterm birth at 30 weeks in a previous pregnancy is a significant risk factor for preterm labor in the current pregnancy. A history of preterm labor increases the likelihood of recurrence, and close monitoring is essential. This information alone does not require immediate follow- up but is important in guiding the overall care plan and risk assessment for preterm labor.
2. Nurses' Notes
Lower back pain and pinkish vaginal discharge.
Lower back pain and pinkish vaginal discharge are common symptoms of preterm labor. The pinkish vaginal discharge could indicate bloody show, which is sometimes seen with cervical dilation or preterm labor.
Uterine contractions every 8 minutes, palpate strong, duration 30 seconds.
Regular uterine contractions (every 8 minutes) in a client at 33 weeks gestation could indicate preterm labor. Contractions every 8 minutes with strong palpation and 30-second duration should be further assessed for their frequency, intensity, and impact on cervical dilation. This finding requires follow-up to determine whether these contractions are progressing to actual labor.
Minimal variability.
Minimal variability can sometimes be a sign of fetal distress or hypoxia, but it can also be seen in some normal circumstances. However, it is a finding that requires closer observation and may warrant further investigation to assess fetal well-being, especially in the context of preterm labor.
Finding: Cervical exam indicates 2 cm, 50% effaced, 0 station.
The cervix is 2 cm dilated, 50% effaced, and at a station of 0. This indicates that the cervix is beginning to open and efface, which is a sign of early labor. Since the client is at 33 weeks gestation, this is concerning for preterm labor, and the client should be closely monitored for further cervical changes and labor progression.
Correct Answer is A
Explanation
A. Banana slices are a safe food for toddlers to pick up and eat independently.
B. Grapes should be avoided for toddlers because they are a choking hazard unless cut into small pieces.
C. Hot dogs are also a choking hazard for toddlers and should be avoided unless cut into small, manageable pieces.
D. Popcorn is a choking hazard for toddlers and should not be offered.
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