A nurse has just received the morning change of shift report for four clients. Which of the following clients has the highest priority need?

A client who has a serum potassium level of 5 mEq/L and is scheduled for dialysis in the afternoon.

A client who returned 1 hour ago from lithotripsy and is reporting nausea.

A client who had a total abdominal hysterectomy 2 days ago and is reporting a pain level of 3 on a scale of 0 to 10.

A client who has an indwelling urinary catheter and has a total urine output of 80 mL over the past 8 hours.

Answer and Explanation

The Correct Answer is D

Choice A reason: While a serum potassium level of 5 mEq/L is at the higher end of the normal range, the client is scheduled for dialysis, which should address the issue.

Choice B reason: Nausea after lithotripsy is a concern, but it may not be as urgent as other conditions.

Choice C reason: A pain level of 3 is manageable and not the highest priority compared to other more acute needs.

Choice D reason: A urine output of 80 mL over 8 hours is significantly low and could indicate acute kidney injury or urinary retention, which requires immediate attention.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: Transdermal clonidine can cause xerostomia, commonly known as dry mouth, due to its anticholinergic effects. Advising the client about this potential side effect is important for awareness and management.

Choice B reason: While weight monitoring is important, transdermal clonidine is not typically associated with significant weight loss. Therefore, this would not be a priority action related to the medication.

Choice C reason: Diarrhea is not a common adverse effect of transdermal clonidine. The medication is more likely to cause constipation, so informing the client about diarrhea may not be relevant.

Choice D reason: Hypopigmentation under the patch is not a recognized side effect of transdermal clonidine. The nurse should check for skin irritation or contact dermatitis, which are more common.

A. Fasting blood glucose 100 mg/dL B. Fasting blood glucose 70 mg/dL C. HbA1C 12.5% D. HbA1c 6.5%

Correct Answer is D

Explanation

Choice A reason: A fasting blood glucose of 100 mg/dL is at the high end of the normal range and may not necessarily indicate good control over the past 3 months.

Choice B reason: A fasting blood glucose of 70 mg/dL is within the normal range but does not reflect long-term glucose control.

Choice C reason: An HbA1C of 12.5% is significantly high and indicates poor blood glucose control over the past 3 months.

Choice D reason: An HbA1c of 6.5% is within the target range for many individuals with diabetes, suggesting good blood glucose control over the past 3 months.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse has just received the morning change of shift report for four clients. Which of the following clients has the highest priority need?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the plan of care for an older adult client who has a new prescription for transdermal clonidine. Which of the following actions should the nurse include in the plan of care?

Correct Answer is A

Explanation

A nurse is caring for a client who has diabetes mellitus. Which of the following laboratory findings indicates the client has maintained control of his blood glucose levels for the past 3 months?

Correct Answer is D

Explanation

A nurse is assisting with the care of a client who has a seizure disorder. Which of the following supplies should the nurse have at the client's bedside at all times?

A nurse is providing care to a client who has sustained deep partial thickness burns to the back of both legs. Which of the following actions should the nurse anticipate taking?

A nurse is reinforcing discharge instructions with a client who is taking oral iron supplementation for anemia. Which of the following statements by the client demonstrates an understanding of the teaching?

A nurse is assisting with the care of a client who is receiving penicillin via intermittent IV bolus. Which of the following should the nurse recognize as a clinical manifestation of anaphylaxis?

A nurse is reinforcing teaching with an assistive personnel (AP) about a client who has pertussis. Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a client who is visually impaired. When delivering the client's meal tray, which of the following actions should the nurse take?

A nurse administered a dose of penicillin to a client 30 minutes ago. The client reports that she has hives and is itching. Which of the following statements by the nurse is the highest priority?