A nurse has received change-of-shift report on a group of clients and is preparing her assignment. Which of the following clients should the nurse assess first?

A client who had a blood glucose reading at 0650 of 70 mg/dL after receiving 50% dextrose for a hypoglycemic episode

A client who has pulled out the peripheral IV catheter and is scheduled to receive a dose of famotidine at 0800

A client who was admitted for chest pain and is reporting a new onset of indigestion

A client who has pneumonia and was treated for a temperature of 38.9° C (102° F) at 0400

Answer and Explanation

The Correct Answer is C

A. A blood glucose reading of 70 mg/dL is low but stable, and the client has already received treatment.
B. Pulling out a peripheral IV catheter is concerning but not immediately life-threatening.
C. New onset of indigestion in a client admitted for chest pain could indicate a cardiac event and requires immediate assessment.
D. A temperature of 38.9°C (102°F) in a client with pneumonia needs monitoring but is not as urgent as potential cardiac issues.

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Correct Answer is ["B","D","E"]

Explanation

Rationale:
A. Sleeping on a firm mattress is generally recommended to support the spine and prevent back strain.
B. Avoiding prolonged sitting helps reduce pressure on the lower back and can prevent back pain.
C. Applying heat intermittently can provide temporary relief but does not prevent back strain.
D. Sleeping in a side-lying position with knees flexed helps maintain natural spinal curvature and reduces strain on the back.
E. Padded shoe insoles may provide comfort. Proper arch support can improve posture and reduce stress on the lower back.

A. "Your provider may recommend a daily antihistamine to help control your symptoms." B. "Your provider will remove the lesions with solid carbon dioxide." C. "You should cleanse your mouth daily with a prescribed mouthwash." D. "You will need to take the entire prescription of antibiotics even if your condition improves."

Correct Answer is A

Explanation

A. Daily antihistamines can help control itching associated with atopic dermatitis.
B. Solid carbon dioxide is not used to treat atopic dermatitis.
C. Mouth cleansing is not relevant for atopic dermatitis, which primarily affects the skin.
D. Antibiotics are not typically used for atopic dermatitis unless there is a secondary bacterial infection.

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A nurse has received change-of-shift report on a group of clients and is preparing her assignment. Which of the following clients should the nurse assess first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["B","D","E"]

Explanation

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Correct Answer is A

Explanation

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