A nurse has received change-of-shift report on four clients.
Which of the following clients should the nurse plan to see first?
A client who is short of breath.
A client who received pain medication 30 min ago.
A client who is to be discharged at 11:00.
A client who is ambulatory and going for an x-ray at 10:00.
The Correct Answer is A
Choice A rationale:
A client who is short of breath is experiencing a life-threatening situation and should be seen first.
Choice B rationale:
A client who received pain medication 30 min ago is likely to be comfortable and can be seen later.
Choice C rationale:
A client who is to be discharged at 11:00 can be seen closer to the discharge time.
Choice D rationale:
A client who is ambulatory and going for an x-ray at 10:00 can be seen after the x-ray.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The thickest part of the heart is not the upper chambers but the lower chambers, specifically the left ventricle. This is because it needs to pump blood to the entire body.
Choice B rationale:
Blood leaves the heart through the lower chambers, or ventricles, not the upper chambers.
Choice C rationale:
Blood enters the heart through the upper chambers, or atria. This is where deoxygenated blood from the body and oxygenated blood from the lungs first enter the heart.
Choice D rationale:
The term “ventricles” refers to the lower chambers of the heart, not the upper chambers.
Correct Answer is ["C","D","E"]
Explanation
Choice A rationale:
Encouraging range-of-motion exercises of the foot is not advisable because it can cause further injury to the ankle.
Choice B rationale:
Providing the client with a light snack is not directly related to the care of an ankle injury.
Choice C rationale:
Applying ice to the ankle can help reduce swelling and pain.
Choice D rationale:
Applying a compression bandage can help reduce swelling.
Choice E rationale:
Elevating the foot can help reduce swelling by promoting venous return.
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