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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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:

The hepatic portal system does not drain the chest wall and it does not empty into the superior vena cava.

Choice B rationale:

The hepatic portal system is not composed of arteries and it does not supply oxygenated-rich blood to the sex glands.

Choice C rationale:

The hepatic portal system cannot be palpitated in the mid-upper arm in the antecubital space.

Choice D rationale:

The hepatic portal system carries blood from abdominal organs to the liver for processing before returning to the heart.

A. Urine specific gravity 1.020. B. Urine output 15 mL/hr. C. Hct 43%. D. BUN 12 mg/dL.

Correct Answer is B

Explanation

Choice A rationale:

Urine specific gravity 1.020 is within the normal range (1.005-1.030), so it does not indicate fluid volume deficit.

Choice B rationale:

Urine output 15 mL/hr is less than the normal minimum of 30 mL/hr, indicating fluid volume deficit.

Choice C rationale:

Hct 43% is within the normal range (38.8-50.0 for men, 34.9-44.5 for women), so it does not indicate fluid volume deficit.

Choice D rationale:

BUN 12 mg/dL is within the normal range (7-20 mg/dL), so it does not indicate fluid volume deficit.

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A nurse has received change-of-shift report on four clients.Which of the following clients should the nurse plan to see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is talking to the patient caregiver about discharge instructions for the patient.They start to talk about blood flow through the body.The caregiver asks the nurse about the hepatic portal system and why it is important.The nurse responds that the Hepatic Portal System.

Correct Answer is D

Explanation

A nurse is reviewing the medical record of a client who has a fluid volume deficit.The nurse should expect which of the following findings?

Correct Answer is B

Explanation

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A nurse has received change-of-shift report on four clients.
Which of the following clients should the nurse plan to see first?