A nurse has received report on four clients. What client should the nurse see first?

A client with a fasting blood sugar of 187.

A client with expiratory wheezing after an albuterol treatment.

A client who has been called to surgery 2 hours early.

A client with a blood pressure of 178/90 and needs a dose of atenolol.

Answer and Explanation

The Correct Answer is B

A client with expiratory wheezing after an albuterol treatment.

This indicates that the client has a severe bronchospasm that is not responding to the medication and may lead to respiratory failure.

The client needs immediate intervention to improve airway patency and oxygenation.

Choice A is wrong because a fasting blood sugar of 187 mg/dL is high but not life- threatening. The normal range for fasting blood sugar is less than 99 mg/dL.

The client may have diabetes or prediabetes and needs further evaluation and treatment, but this is not a priority over choice B.

Choice C is wrong because a client who has been called to surgery 2 hours early may need some preparation and education, but this is not an urgent situation.

The client can wait until the nurse has assessed the other clients.

Choice D is wrong because a blood pressure of 178/90 mmHg is elevated but not critical. The normal range for blood pressure is less than 120/80 mmHg.

The client needs a dose of atenolol, which is a beta

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Correct Answer is ["A","C"]

Explanation

These interventions help the client to cope with stress by enhancing their social support and teaching them skills to manage stressors.

Choice B is wrong because sedative hypnotics may cause dependence and do not address the underlying causes of stress.

Choice D is wrong because discussing factors that contribute to stress may increase the client’s anxiety and does not provide any solutions.

The normal range for coping is to use adaptive strategies that reduce stress and promote well-being.

A. Wipe from the outer part of the eye toward the inner portion. B. Rinse the washcloth before washing the second eye. C. Ask the client to roll the eyes upward. D. Use a fresh washcloth when cleaning each eye.

Correct Answer is D

Explanation

Use a fresh washcloth when cleaning each eye. This is because using the same washcloth for both eyes can transfer microorganisms from one eye to the other and cause cross-infection.

The other choices are wrong because:

Choice A is wrong because wiping from the outer part of the eye toward the inner portion can introduce microorganisms into the tear ducts and cause infection.

Choice B is wrong because rinsing the washcloth before washing the second eye does not eliminate all the microorganisms that might be on the cloth.

Choice C is wrong because asking the client to roll the eyes upward does not prevent spreading organisms from one eye to the other when bathing a client.

Normal ranges for eye hygiene are to use a clean washcloth or cotton ball for each eye, wipe from the inner to the outer canthus, and use warm water or saline solution.

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A nurse has received report on four clients. What client should the nurse see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When a client has a nursing diagnosis of Ineffective Coping, which nursing interventions would best meet the desired outcome of demonstrating appropriate coping strategies? (Select all that apply).

Correct Answer is ["A","C"]

Explanation

Which action will prevent spreading organisms from one eye to the other when bathing a client?

Correct Answer is D

Explanation

A client is to receive 250,000 units of benzathine penicillin. G. The medication is available in a vial containing 300,000 units per milliliter. How many milliliters should a nurse administer?

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