A nurse in an emergency department is receiving report on a group of clients. Which of the following clients should the nurse assess first?

A client who has a complete femur fracture and reports a pain level of 7 on a scale from 0 to 10

A client who has left shoulder pain and S-T elevation on a 12-lead ECG

A client who has Clostridioides difficile and a temperature of 38.60 C (101.50 F)

A client who has heart failure and 2+ pitting edema in the lower extremities

Answer and Explanation

The Correct Answer is B

A. A client with a femur fracture and pain level of 7: Although painful, it is not immediately life-threatening compared to a myocardial infarction.

B. A client who has left shoulder pain and S-T elevation on a 12-lead ECG: ST-segment elevation indicates acute myocardial infarction (STEMI). This is a medical emergency requiring immediate interventions to restore coronary perfusion (e.g., oxygen, nitrates, antiplatelets, possible PCI).

C. A client with C. difficile and fever: This infection requires isolation and treatment but does not pose an immediate threat to life.

D. A client with heart failure and 2+ edema: This is a chronic condition and can safely wait for assessment after the emergent cardiac case.

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Correct Answer is A

Explanation

A. In traditional Chinese medicine, health is viewed as a balance between yin (cold) and yang (hot) forces. After childbirth (a "cold" state), women typically consume "hot" foods to restore balance.

B. Chinese culture values emotional restraint and modesty; expressive gestures are less common.

C. Pain is often endured quietly as a sign of strength and self-control.

D. Avoiding direct eye contact is a sign of respect, not avoidance.

A. “Your child can return to school after a negative titer result.” B. “Your child can return to school once the fever has subsided.” C. “Your child can return to school once the lesions have crusted over.” D. “Your child can return to school 24 hours after beginning antibiotics.”

Correct Answer is C

Explanation

A. A negative titer is used to determine immunity, not the infectious period. It does not indicate when the child is no longer contagious.

B. Fever may subside before the lesions have fully crusted, so relying on fever alone is insufficient to prevent transmission.

C. Varicella (chickenpox) is highly contagious. Children are considered infectious from 1–2 days before the rash appears until all lesions have crusted over. Returning to school before crusting can spread the virus to others.

D. Antibiotics do not treat viral infections like varicella. The child may still be contagious even after starting antibiotics.

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A nurse in an emergency department is receiving report on a group of clients. Which of the following clients should the nurse assess first?

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