A nurse is caring for four clients in an emergency department. The nurse should plan to see which of the following clients first?

A client who is confused, is febrile and has foul-smelling urine

A client who has sickle cell disease and reports severe joint pain

A client who has slurred speech, is disoriented, and reports a headache

A client who has a dislocated left shoulder

Answer and Explanation

The Correct Answer is C

A. A client who is confused, is febrile, and has foul-smelling urine: These symptoms suggest a urinary tract infection potentially progressing to sepsis, which is serious but does not take priority over signs of possible stroke or brain injury.
B. A client who has sickle cell disease and reports severe joint pain: Severe pain is expected in sickle cell crises and requires prompt management, but it is not as time-sensitive as neurologic deterioration.
C. A client who has slurred speech, is disoriented, and reports a headache: These findings suggest a possible stroke or other neurological emergency such as a brain hemorrhage or increased intracranial pressure, which requires immediate evaluation and intervention.
D. A client who has a dislocated left shoulder: Although painful and requiring attention, a shoulder dislocation is not immediately life-threatening and does not take precedence over potential neurologic compromise.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Polyuria: Polyuria results from hyperglycemia, where excess glucose in the bloodstream leads to osmotic diuresis. This causes the kidneys to excrete more water, increasing urination frequency. It is not a feature of hypoglycemia.
B. Fruity breath: Fruity-scented breath is due to ketone buildup in diabetic ketoacidosis, a complication of prolonged hyperglycemia. It signals metabolic acidosis rather than low blood sugar levels.
C. Diaphoresis: Diaphoresis occurs during hypoglycemia as the body releases epinephrine in response to falling glucose. This triggers sweating, tremors, and palpitations as part of the autonomic response.
D. Polyphagia: Polyphagia is a symptom of hyperglycemia, where cells are starved of glucose despite its presence in the blood. This leads to increased hunger, not typically seen in acute hypoglycemia.

A. Document assessment findings and interventions after providing care for a group of clients. B. Delay cleaning personal work area until the end of the shift. C. Complete activities for one client before moving to the next client. D. Gather supplies for a client's dressing change after removing the old dressing.

Correct Answer is C

Explanation

A. Document assessment findings and interventions after providing care for a group of clients: Delaying documentation increases the risk of forgetting important details and can compromise accuracy and continuity of care. Timely documentation is critical.
B. Delay cleaning personal work area until the end of the shift: Postponing cleaning may lead to disorganization and inefficiency throughout the shift, potentially impacting infection control and readiness for patient care.
C. Complete activities for one client before moving to the next client: Focusing on completing care for one client at a time promotes continuity, reduces task repetition, and improves prioritization and time management.
D. Gather supplies for a client's dressing change after removing the old dressing: This approach wastes time and may expose the wound to contaminants. Preparing all supplies in advance supports efficiency and infection control.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for four clients in an emergency department. The nurse should plan to see which of the following clients first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A school nurse is assessing a child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?

Correct Answer is C

Explanation

A nurse on a medical-surgical unit is planning care for assigned clients. Which of the following actions should the nurse plan to take to demonstrate effective time management?

Correct Answer is C

Explanation

The nurse continues to care for the client who is at 30 weeks of gestation. Exhibits Click to specify which of the following actions the nurse should anticipate including in the client's plan of care. Select all that apply.

A nurse is caring for a client who has a Clostridium difficile infection. Which of the following actions should the nurse take? (Select all that apply.)

Exhibits For each potential provider's prescription, click to specify if the prescription is anticipated or unanticipated for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.

A nurse is performing wound care for a client who has an abdominal incision. Which of the following techniques should the nurse implement?

A nurse is monitoring a client who is receiving a blood transfusion. The nurse notes the client has developed a sudden onset of respiratory wheezing. Which of the following actions should the nurse perform first?

A nurse is caring for four clients in an emergency department. The nurse should plan to see which of the following clients first?

A nurse is caring for a client who has acute pulmonary edema. Which of the following is the priority nursing intervention?