A nurse is caring for four clients. Which one would the nurse see first?

Client who needs a beta blocker, and has a blood pressure of 98/58 mm Hg.

Hypertensive client with a blood pressure of 156/90 mm Hg.

Client who needs pain medication prior to a dressing change of a surgical wound.

Client who had a first dose of captopril and needs to use the bathroom.

Answer and Explanation

The Correct Answer is A

A. A client with low blood pressure (98/58 mm Hg) who requires a beta blocker should be seen first because beta blockers can lower blood pressure further, possibly leading to hypotension or dizziness.

B. A hypertensive client with a blood pressure of 156/90 mm Hg is stable and does not require immediate intervention.

C. While pain medication is important, it is not as urgent as addressing a client with low blood pressure and a medication that can worsen the condition.

D. The client who just had captopril can wait to use the bathroom, as the priority is addressing their blood pressure and captopril's effect.

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Correct Answer is B

Explanation

A. Orthopnea: Orthopnea is difficulty breathing when lying flat, but the client's description of waking up suddenly points to paroxysmal nocturnal dyspnea.

B. Paroxysmal nocturnal dyspnea: This is the correct answer. Paroxysmal nocturnal dyspnea occurs when a client with heart failure wakes up at night feeling suffocated due to fluid redistribution and pulmonary congestion.

C. Pulsus alternans: Pulsus alternans refers to alternating strong and weak heartbeats and is not related to the client's description of nocturnal dyspnea.

D. Acute bilateral pleural effusion: While pleural effusion can cause respiratory symptoms, paroxysmal nocturnal dyspnea is more specific to heart failure.

A. testicular torsion B. sexually transmitted infections C. testicular trauma D. undescended testicles

Correct Answer is D

Explanation

A. Testicular torsion: While testicular torsion is an emergency and can cause pain and damage, it is not directly linked to testicular cancer risk.

B. Sexually transmitted infections: Although STIs can affect reproductive health, they are not a known significant risk factor for testicular cancer.

C. Testicular trauma: Testicular trauma may cause injury but is not a major risk factor for testicular cancer.

D. Undescended testicles: This is the correct answer. Undescended testicles, or cryptorchidism, is a well-established risk factor for testicular cancer, as it increases the likelihood of developing the condition.

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A nurse is caring for four clients. Which one would the nurse see first?

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