A nurse is prioritizing client care after receiving a change-of-shift report. Which of the following clients should the nurse plan to see first?
A client who told an assistive personnel he is short of breath
A client who has a prescription for discharge
A client who received oral pain medication 30 minutes ago
A client who is scheduled for an abdominal x-ray and is awaiting transport
The Correct Answer is A
Choice A reason (client care): A client reporting shortness of breath may be experiencing a life-threatening situation that aligns with the ABCs (Airway, Breathing, Circulation) of patient prioritization. This client requires immediate assessment and intervention.
Choice B reason (client care): While discharge is important, it does not take precedence over a client with potential respiratory distress.
Choice C reason (client care): A client who received pain medication 30 minutes ago is likely stable and can be seen after more urgent cases are addressed.
Choice D reason (client care): A client waiting for an abdominal x-ray is not a priority over a client with respiratory issues.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Stopping seizure medication such as phenytoin without medical advice can lead to life-threatening seizures. It is not recommended to stop after a set period of being seizure-free without consulting a healthcare provider.
Choice B reason: Phenytoin should not be taken only during periods of stress; it is intended to be used consistently to maintain therapeutic levels in the body.
Choice C reason: Phenytoin may need to be continued indefinitely, depending on the individual's condition and the doctor's recommendation. It is often used as a long-term treatment for seizure control.
Choice D reason: This statement is misleading; while phenytoin helps control seizures, it does not cure the underlying condition causing them.
Correct Answer is B
Explanation
Choice A reason : Maintenance chemotherapy is not typically used to maintain remission in Hodgkin's lymphoma after successful treatment.
Choice B reason : Follow-up appointments are crucial for monitoring any signs of recurrence or secondary malignancies, as well as managing long-term effects of treatment.
Choice C reason : The potential impact of chemotherapy on fertility is an important topic, especially for younger patients, but may not be as relevant for a 55-year-old woman.
Choice D reason : Addressing symptoms like pruritus, which can persist after treatment, is important for patient comfort and quality of life.
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