A nurse is receiving change-of-shift report on four clients. Which of the following clients should the nurse plan to see first?
A client who has cirrhosis and severe pruritus
A client who has a femur fracture and reports numbness of the toes
A client who had a renal biopsy 3 hr ago and has pink-tinged urine
A client who had a laparoscopic appendectomy 8 hr ago and is awaiting discharge
The Correct Answer is B
Numbness of the toes following a femur fracture can indicate potential nerve compromise or damage, which requires immediate attention. Nerve compression or injury can lead to long-term complications if not addressed promptly. It is important for the nurse to assess the client's neurovascular status, including circulation, sensation, and movement, to determine if there is any compromise to the affected limb.
A client with cirrhosis and severe pruritus can be seen next, as pruritus can significantly affect the client's comfort and quality of life. However, it is not immediately life-threatening.
A client who had a renal biopsy 3 hours ago and has pink-tinged urine should be assessed, but this finding is expected after a renal biopsy. The nurse should ensure that the client is monitored for any signs of bleeding or complications, but it may not require immediate attention unless the bleeding worsens or other concerning symptoms arise.
A client who had a laparoscopic appendectomy 8 hours ago and is awaiting discharge can be seen last, as long as there are no complications or signs of postoperative issues. The nurse should ensure that the client is stable, comfortable, and meeting the necessary criteria for discharge.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Chadwick's sign is a bluish or purplish discoloration of the cervix, vagina, and vulva that can occur during pregnancy. It is caused by increased blood flow and vascular changes in the area. It is considered a normal finding in early pregnancy and is often used as a sign to support the diagnosis of pregnancy.
Ballottement refers to a palpable rebound of the fetus when the examiner pushes on the mother's abdomen.
Hegar's sign is the softening and compressibility of the lower uterine segment, which can be felt during a bimanual examination.
Chloasma refers to the development of hyperpigmented patches on the face, often referred to as the "mask of pregnancy."
Correct Answer is B
Explanation
Veracity refers to the ethical principle of truthfulness and honesty in communication. By communicating truthfully about the adverse effects of the client's prescribed medications, the nurse is practising veracity. This means providing accurate and complete information to the client, enabling them to make informed decisions about their healthcare.
Beneficence refers to the obligation of healthcare professionals to act in the best interests of the client and promote their well-being. While the nurse's actions may align with beneficence by providing information about medication adverse effects, it is specifically veracity that is demonstrated in this scenario.
Justice pertains to fairness and equal treatment. Although important in healthcare, it is not directly related to the nurse's communication of adverse effects.
Autonomy refers to respecting and supporting the client's right to make their own decisions about their care. While the nurse's truthful communication about adverse effects supports the client's autonomy, it is the concept of veracity that specifically addresses honesty and truthfulness in communication.
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