A nurse on an obstetrics-gynecology unit is planning care for four clients after receiving change of shift report. Which of the following clients should the nurse assess first?

A client who is 4 days postpartum and has mastitis

A client who had a bilateral tubal ligation 12 hr previously

A client admitted 1 hr ago for an ectopic pregnancy

A client who is a 1 day postpartum after a late term miscarriage

Answer and Explanation

The Correct Answer is C

Rationale:

A. A client who is 4 days postpartum and has mastitis should be assessed, but this condition is less acute compared to the others.

B. A client who had a bilateral tubal ligation 12 hr previously requires post-operative monitoring, but this is less urgent than the client with an ectopic pregnancy.

C. A client admitted 1 hr ago for an ectopic pregnancy is the priority as this condition can be life-threatening and requires immediate assessment.

D. A client who is 1 day postpartum after a late-term miscarriage requires care, but the immediacy is less than that of the ectopic pregnancy client.

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Correct Answer is A

Explanation

Rationale:

A. Assessment includes the current status and vital signs of the client, which are part of the information the nurse provides to assess the client’s condition.

B. Situation describes the problem or concern that prompted the communication, not detailed vital signs.

C. Background provides context or history relevant to the situation but does not include current vital signs.

D. Recommendation involves suggesting actions or solutions but does not include the current condition details.

A. Lean gently over the back of a chair sitting to one side of the room when making the announcement. B. Cross her arms over her chest when beginning the announcement. C. Stare at the people the announcement will affect the most D. Sit in front of the group for the meeting and then stand for the announcement.

Correct Answer is D

Explanation

Rationale:

A. Lean gently over the back of a chair sitting to one side of the room may appear disengaged or unprofessional.

B. Cross her arms over her chest is a closed posture that may seem defensive or unapproachable.

C. Stare at the people the announcement will affect the most can be intimidating or uncomfortable for others.

D. Sit in front of the group for the meeting and then stand for the announcement is effective for emphasizing the importance of the announcement and engaging the audience.

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A nurse on an obstetrics-gynecology unit is planning care for four clients after receiving change of shift report. Which of the following clients should the nurse assess first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse who is leading a team of nurse managers is planning to make a major announcement. The nurse should use which of the following nonverbal communication techniques to enhance the importance of the announcement?

Correct Answer is D

Explanation

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