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. Clients will have a decreased incidence of foot amputations is a measurable outcome goal for a diabetes management program and aligns with long-term objectives of improving patient outcomes.

B. A facility will be reserved for the program is a logistical consideration but not a goal of the program itself.

C. Handouts and teaching materials will be distributed at the program is a part of the program's implementation, not a goal.

D. Proper foot care will be demonstrated to clients during the program is a teaching activity, not a program outcome goal.

A. Tell other nurses what an effective team member the AP is. B. Detail the AP's contributions to the nurse manager. C. Nominate the AP for the Employee of the Month award. D. Give positive feedback directly to the AP.

Correct Answer is D

Explanation

Rationale:

A. Telling other nurses is useful for team morale but does not directly recognize the AP.

B. Detailing contributions to the manager is valuable but can be done after initial direct recognition.

C. Nominating for an award is an excellent formal recognition but should follow immediate feedback.

D. Giving direct positive feedback immediately acknowledges the AP’s efforts and encourages continued good performance.

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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

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Explanation

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Correct Answer is D

Explanation

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