A nurse receives report on four clients. The nurse should first collect data about the client who has which of the following?

Cellulitis accompanied by a low-grade fever

A decreased level of consciousness and vomiting

A pain rating of 7 on a scale from 0 to 10 after receiving analgesia 30 min ago

Type 2 diabetes mellitus and a blood glucose level of 160 mg/dL

Answer and Explanation

The Correct Answer is B

b. A decreased level of consciousness and vomiting

Explanation:

When receiving report on four clients, the nurse should first collect data about the client who has a decreased level of consciousness and vomiting. This combination of symptoms suggests a potentially serious condition that requires immediate atention and assessment. It could indicate a neurological or gastrointestinal issue, and further evaluation is necessary to determine the underlying cause and provide appropriate interventions.

Explanation for the other options:

a. Cellulitis accompanied by a low-grade fever:

While cellulitis and a low-grade fever require atention, they are not as immediately critical as a decreased level of consciousness and vomiting. The nurse should prioritize assessing the client with altered consciousness and vomiting due to the potential for more urgent interventions.

c. A pain rating of 7 on a scale from 0 to 10 after receiving analgesia 30 min ago:

Although the client's pain rating of 7 indicates ongoing pain, it is not as immediately critical as a decreased level of consciousness and vomiting. The nurse should first address the client with altered consciousness to determine the cause and provide appropriate interventions before assessing and managing pain in other clients.

d. Type 2 diabetes mellitus and a blood glucose level of 160 mg/dL:

While elevated blood glucose levels in a client with type 2 diabetes require atention and management, they are not as immediately critical as a decreased level of consciousness and vomiting. The nurse should first assess the client with altered consciousness to identify the cause and provide prompt interventions.

In summary, when receiving report on four clients, the nurse should first collect data about the client who has a decreased level of consciousness and vomiting. These symptoms indicate a potentially serious condition requiring immediate assessment and intervention.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["D"]

Explanation

Swimming is a low-impact sport that minimizes the risk of injury and joint stress, making it an ideal choice for children with hemophilia. It provides a cardiovascular workout without subjecting the child to excessive physical stress or the risk of trauma that could lead to bleeding. Swimming also promotes muscle strength and coordination without putting significant pressure on the joints.

Now, let's discuss why the other options are not recommended:

a.Basketball

Basketball involves physical contact and has a higher risk of falls, collisions, and potential injuries. These factors increase the likelihood of bleeding episodes for individuals with hemophilia

b.Gymnastics

Gymnastics also carries a high risk of falls, joint stress, and potential injuries. The impact and demanding movements involved in gymnastics can pose a significant risk for children with hemophilia, leading to bleeding complications.

c.Soccer

Soccer is a contact sport that involves running, kicking, and potential collisions with other players. The physical demands and unpredictable nature of the game increase the risk of injury and subsequent bleeding for individuals with hemophilia.

In summary, swimming is the most suitable sport for a school-age child with hemophilia due to its low- impact nature and minimal risk of injury. It promotes physical fitness while minimizing the likelihood of bleeding episodes and joint stress.

A. Oral irrigating device B. Seizure pads C. Sterile gloves D. Tongue blade

Correct Answer is B

Explanation

b. Seizure pads

Explanation:

The nurse should place seizure pads in the client's room when admitting a client with bacterial meningitis. Bacterial meningitis is an infection that aﬀects the meninges, the protective membranes covering the brain and spinal cord. It can cause inﬂammation and swelling of the brain, leading to an increased risk of seizures.

Seizure pads are specifically designed to provide a cushioning and protective barrier between the client's head and the hard surface, reducing the risk of injury during a seizure. They are placed on the bed or matress to help prevent head trauma or other injuries that may occur if a seizure occurs.

Now, let's discuss why the other options are not necessary for the client with bacterial meningitis:

a. Oral irrigating device:

An oral irrigating device is not necessary for a client with bacterial meningitis. Bacterial meningitis primarily aﬀects the central nervous system and does not require oral care interventions. The focus of care for these clients is on managing the infection, monitoring vital signs, and providing supportive care.

c. Sterile gloves:

While sterile gloves are commonly used in healthcare settings, they are not specifically required for the care of a client with bacterial meningitis. Standard precautions, including the use of non-sterile gloves, are sufficient for providing care to these clients. Sterile gloves are typically used for invasive procedures or when there is a need to maintain a sterile field.

d. Tongue blade:

A tongue blade is not necessary for the care of a client with bacterial meningitis. Tongue blades are typically used for oral assessments or when examining the throat, which are not directly related to the management or treatment of bacterial meningitis. The focus of care for these clients is on infection control, monitoring for complications, and providing comfort and support.

In summary, when admitting a client with bacterial meningitis, the nurse should prioritize placing seizure pads in the client's room to ensure their safety during potential seizure activity.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse receives report on four clients. The nurse should first collect data about the client who has which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a school-age child who has hemophilia about participating in school sports. Which of the following sports should the nurse recommend for the child? (Select all that apply.)

Correct Answer is ["D"]

Explanation

A nurse is preparing to admit a client who has bacterial meningitis. Which of the following items should the nurse place in the client's room?

Correct Answer is B

Explanation

A nurse is collecting data from a client who has hepatitis A. Which of the following findings should the nurse expect?

A nurse is reinforcing teaching with the parents of a toddler who has a new diagnosis of asthma and a prescription for montelukast. Which of the following instructions should the nurse include in the teaching?

A nurse is assisting a client who has irritable bowel syndrome with meal selections. Which of the following foods should the nurse remind the client to include in her diet?

A nurse is caring for a client who had a transurethral resection of the prostate and now is receiving continuous bladder irrigation. Which of the following actions should the nurse take? (Select all that apply.)

A nurse receives report on four clients. The nurse should first collect data about the client who has which of the following?

The nurse is checking the home environment of a client for safety hazards. Which of the following items require intervention by the nurse?

A nurse in an urgent care clinic is caring for a client who reports recently using methylenedioxy-methamphetamine. Which of the following findings should the nurse expect?

A nurse is contributing to the plan of care for an older adult client. Which of the following physiological changes should the nurse recommend considering when administering medication?