A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?
A client who reports right-sided flank pain and is diaphoretic
A client who reports shortness of breath and left neck and shoulder pain
A client who has active bleeding from a puncture wound of the left groin area
A client who has a raised red skin rash on his arms, neck, and face
The Correct Answer is B
A: Right-sided flank pain and diaphoresis could indicate a kidney stone or infection, which is painful but not immediately life-threatening.
B: Shortness of breath combined with pain in the neck and shoulder could suggest a myocardial infarction (heart attack), which is a medical emergency requiring immediate attention.
C: Active bleeding from a puncture wound is concerning and requires prompt intervention, but it may not be as immediately life-threatening as a potential heart attack.
D: A raised red skin rash could be a sign of an allergic reaction or infection. While it may require medical attention, it is not as urgent as a potential myocardial infarction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Reporting infections like chlamydia to the local health department is crucial for public health monitoring and contact tracing to prevent further spread of the infection.
B. Chlamydia is a bacterial infection, and antiviral creams are not effective against it.
C. While advising the client about preventive measures like condom use is important, reporting the infection is the priority for public health purposes.
D. Contact precautions are not necessary for chlamydia as it is primarily spread through sexual contact and not through casual contact or airborne transmission.
Correct Answer is C
Explanation
A. Instructing the client's family to contact the insurance provider might be helpful, but it doesn't address the immediate need for the oxygen tank.
B. Contacting social services might assist with various needs, but it might not expedite the delivery of the oxygen equipment.
C. Notifying the provider about the delayed oxygen tank delivery is essential to update the provider on the client's situation and potentially expedite the process.
D. Sending an oxygen tank from the facility home with the client might not be feasible due to regulations, safety concerns, and potential liability issues.
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