After receiving change-of-shift report about the following four clients, which client should the nurse assess first?

56-year-old client with chronic stable angina who is due to receive a dose of nifedipine.

59-year-old with unstable angina who has just returned to the unit after having a heart catheterization with balloon angioplasty.

65-year-old who had a myocardial infarction (MI) 4days ago and is anxious about the planned discharge.

Client who is post coronary artery bypass, with potassium 4.2 mEq/L.

Answer and Explanation

The Correct Answer is B

A. A stable client with chronic angina is not in immediate danger, and the scheduled dose of nifedipine is not an urgent priority.

B. The client with unstable angina who has just undergone a heart catheterization with balloon angioplasty requires immediate assessment for complications such as bleeding, clot formation, or re-occlusion of the artery.

C. The 65-year-old post-MI client is stable, and while their anxiety is important to address, it is not an immediate concern compared to other clients.

D. The client post-coronary artery bypass with a potassium level of 4.2 mEq/L is stable and does not require urgent intervention.

Nursing Test Bank

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Correct Answer is D

Explanation

A. A reduction in lump size and pain with oral contraceptives is expected and does not indicate a need to change the treatment plan.

B. Increased lump pain before menstruation is typical for fibrocystic changes and not a cause for concern.

C. Firm, movable lumps in the upper outer breast quadrants are characteristic of fibrocystic changes and do not suggest an alternative condition.

D. An area that is hot, pink, and tender indicates inflammation or possible infection (e.g., mastitis or abscess), requiring further evaluation and potentially altering the treatment plan.

Correct Answer is ["900"]

Explanation

Calculate the actual urine output:

Total output - Irrigation solution = Actual urine output

2500 mL (total output) - 1600 mL (irrigation solution) = 900 mL (actual urine output)

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Test Name	Results	Reference Range
WBC	12, 000	4, 000- 11, 000
Na+	149 mEq/L	135-145 mEq/L
K+	5.0 mEq/L	3.5- 5.0 mEq/L
Cl-	110 mEq/L	96-106 mEq/L
pH	7.34	7.35-7.45
PaCO2	34 mmHg	35- 45 mmHg
PaO2	78 mm Hg	80-100 mmHg
HCO3	21 mEq/L	22- 26 mEq/L

After receiving change-of-shift report about the following four clients, which client should the nurse assess first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 36-yr-old client who has a diagnosis of fibrocystic breast changes calls the nurse in the clinic reporting symptoms. Which information is likely to change the treatment plan?

Correct Answer is D

Explanation

Correct Answer is ["900"]

Explanation

After receiving change-of-shift report, which client should the nurse assess first?

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