After receiving change-of-shift report, which of the following clients should the nurse collect data from first?
A client who has a history of pancreatitis and reports severe abdominal pain
A client who has heart failure and reports severe dyspnea
A client who is scheduled for abdominal surgery in 1 hr
A postoperative client who has diabetes mellitus and a blood glucose of 280 mg/dL
The Correct Answer is B
A. While severe abdominal pain in a client with a history of pancreatitis requires urgent assessment, severe dyspnea in a client with heart failure may indicate impending respiratory distress, requiring immediate intervention.
B. Severe dyspnea in a client with heart failure is a critical situation that requires immediate assessment and intervention to prevent respiratory compromise or failure.
C. While a client scheduled for surgery may need preparation and assessment, the client with severe dyspnea takes priority due to the potential for respiratory distress.
D. While a high blood glucose level in a postoperative client with diabetes mellitus requires monitoring and intervention, the client with severe dyspnea requires immediate attention due to the potential for respiratory compromise.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E","F"]
Explanation
A. Chest x-ray: Essential for visualizing the heart and lungs, which is critical in a patient with symptoms of heart failure and respiratory issues.
B. Basic metabolic profile (BMP): Important to assess electrolytes, renal function, and glucose levels, especially given the patient's history of diabetes and hypertension.
C. 12-lead ECG: Necessary for evaluating heart rhythm, rate, and to look for any ischemic changes, especially since the patient is experiencing tachycardia.
D. Doppler studies of lower extremities: While useful for assessing peripheral vascular disease, it is not as immediately relevant as the other tests for a direct diagnosis of heart failure.
E. Brain natriuretic peptide (BNP) level: A key diagnostic test for heart failure as elevated levels are indicative of cardiac stress.
F. Echocardiogram: Provides critical information on heart function and structure, which is essential for diagnosing and managing heart failure.
Correct Answer is B
Explanation
A. Incorrect. Nicotine patches are intended to help individuals quit smoking by providing a controlled dose of nicotine without the harmful chemicals found in cigarettes. Continuing to smoke while using nicotine patches can increase the risk of nicotine toxicity and is not recommended.
B. Correct. Joining a support group is a beneficial strategy for smoking cessation as it provides social support, encouragement, and accountability, which can increase the likelihood of success.
C. Incorrect. Nicotine replacement therapy, including patches, gum, and lozenges, does not cause cancer. It helps individuals quit smoking by reducing withdrawal symptoms and cravings associated with nicotine dependence.
D. Incorrect. Varenicline (Chantix) is a medication used to help people quit smoking by reducing withdrawal symptoms and blocking the effects of nicotine. It does not make individuals addicted to nicotine; rather, it helps them overcome nicotine addiction.
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