After receiving morning report about four clients, which client should the nurse attend to first?
An older female client who had a hip replacement yesterday and is notably pale with a Hemoglobin of 10.5 g/dl.
An adult client with osteomyelitis of the ankle who refuses an IV restart that is needed to administer antibiotics.
An elderly client with low back pain who removed the pelvic traction and repeatedly states a strong desire to go home.
A young adult client with a closed reduction of a fractured femur who has been complaining of increasingly severe pain.
The Correct Answer is D
Choice A: The older female client who had a hip replacement yesterday and is notably pale with a hemoglobin of 10.5 g/dl likely needs attention, but the information provided does not indicate an urgent, life-threatening situation. Immediate intervention may not be necessary based on the information given.
Choice B: The adult client with osteomyelitis of the ankle who refuses an IV restart for antibiotics is concerning, but it does not represent an immediate life- threatening situation. The client's refusal should be addressed, but it may not require immediate attention.
Choice C: The elderly client with low back pain who removed pelvic traction and wants to go home may require assessment and intervention, but the information provided does not indicate an urgent, life-threatening situation. It may not be the first priority.
Choice D: The young adult client with a closed reduction of a fractured femur complaining of increasingly severe pain is the most concerning. Pain assessment and management are critical, and uncontrolled pain can lead to complications. This client should be attended to first to assess and address the pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: This is important for the client's overall health but is not the most immediate priority in managing diabetes.
Choice B: The most important intervention for this client is to address lifestyle factors that contribute to diabetes and overall health. Weight loss and dietary changes are key components of managing type 2 diabetes. The client's weight is significantly above a healthy range, and losing 2 pounds (1 kg) per week is a reasonable and safe goal.
Choice C: Encouraging family members to be tested for diabetes is relevant but does not directly address the client's own management of the condition.
Choice D: Determining the client's feelings about the diagnosis is important for emotional support but does not directly address the client's physical health and diabetes management.
Correct Answer is C
Explanation
Choice A: have higher sodium content, so they are not the best choices for someone with elevated serum sodium levels.
Choice B: have higher sodium content, so they are not the best choices for someone with elevated serum sodium levels.
Choice C: Skim milk, grapes, and lettuce are good sources of water that can help dilute the sodium level in the blood. Bacon is a high-sodium food, but it is a small portion compared to the other choices and can be balanced by the rest of the meal.
Choice D: this combination contains higher sodium levels, especially canned soup, so it's not the ideal choice.
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