What client should be seen by the nurse first?
A client with acute diarrhea.
A client who is anxious.
A woman who feels isolated.
An elderly man with a fractured hip.
The Correct Answer is D
A fractured hip in an elderly person can be a life-threatening injury due to the risk of complications such as blood clots, pneumonia, and infection.
It is important for the nurse to assess the man’s pain level, vital signs, and overall condition and initiate appropriate interventions as soon as possible.
Choice A) A client with acute diarrhea may require prompt attention to prevent dehydration, but it is not as urgent as a fractured hip.
Choice B) A client who is anxious may benefit from interventions to reduce anxiety, but it is not a life-threatening condition.
Choice C) A woman who feels isolated may benefit from social support and interventions to address her emotional needs, but it is not an urgent medical condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
It is important for the nurse to understand the client’s cultural perspective and work with them to find a method that will help them adhere to their medication schedule.
This approach shows respect for the client’s cultural beliefs and values while also emphasizing the importance of taking their medications on time.
CHOICE A. Telling the client that they will die if they do not take their medications at a certain time is not an appropriate response as it may cause unnecessary fear and anxiety.
CHOICE B. Telling the client that it is their prerogative to follow the schedule or not does not emphasize the importance of adhering to the medication schedule.
CHOICE D. Simply providing the client with a schedule and a watch without discussing their cultural beliefs and values may not be effective in helping them adhere to their medication schedule.
Correct Answer is B
Explanation
A surgical sponge left in a client’s incision is a “never event”.
A “never event” is a serious, largely preventable safety incident that should not occur if the available preventative measures are implemented1.
These events include things like wrong-site surgery or foreign objects left in a person’s body after an operation2.
Choice A is incorrect because no blood incompatibility during a blood transfusion is not a “never event”.
Choice C is incorrect because a client falling in their own home is not a “never event”.
Choice D is incorrect because inserting a urinary catheter before surgery is not a “never event”.
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