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 ["A","B","C"]
Explanation
Reduced muscle strength, sensory losses like vision and hearing, and slowing of reflexes are all expected physiological changes of the older adult that can put them at risk of falls.
Reduced muscle strength can make it more difficult for older adults to maintain balance and stability.
Sensory losses like vision and hearing can affect an older adult’s ability to perceive their environment and navigate safely.
Slowing of reflexes can make it more difficult for older adults to react quickly to changes in their environment and prevent falls.
Choice D is not an answer because dementia is not a physiological change but rather a cognitive condition that can increase the risk of falls.
Choice E is not an answer because the inability to adapt is not a specific physiological change but rather a general characteristic that can increase the risk of falls.
Correct Answer is B
Explanation
Remaining attentive but silent is an appropriate response by the nurse.
This allows the client to express their feelings and concerns without interruption or judgment.
It also shows the client that the nurse is actively listening and interested in what they have to say.
Choice A is not an appropriate response because placing a client on a 72-hour hold should only be done if the client is a danger to themselves or others.
Choice C is not an appropriate response because leaving the room immediately would be unprofessional and could make the client feel abandoned.
Choice D is not an appropriate response because telling the client that everything will be fine may not be true and could give false hope.
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