When evaluating clients in the urgent care center, which client should be seen first? The client:.

with a large laceration on the left scapula.

with a compound fracture of the right tibia.

who is unable to breastfeed her 4 week old.

with a labored respiratory rate of 28.

Answer and Explanation

The Correct Answer is D

The client with a labored respiratory rate of 28 should be seen first because this indicates respiratory distress, which is a life-threatening condition that requires immediate intervention. Respiratory rate is one of the vital signs that are used to assess the severity of a patient’s condition and to triage them accordingly. A normal respiratory rate for an adult is 12 to 20 breaths per minute.

Choice A is wrong because a large laceration on the left scapula is not as urgent as respiratory distress.

A laceration is a wound that involves a cut or tear in the skin, which may cause bleeding, pain, and infection. However, it can be managed with wound care and suturing in the urgent care center.

Choice B is wrong because a compound fracture of the right tibia is not as urgent as respiratory distress.

A compound fracture is a fracture that breaks through the skin, which may cause bleeding, pain, infection, and nerve or blood vessel damage. However, it can be stabilized with splinting and dressing in the urgent care center before transferring to a hospital for further treatment.

Choice C is wrong because being unable to breastfeed a 4 week old is not as urgent as respiratory distress.

Breastfeeding difficulties may be caused by various factors, such as poor latch, low milk supply, sore nipples, or mastitis. However, they can be managed with education, support, and medication in the urgent care center.

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Free Nursing Study Resources

Correct Answer is A

Explanation

Formed stool two times per day, every day, for one week. This indicates that bowel training is attaining the desired outcome because it shows regularity and consistency of bowel movements without the use of laxatives or enemas.

Choice B is wrong because soap sud enemas are not recommended for bowel training as they can irritate the bowel and cause fluid and electrolyte imbalance.

Choice C is wrong because continued use of laxatives can inhibit the natural defecation reflexes and cause dependency.

Choice D is wrong because a formed, soft stool at regular intervals without the use of a laxative is a normal defecation pattern, not an indication of fecal incontinence.

A. Massage your legs gently if you have pain as you put on the stockings. B. Apply these stockings immediately after going to the bathroom in the morning. C. Wet the stockings first so they will be easier to apply. D. Remove these stockings before bathing and apply fresh ones afterward.

Correct Answer is B

Explanation

This is because anti-embolism stockings are designed to prevent swelling and blood clots in the legs by applying graduated compression, which is tighter around the ankle and looser as it moves up the leg. Applying the stockings in the morning before any swelling occurs ensures a proper fit and optimal blood flow.

Choice A is wrong because massaging the legs can dislodge a blood clot and cause a pulmonary embolism.

Choice C is wrong because wetting the stockings can make them harder to apply and reduce their effectiveness.

Choice D is wrong because removing the stockings before bathing can increase the risk of swelling and clotting, and applying fresh ones afterward can be difficult and uncomfortable.

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When evaluating clients in the urgent care center, which client should be seen first? The client:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which finding, if identified in a client who is being treated for fecal incontinence would indicate that the bowel training is attaining the desired outcome?

Correct Answer is A

Explanation

A nurse is teaching a client on venous thromboembolism (VTE) prevention about how to use anti-embolism (TED) stockings. Which instruction should be included?

Correct Answer is B

Explanation

A client states “I don’t want to have surgery.” Which of the following is a therapeutic response to the client?

Which nursing action is the priority intervention for a client diagnosed with total urinary incontinence?

During a sleep history evaluation, which statement by the client requires further follow-up?

Which client assessment should a nurse immediately report to the health care provider?

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Which dessert choice by a client who is prescribed a low-fat diet indicates the client understands the dietary instructions?

A client is diagnosed with hearing loss. Which nursing intervention will best facilitate communication with the client?

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