Which patient should the nurse assess first after receiving a change-of-shift report?
A patient with a scheduled physical therapy session in 1 hour.
A patient with a routine follow-up appointment for a non-urgent condition.
A patient with altered mental status and confusion.
A patient with moderate pleuritis and requesting pain medication.
The Correct Answer is C
A. While this patient is scheduled for a physical therapy session, it is not an urgent concern that would require immediate attention.
B. A routine follow-up appointment for a non-urgent condition can be managed at a later time and does not take priority over more acute concerns.
C. A patient with altered mental status and confusion should be assessed first. This could indicate a serious underlying issue such as infection, hypoxia, or a neurological condition. Altered mental status in any patient warrants immediate attention to prevent further complications.
D. Although the patient with pleuritis is in pain, moderate pleuritis is typically not an urgent condition, and pain management can be provided after more pressing concerns are addressed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Cleaning the stoma site with warm water and mild soap is appropriate and the correct way to maintain stoma hygiene. No harsh chemicals or abrasive materials should be used.
B. It is safe for the client to continue participating in physical activities and exercise, as long as they feel comfortable and take necessary precautions to protect the stoma.
C. Clients with an ileostomy are generally advised to avoid high-fiber foods, especially right after surgery, to reduce the risk of blockages.
D. The ostomy bag should typically be changed every 3 to 7 days, depending on the type of bag used and the amount of output. Changing it every day is unnecessary unless there are signs of leakage or skin irritation.
Correct Answer is ["0.5"]
Explanation
Number of tablets = Desired dose (mg) / Tablet strength (mg/tablet)
In this case:
Desired dose = 25 mg
Tablet strength = 50 mg/tablet
Plugging the values into the formula:
Number of tablets = 25 mg / 50 mg/tablet = 0.5 tablets
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