A nurse has received change-of-shift report on four clients.
Which of the following clients should the nurse plan to see first?
A client who is short of breath.
A client who received pain medication 30 min ago.
A client who is to be discharged at 11:00.
A client who is ambulatory and going for an x-ray at 10:00.
The Correct Answer is A
Choice A rationale:
A client who is short of breath is experiencing a life-threatening situation and should be seen first.
Choice B rationale:
A client who received pain medication 30 min ago is likely to be comfortable and can be seen later.
Choice C rationale:
A client who is to be discharged at 11:00 can be seen closer to the discharge time.
Choice D rationale:
A client who is ambulatory and going for an x-ray at 10:00 can be seen after the x-ray.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The prescription should be clear and appropriate. If there is any part of the prescription that is unclear or inappropriate, it should be clarified with the provider. This is to ensure the safety and effectiveness of the medication for the client.
Choice B rationale:
Repeating the prescription back to the provider is a good practice to confirm the accuracy of the prescription. However, it is not the only step in ensuring the appropriateness of the prescription.
Choice C rationale:
Transcribing the prescription into the client’s medical record is important for documentation and continuity of care. However, it does not directly address the appropriateness of the prescription.
Choice D rationale:
Obtaining the provider’s signature within 48 hours is a regulatory requirement in some settings. However, it does not directly address the appropriateness of the prescription.
Correct Answer is ["1128"]
Explanation
The correct answer is 1420 mL.
Calculation:
Convert all intake to mL:
- 4 oz soda = 118 mL
- 12 oz water = 355 mL
- 1 cup gelatin = 237 mL
- 1/2 cup broth = 118 mL
- 300 mL IV fluid = 300 mL
Add all intake: 118 mL + 355 mL + 237 mL + 118 mL + 300 mL = 1128 mL
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