A nurse is prioritizing client care after receiving a change-of-shift report. Which of the following clients should the nurse plan to see first?

A client who told an assistive personnel he is short of breath

A client who has a prescription for discharge

A client who received oral pain medication 30 minutes ago

A client who is scheduled for an abdominal x-ray and is awaiting transport

Answer and Explanation

The Correct Answer is A

Choice A reason (client care): A client reporting shortness of breath may be experiencing a life-threatening situation that aligns with the ABCs (Airway, Breathing, Circulation) of patient prioritization. This client requires immediate assessment and intervention.

Choice B reason (client care): While discharge is important, it does not take precedence over a client with potential respiratory distress.

Choice C reason (client care): A client who received pain medication 30 minutes ago is likely stable and can be seen after more urgent cases are addressed.

Choice D reason (client care): A client waiting for an abdominal x-ray is not a priority over a client with respiratory issues.

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Correct Answer is C

Explanation

Choice A reason: Enhancing the formation of granulation tissue is not the immediate expected outcome of an escharotomy.

Choice B reason: Ensuring brisk bleeding is not the goal; minimal bleeding is expected, and it should be controlled to maintain ﬂuid volume status.

Choice C reason: Ensuring the return of distal pulses is the expected outcome of an escharotomy, as it relieves pressure and restores circulation to the aﬀected limbs.

Choice D reason: Decreasing edema formation is a benefit of the procedure but not the primary expected outcome.

A. Stroke Volume B. Renin-Angiotensin-Aldosterone-System (RAAS) C. Brain and Atrial natriuretic peptides (BNP & ANP) D. Erythropoietin

Correct Answer is B

Explanation

Choice A reason: Stroke Volume refers to the amount of blood pumped by the left ventricle of the heart in one contraction, not to the regulation of ﬂuid volume and cardiac output.

Choice B reason: Renin-Angiotensin-Aldosterone-System (RAAS) is responsible for vasoconstriction, sodium retention, and water reabsorption, which helps to increase circulating ﬂuid volume and cardiac output.

Choice C reason: Brain and Atrial natriuretic peptides (BNP & ANP) actually work to decrease blood volume and pressure, not increase them.

Choice D reason: Erythropoietin primarily stimulates red blood cell production and does not directly aﬀect ﬂuid volume or cardiac output.

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A nurse is prioritizing client care after receiving a change-of-shift report. Which of the following clients should the nurse plan to see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to assist the burn surgeon in performing an escharotomy for a patient who has full-thickness circumferential burns that resulted in compartment syndrome. The nurse understands that the expected outcome of this procedure is to:

Correct Answer is C

Explanation

Vasoconstriction, sodium retention, and water reabsorption to increase circulating ﬂuid volume and cardiac output are the primary functions of:

Correct Answer is B

Explanation

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