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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A negative urine dipstick for nitrites is more indicative of a lack of bacterial infection and is not directly related to glomerulonephritis.
Choice B reason: While the absence of pain or burning with voiding is positive, it does not specifically indicate the resolution of glomerulonephritis.
Choice C reason: The resolution of periorbital and peripheral edema is a sign that the treatment for glomerulonephritis has been effective, as edema is a common symptom of this condition.
Choice D reason: A decrease in the anti-streptolysin-O (ASO) titer may indicate a response to treatment for a streptococcal infection, but it is not the most direct indicator of effective treatment for glomerulonephritis.
Correct Answer is C
Explanation
Choice A reason: Nephrotoxicity causes intrinsic renal failure due to direct damage to the renal parenchyma, not pre-renal failure.
Choice B reason: Acute tubular necrosis is a type of intrinsic renal failure resulting from damage to the renal tubules, not pre-renal failure.
Choice C reason: Hypovolemia is a common cause of pre-renal failure due to decreased blood flow to the kidneys, leading to reduced urine output.
Choice D reason: Acute Glomerulonephritis is an intrinsic renal condition that affects the glomeruli, not a pre-renal cause.
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