A nurse is receiving change-of-shift report on four clients. Which of the following clients should the nurse plan to see first?

A client who had a renal biopsy 3 hr ago and has pink-tinged urine

A client who has a femur fracture and reports numbness of the toes

A client who has cirrhosis and severe pruritus

A client who had a laparoscopic appendectomy 8 hr ago and is awaiting discharge

Answer and Explanation

The Correct Answer is B

Numbness of the toes in a client with a femur fracture may indicate neurovascular compromise, which requires immediate attention.

It could be a sign of impaired circulation or nerve damage, and prompt assessment is needed to prevent further complications or permanent damage.

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Correct Answer is C

Explanation

A malfunctioning IV pump screen poses a risk to the accurate administration of IV fluids and medications, and it can compromise patient safety. It is important to discontinue use of the malfunctioning pump to prevent potential errors or complications. The nurse should tag the IV pump to notify others that it is not functioning properly and should not be used until it is repaired or replaced.

A. "I will place my newborn face up on a pillow when sleeping." B. "I will make sure that I can fit one finger between the mattress and the side of my newborn's crib." C. "I will attach the pacifier to my newborn's clothing with a string at bedtime:" D. "I will place my newborn's crib near a heat vent during cold weather"

Correct Answer is B

Explanation

The guideline of being able to fit one finger between the mattress and the side of the crib ensures that there is a safe space to prevent entrapment and suffocation risks.

Placing a newborn on a pillow for sleep is unsafe. Infants should be placed on their backs to sleep on a firm, flat surface without pillows, blankets, or soft bedding. This reduces the risk of suffocation or sudden infant death syndrome (SIDS).

Attaching a pacifier to the newborn's clothing with a string is hazardous. Strings and cords pose a strangulation risk. Pacifiers should be used according to safe guidelines, but they should not be attached to the baby's clothing with any type of string or cord.

Placing a newborn's crib near a heat vent can result in overheating, which is a safety concern. It is important to keep the baby's sleep environment at a comfortable temperature without direct exposure to heat sources or drafts

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A nurse is receiving change-of-shift report on four clients. Which of the following clients should the nurse plan to see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing a client with IV fluids and finds that the IV pump screen is malfunctioning. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a parent of a newborn about home safety precautions. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is assisting with a prenatal examination of a client who is at 8 weeks of gestation. The nurse notes that the client's vagina and vulva are a purplish color. The nurse should document this finding as which of the following?

A nurse working in a clinic is reinforcing teaching with a client who has hepatitis A. Which of the following client statements indicates an understanding of the teaching?

A nurse is reinforcing discharge teaching with the caregiver of a client who has dependent personality disorder. Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a client who has terminal cancer. Which of the following actions should the nurse take to promote the client's autonomy?

A nurse is assisting with a community health program for caregivers of clients who have Alzheimer's disease. Which of the following information should the nurse include?

A nurse is contributing to the plan of care for a client who is 2 days postoperative and reports pain in their calf. Which of the following actions should the nurse include?

A nurse is collecting data from a client who is at 20 weeks of gestation and has been taking ferrous sulfate. For which of the following findings should the nurse monitor as a common adverse effect of iron supplementation and report to the provider?

A nurse is administering pancrelipase to a child who has cystic fibrosis. Which of the following outcomes should the nurse expect as a therapeutic effect of the treatment?