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 A

Explanation

Candidiasis, also known as a yeast infection, commonly presents with symptoms such as a thick, white vaginal discharge. It may also be accompanied by itching, redness, and irritation in the vaginal area. This type of discharge is typically described as resembling cottage cheese in texture. Other symptoms that may occur with candidiasis include burning during urination and discomfort during sexual intercourse.

A hard, painless chancre is a characteristic finding of syphilis, not candidiasis. Frothy, malodorous discharge is commonly associated with bacterial vaginosis, not candidiasis.

Feeling of pelvic heaviness is more commonly associated with conditions like pelvic organ prolapse or uterine fibroids, and is not specific to candidiasis.

A. Apply rubber-soled slippers before ambulation. B. Move the bedside table with the client's personal items close to the bed. C. Determine the client's ability to use the call light. D. Create a schedule with an assistive personnel to do hourly rounding for the client.

Correct Answer is C

Explanation

Assessing the client's ability to use the call light is crucial for their safety and well-being. If the client is unable to use the call light to request assistance, it increases the risk of falls or accidents when they attempt to move or perform tasks without assistance. By determining the client's ability to use the call light, the nurse can ensure that appropriate measures are in place to enable the client to call for help whenever needed.

Applying rubber-soled slippers before ambulation helps to provide better traction and reduce the risk of slips and falls, but it can be implemented after assessing the client's ability to use the call light.

Moving the bedside table closer to the bed is helpful for the client to access personal items without the need to reach or stretch, but it is not the highest priority among the given options.

Creating a schedule with assistive personnel for hourly rounding is important for regular checks on the client's safety and well-being, but it can be arranged after assessing the client's ability to use the call light.

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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

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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