A nurse is triaging clients in the emergency department. Which of the following clients should the nurse ask the healthcare provider to care for first?

A client who has acute tonsillitis, is drooling, and has difficulty swallowing

A client who sustained a deep laceration to their leg and is complaining of dizziness and weakness

A client who has chronic obstructive pulmonary disease (COPD) with a pulse oximetry reading of 88%

A client who has lower left abdominal pain and bloody stools

Answer and Explanation

The Correct Answer is A

A. A client who has acute tonsillitis, is drooling, and has difficulty swallowing: This client is likely experiencing severe swelling or an airway obstruction, which requires immediate attention to ensure the airway is not compromised.
B. A client who sustained a deep laceration to their leg and is complaining of dizziness and weakness: While this client has concerning symptoms, airway compromise is prioritized in triage.
C. A client who has chronic obstructive pulmonary disease (COPD) with a pulse oximetry reading of 88%: This client is hypoxic and requires prompt intervention, but airway issues take precedence.
D. A client who has lower left abdominal pain and bloody stools: This client may have a serious condition but does not require as immediate intervention as a compromised airway.

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Correct Answer is D

Explanation

A. Instruct the client to abstain from sexual intercourse for 24 hours prior to the test: While abstaining from sexual intercourse can be recommended to avoid contamination, it is not the most immediate concern before performing the test.
B. Educate the client about the risk factors associated with cervical cancer: While important, this is not a pre-procedural intervention but rather part of general patient education.
C. Assess the client's vital signs, including blood pressure and pulse rate: Vital signs are important but not specifically required before performing a Pap test.
D. Explain the steps of the Pap test procedure to the client: This is the most appropriate intervention as it prepares the client for the procedure, reducing anxiety and ensuring informed consent.

A. "Expect to see a response from the medication within a week." B. "Avoid drinking grapefruit juice with this medication." C. "Decreased libido is an adverse effect of the medication." D. "Prostate-specific antigen (PSA) levels will significantly increase while taking this medication."

Correct Answer is C

Explanation

A. "Expect to see a response from the medication within a week": This is incorrect. Finasteride typically takes several months (up to 6 months) to show noticeable effects in reducing symptoms of benign prostatic hypertrophy.
B. "Avoid drinking grapefruit juice with this medication": This is incorrect. Grapefruit juice is not known to interact with finasteride. However, it is always a good practice to check for specific food and drug interactions.
C. "Decreased libido is an adverse effect of the medication": This is correct. Finasteride can cause sexual side effects, including decreased libido, erectile dysfunction, and ejaculatory disorders.
D. "Prostate-specific antigen (PSA) levels will significantly increase while taking this medication": This is incorrect. Finasteride typically lowers PSA levels, which should be considered when monitoring for prostate health.

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A nurse is triaging clients in the emergency department. Which of the following clients should the nurse ask the healthcare provider to care for first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to perform a Papanicolaou (Pap) test for a 35-year-old female client during a routine gynecological examination. Which of the following nursing interventions is most appropriate before conducting the procedure?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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