A nurse on a medical-surgical unit has just received the shift report. Which patient should the nurse assess first?
A 50-year-old diabetic patient with a blood sugar level of 150 mg/dL.
A 45-year-old patient recovering from an appendectomy with a pain level of 4 out of 10.
A 70-year-old patient scheduled for a routine hip replacement surgery tomorrow.
A 65-year-old patient with a history of chronic obstructive pulmonary disease (COPD) reporting mild shortness of breath.
The Correct Answer is D
A: Blood glucose of 150 mg/dL in a diabetic patient is stable.
B: A post-op pain level of 4/10 is manageable.
C: A client scheduled for surgery tomorrow is stable and non-urgent.
D: Mild shortness of breath in a COPD client can rapidly worsen. This is a potential airway/breathing issue, which is a top priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This statement describes hemodialysis, not CAPD. CAPD uses the peritoneal membrane to filter blood.
B. CAPD typically requires fewer dietary and fluid restrictions than hemodialysis because it is done continuously, providing more stable fluid and electrolyte balance.
C. Clients with a history of abdominal surgery may have adhesions or other issues that make CAPD less suitable.
D. While CAPD requires exchanges to occur several times a day, it does not require a rigid schedule of exchange times as hemodialysis does.
Correct Answer is B
Explanation
A: Creatinine typically increases as kidney function declines, not decreases.
B: As CKD progresses, urine albumin levels tend to increase due to kidney damage and leakage of proteins into the urine.
C: GFR decreases in CKD because the kidneys' filtration ability declines.
D: Proteinuria, or the presence of protein in the urine, generally increases as kidney disease progresses, indicating further damage.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.