A nurse on an obstetrics-gynecology unit is planning care for four clients after receiving change of shift report. Which of the following clients should the nurse assess first?

A client who is 4 days postpartum and has mastitis

A client who had a bilateral tubal ligation 12 hr previously

A client admitted 1 hr ago for an ectopic pregnancy

A client who is a 1 day postpartum after a late term miscarriage

Answer and Explanation

The Correct Answer is C

Rationale:

A. A client who is 4 days postpartum and has mastitis should be assessed, but this condition is less acute compared to the others.

B. A client who had a bilateral tubal ligation 12 hr previously requires post-operative monitoring, but this is less urgent than the client with an ectopic pregnancy.

C. A client admitted 1 hr ago for an ectopic pregnancy is the priority as this condition can be life-threatening and requires immediate assessment.

D. A client who is 1 day postpartum after a late-term miscarriage requires care, but the immediacy is less than that of the ectopic pregnancy client.

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Correct Answer is C

Explanation

Rationale:

A. Asking about discharge is a general inquiry that does not require immediate follow-up unless it’s related to specific discharge planning.

B. Changing the dressing is a routine postoperative care task and doesn’t necessarily require follow-up unless there’s a concern about the procedure.

C. Not receiving medications is a critical issue that needs immediate attention to address potential gaps in treatment.

D. Not knowing how to use the remote control is a minor issue that does not require clinical follow-up.

A. Prescribing naloxone to reverse the effects of the morphine B. Asking the client to sign the surgical consent form C. Delaying the surgery until a member of the client's family is reached D. Invoking implied consent

Correct Answer is D

Explanation

Rationale:

A. Naloxone would reverse morphine effects, which is not relevant to the immediate need for surgical intervention.

B. The client might not be able to sign the consent if under the effects of morphine, and obtaining consent might be delayed.

C. Delaying surgery might not be appropriate if the client’s condition is critical and requires urgent intervention.

D. Implied consent is used in emergencies when a patient cannot provide consent due to their condition, and it is assumed they would consent to life-saving treatment.

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A nurse on an obstetrics-gynecology unit is planning care for four clients after receiving change of shift report. Which of the following clients should the nurse assess first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

Correct Answer is D

Explanation

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