A nurse working in a provider's office is caring for a group of clients. Which of the following clients should the nurse recommend the provider see first?
A client who has a dislocated shoulder
A client who has audible wheezes
A client who reports right lower-quadrant abdominal pain
A client who has a 5 cm (2 in) laceration of the thigh
The Correct Answer is B
A. A client who has a dislocated shoulder:
This is painful and requires prompt care but is not as urgent as airway/breathing compromise.
B. A client who has audible wheezes:
Audible wheezing indicates airway narrowing or bronchospasm, which is a potential respiratory emergency and must be assessed and treated immediately.
C. A client who reports right lower-quadrant abdominal pain:
This could be appendicitis, which is urgent, but airway/breathing issues take precedence.
D. A client who has a 5 cm (2 in) laceration of the thigh:
This requires cleaning and closure but is less urgent than compromised breathing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Soft-serve ice cream:
Cold dairy products can exacerbate nausea and cause mucus thickening; they are not the best choice during chemotherapy-induced nausea.
B. String cheese:
Cheese is high in fat and can delay gastric emptying, potentially worsening nausea.
C. Raisin toast:
Light, dry, low-fat foods such as toast, crackers, or pretzels are often well tolerated during nausea because they are easy to digest and bland.
D. Hot tea:
Hot beverages can increase stomach activity and worsen nausea; cool or room-temperature fluids are generally better tolerated.
Correct Answer is D
Explanation
A. The client has tenting after pinching the skin on the hand:
Skin tenting is a sign of dehydration, not fluid volume excess.
B. The client's urinary output is 25 mL/hr for the past 4 hr:
Low urine output (oliguria) indicates dehydration or kidney impairment, not fluid overload.
C. The client experiences orthostatic hypotension when moving to a standing position:
Orthostatic hypotension is more common in dehydration or blood loss.
D. The client has distended neck veins when moved to an upright position:
Jugular vein distention in an upright position is a classic sign of fluid volume excess due to increased venous pressure.
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