A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?

A client who reports right-sided flank pain and is diaphoretic

A client who reports shortness of breath and left neck and shoulder pain

A client who has active bleeding from a puncture wound of the left groin area

A client who has a raised red skin rash on his arms, neck, and face

Answer and Explanation

The Correct Answer is B

A: Right-sided flank pain and diaphoresis could indicate a kidney stone or infection, which is painful but not immediately life-threatening.

B: Shortness of breath combined with pain in the neck and shoulder could suggest a myocardial infarction (heart attack), which is a medical emergency requiring immediate attention.

C: Active bleeding from a puncture wound is concerning and requires prompt intervention, but it may not be as immediately life-threatening as a potential heart attack.

D: A raised red skin rash could be a sign of an allergic reaction or infection. While it may require medical attention, it is not as urgent as a potential myocardial infarction.

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Correct Answer is B

Explanation

A. Calling the pharmacy for a prescription for the client's partner doesn't necessarily violate client confidentiality as it pertains to the partner's care.
B. Providing a copy of the client's medical record to a third party, the transporting paramedic, breaches confidentiality as it exposes the client's private health information to someone not
involved in direct care.
C. Reporting a client's disposition to the referring provider is part of normal care coordination and doesn't typically violate confidentiality.
D. Informing housekeeping staff about a client's location in a specific unit doesn't divulge confidential health information.

A. Incorporate gestures and hand signals when presenting information. B. Involve the client's partner to assist with the teaching session C. Validate understanding by interpreting the client's body language. D. Provide an interpreter when obtaining consent from the client.

Correct Answer is D

Explanation

A. Gestures and hand signals can be helpful but might not fully convey complex medical information.
B. Involving the client's partner can be beneficial but might not ensure accurate communication and understanding.
C. Interpreting body language is essential for communication but might not suffice for comprehensive teaching.
D. Providing an interpreter ensures accurate and complete communication during the teaching session, facilitating understanding and informed consent.

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A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching newly licensed nurses about client confidentiality. The nurse should include that which of the following examples represents a violation of client confidentiality?

Correct Answer is B

Explanation

A nurse is preparing a teaching session with a client who speaks a different language than the nurse. Which of the following interventions should the nurse plan to include?

Correct Answer is D

Explanation

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