The nurse has been assigned to provide care for four clients on the day shift. Aher hearing the 1500 hand-off report, which client does the nurse prioritize to see first?
A client admitted with pancreatitis who is requesting pain medication
A client post a liver biopsy who has tachycardia and is restless
A client admitted with ulcerative Colts who is requesting an anti-diarrhea
A client postop day with dark red drainage the size of a dime on the dressing
The Correct Answer is B
A. A client admitted with pancreatitis who is requesting pain medication: While pancreatitis causes severe pain, this is not the highest priority. Pain management is important, but it does not indicate an immediate life-threatening issue.
B. A client post a liver biopsy who has tachycardia and is restless: Tachycardia and restlessness following a liver biopsy may indicate internal bleeding due to liver puncture. The liver is highly vascular, and hemorrhage is a serious complication requiring immediate assessment.
C. A client admitted with ulcerative colitis who is requesting an anti-diarrheal: While diarrhea is distressing, this is not life-threatening. The client can be seen after addressing the higher-priority client.
D. A client postop day 1 with dark red drainage the size of a dime on the dressing: Small amounts of dark red drainage are expected postoperatively. This client does not require immediate attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "You are more likely to get it if living in crowded conditions." Crowded conditions increase the risk of hepatitis A, which spreads via the fecal-oral route, not hepatitis C.
B. "It can be caught while getting a tattoo." Hepatitis C (HCV) is a bloodborne virus transmitted through contaminated needles (tattoos, IV drug use, needle-stick injuries, blood transfusions before 1992).
C. "Poor handwashing of restaurant workers may lead to its transmission." Hepatitis A, not C, is transmitted through contaminated food and poor hygiene. Hepatitis C requires direct blood-to-blood contact.
D. "The disease is passed person to person through casual contact." Hepatitis C is not spread by casual contact, kissing, or sharing food/utensils—it requires blood-to-blood exposure.
Correct Answer is D
Explanation
A. "I understand how frustrating this must be for you, just be strong." : While it acknowledges frustration, it dismisses the client’s emotions and offers an unrealistic solution ("just be strong").
B. "Are you thinking about not continuing treatment?" : This response is inappropriate because the client has not indicated nonadherence. It may also make the client feel defensive rather than supported.
C. "You must keep thinking about the good things in your life." : While positive thinking is beneficial, this statement invalidates the client's distress rather than addressing their concerns.
D. "I can see that you are upset. I can sit down and we can talk.": This is a therapeutic response that acknowledges the client’s feelings and provides an opportunity for open discussion, which is key in supporting clients with chronic illnesses.
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.