The nurse is caring for clients on a medical floor. Which client should be assessed first?

The hemodialysis client who is experiencing anuria

The client diagnosed with cirrhosis who is complaining of itching

The client diagnosed with peripheral arterial disease who is complaining of pain when walking

The client diagnosed with lupus who is complaining of chest pain

Answer and Explanation

The Correct Answer is D

Choice A reason: Anuria in hemodialysis is expected due to renal failure; it’s not acute unless accompanied by distress, less urgent than chest pain’s potential severity.

Choice B reason: Itching in cirrhosis from bile salts is uncomfortable but not life-threatening, ranking below chest pain, which could indicate critical cardiac or pulmonary issues.

Choice C reason: Pain when walking in PAD (claudication) is chronic and stable, not an immediate threat compared to chest pain, which requires urgent evaluation.

Choice D reason: Chest pain in lupus may signal pericarditis or pleuritis, potentially life-threatening complications, prioritizing assessment for rapid intervention over stable conditions.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: Salmeterol, a long-acting bronchodilator, opens airways in asthma or COPD but doesn’t dilate coronary arteries or improve cardiac ischemia, targeting lungs instead.

Choice B reason: Aspirin prevents clotting by inhibiting platelet aggregation, reducing ischemia risk, but it doesn’t directly dilate coronary arteries or acutely redirect blood flow.

Choice C reason: Digoxin increases cardiac contractility in heart failure, improving output, but it doesn’t dilate coronary vessels or specifically oxygenate ischemic myocardium.

Choice D reason: Nitroglycerin, a vasodilator, relaxes coronary arteries, increasing blood flow to ischemic areas, relieving angina by enhancing oxygen delivery to the heart muscle.

A. Crackles B. Orthopnea C. Jugular venous distention D. Blood-tinged sputum

Correct Answer is C

Explanation

Choice A reason: Crackles indicate pulmonary edema from left-sided heart failure, where fluid backs up into lungs, not right-sided failure, which affects systemic circulation instead.

Choice B reason: Orthopnea, dyspnea when lying flat, results from left-sided failure’s pulmonary congestion, not right-sided failure, which causes systemic venous pooling, not lung issues.

Choice C reason: Jugular venous distention occurs in right-sided heart failure as the right ventricle fails, backing blood into veins, elevating neck vein pressure visibly.

Choice D reason: Blood-tinged sputum suggests pulmonary edema or infarction, tied to left-sided failure or embolism, not right-sided failure’s systemic congestion pattern.

View Question and Answer

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

The nurse is caring for clients on a medical floor. Which client should be assessed first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following medications are going to dilate the coronary arteries and redirect blood flow so that ischemic tissue is oxygenated?

Correct Answer is D

Explanation

Which of the following symptoms is indicative of right-sided heart failure?

Correct Answer is C

Explanation

The nurse is caring for a client who underwent a colon resection yesterday due to having a bowel obstruction. ABGs show metabolic alkalosis. The nurse expects this finding is because of:

Which of the following medications would be appropriate for heart failure treatment?

The nurse is caring for a client with hyperparathyroidism. Which of the following orders from the healthcare provider can be expected to reduce the client's overproduction of calcium? (Select all that apply)

The nurse is caring for a client with left-sided heart failure. Which of the following symptoms correlate to this diagnosis? (Select all that apply)

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?

During thyroid surgery, the client's parathyroid glands have been damaged. Which condition does the nurse expect the client to develop?

The nurse is caring for a client with a diagnosis of emphysema of five years. Which of the following findings should the nurse expect to see during the morning assessment? (Select all that apply)

A client is scheduled to receive peritoneal dialysis. Which of the following is the highest priority action that the nurse should perform before starting dialysis?