The nurse receives four clients in the emergency department from triage at the same time. Which client requires the nurse's immediate attention?
Client with an acute allergic reaction
Client with lung cancer reports ongoing cough
Client with dyspnea on exertion
Client with sinus infection with nasal discharge
The Correct Answer is A
A. An acute allergic reaction, especially if involving airway compromise, can be life-threatening and requires immediate attention.
B. The client with lung cancer and a cough is concerning but not as urgent as an acute allergic reaction.
C. Dyspnea on exertion needs evaluation but is not as urgent as a possible airway issue.
D. A sinus infection with nasal discharge is typically not an emergency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"F","dropdown-group-2":"D"}
Explanation
The client's symptoms of profuse sweating, irritability, weight loss, heat intolerance, and bulging eyes are indicative of hyperthyroidism, possibly from Graves' disease. Hyperthyroidism speeds up metabolism, leading to the described symptoms, including increased heart rate.
Continuous telemetry is appropriate for monitoring the heart, as the client is experiencing sinus tachycardia, which is a common finding in hyperthyroidism.
Correct Answer is D
Explanation
A. Asking the client to swallow assesses the glossopharyngeal and vagus nerves.
B. Eliciting the gag reflex also assesses the glossopharyngeal and vagus nerves.
C. Testing visual acuity assesses the optic nerve.
D. The oculomotor nerve (cranial nerve III) controls pupillary response and eye movement, so the nurse should assess the pupillary response to light.
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.