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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. A well-defined mass is typically benign, while malignant tumors are often irregular and less defined.

B. Nipple retraction or dimpling can be a sign of a malignant tumor because cancer can cause changes in the breast's structure.

C. Stretch marks are not related to malignancy and are often a result of changes in skin elasticity.

D. Tenderness of the breast is more commonly associated with benign conditions, such as fibrocystic changes, rather than malignancy.

A. Prepare the client for hemodialysis. B. Initiate safety precautions to protect the client from injury. C. Administer to the client prescribed calcium supplement. D. Assess the client for tetany. E. Educate the client to avoid foods that are high in calcium.

Correct Answer is ["B","C","D"]

Explanation

A. Hemodialysis is not indicated for a low calcium level unless associated with severe renal failure or other metabolic disturbances.

B. Safety precautions are important due to the risk of fractures or injury caused by weakened bones and muscle spasms related to hypocalcemia.

C. Administering prescribed calcium supplements is a key intervention to correct hypocalcemia.

D. Tetany, a sign of severe hypocalcemia, should be assessed as it can lead to muscle cramps and spasms.

E. Educating the client to avoid foods that are high in calcium would not be appropriate, as the client requires calcium to address the low levels.

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The nurse receives four clients in the emergency department from triage at the same time. Which client requires the nurse's immediate attention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a physical examination of a client's breast, which finding would the nurse recognize as a possible indication of a malignant tumor?

Correct Answer is B

Explanation

A nurse in the outpatient clinic is caring for a client with a serum calcium level of 7.5 mg/dL (8.5-10.2 mg/dL). What nursing intervention is most important when providing care for this client? (Select All That Apply).

Correct Answer is ["B","C","D"]

Explanation

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