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 ["1.5"]
Explanation
To prepare a dose of 6 mg of dexamethasone when you have a vial that contains 4 mg/ml, you need to calculate the volume required to achieve the total prescribed dose. The formula to use is: (Desired Dose) / (Concentration of Vial) = Volume to Administer. Plugging in the values: 6 mg / 4 mg/ml = 1.5 ml.
Correct Answer is B
Explanation
A. Completing an incident report is important but comes after ensuring the client's safety.
B. The priority is assessing the client for any adverse reactions or complications related to the incorrect medication.
C. Notifying the nurse manager should follow after the assessment and client stabilization.
D. The provider should be notified after assessing the client and identifying any clinical concerns.
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