The receptionist working in an outpatient clinic provides the nurse with a list of clients who need a return call from the nurse. The nurse should call the client with which description first?
Hepatitis A complaining of arms and legs itching.
Rheumatoid arthritis having trouble sleeping.
Spinal osteomyelitis with complaint of nausea.
Right leg cast with a tingling down the leg.
The Correct Answer is D
Choice A rationale: This is not an emergency compared to a client with a right cast leg reporting tingling on the leg.
Choice B rationale: This is not an emergency compared to a client with a right cast leg reporting tingling on the leg.
Choice C rationale: This is not an emergency compared to a client with a right cast leg reporting tingling on the leg.
Choice D rationale: This could indicate impaired circulation or nerve compression, which could lead to permanent damage or loss of limb if not treated promptly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: A client with combined partial and full-thickness burns on the anterior chest with a decreased O2 saturation is likely in need of critical care and should not be transferred to a general unit.
Choice B rationale: A client with nephrotic syndrome and mild edema is the most stable and has the least risk of complications among the four options.
Choice C rationale: The client with thyroidectomy has a risk of bleeding and needs frequent assessment of vital signs and dressing.
Choice D rationale: The client with renal transplant has a risk of rejection and infection and needs strict isolation and immunosuppressive therapy.
Correct Answer is B
Explanation
Choice A rationale: Recording the client's pulse volume distal to the IV site is a nursing responsibility as it involves an assessment of circulation.
Choice B rationale: Reapplying cold compresses is a task that UAP can perform to help minimize swelling and discomfort at the extravasation site.
Choice C rationale: Disposing of the IV tubing after the infusion is discontinued is a nursing responsibility to ensure proper disposal and prevent contamination.
Choice D rationale: Teaching the client about the need to keep the extremity elevated involves patient education and is within the scope of nursing practice.
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