When evaluating clients in the urgent care center, which client should be seen first? The client:.

with a large laceration on the left scapula.

with a compound fracture of the right tibia.

who is unable to breastfeed her 4 week old.

with a labored respiratory rate of 28.

Answer and Explanation

The Correct Answer is D

The client with a labored respiratory rate of 28 should be seen first because this indicates respiratory distress, which is a life-threatening condition that requires immediate intervention. Respiratory rate is one of the vital signs that are used to assess the severity of a patient’s condition and to triage them accordingly. A normal respiratory rate for an adult is 12 to 20 breaths per minute.

Choice A is wrong because a large laceration on the left scapula is not as urgent as respiratory distress.

A laceration is a wound that involves a cut or tear in the skin, which may cause bleeding, pain, and infection. However, it can be managed with wound care and suturing in the urgent care center.

Choice B is wrong because a compound fracture of the right tibia is not as urgent as respiratory distress.

A compound fracture is a fracture that breaks through the skin, which may cause bleeding, pain, infection, and nerve or blood vessel damage. However, it can be stabilized with splinting and dressing in the urgent care center before transferring to a hospital for further treatment.

Choice C is wrong because being unable to breastfeed a 4 week old is not as urgent as respiratory distress.

Breastfeeding difficulties may be caused by various factors, such as poor latch, low milk supply, sore nipples, or mastitis. However, they can be managed with education, support, and medication in the urgent care center.

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Correct Answer is D

Explanation

The needle gauge size for subcutaneous injections should be between 25 and 31, depending on the patient’s size and the viscosity of the medication.

A smaller gauge number means a larger diameter needle, which can cause more pain and tissue damage.

Choice A is wrong because 8 is too large for subcutaneous injections and can cause bleeding and bruising.

Choice B is wrong because 20 is also too large for subcutaneous injections and can cause similar complications as choice A.

Choice C is wrong because 21 is still too large for subcutaneous injections and can cause discomfort and injury to the patient.

The needle length for subcutaneous injections should be between ½ inch and ⅝ inch, depending on the amount of subcutaneous tissue present. The nurse should pinch the skin and insert the needle at a 45-degree angle to ensure proper delivery of the medication.

A. Metoprolol. B. Hydrochlorothiazide. C. Enoxaparin. D. Atorvastatin.

Correct Answer is B

Explanation

The nurse should hold and notify the prescriber because hydrochlorothiazide is a diuretic that can lower the serum potassium level. The client already has a high serum potassium level of 5.2 mmol/L, which is above the normal range of 3.5 to 5.0 mmol/L.

Giving hydrochlorothiazide could worsen the client’s condition and cause hypokalemia.

Choice A is wrong because metoprolol is a beta-blocker that can lower the blood pressure and heart rate.

The client’s blood pressure and heart rate are not given, so there is no reason to hold metoprolol based on the information provided.

Choice C is wrong because enoxaparin is an anticoagulant that can prevent blood clots. The client has a low platelet count of 98,000/mm, which is below the normal range of 150,000 to 450,000/mm.

However, this does not contraindicate the use of enoxaparin, unless the client has signs of bleeding or bruising.

Choice D is wrong because atorvastatin is a statin that can lower the serum cholesterol

level. The client has a high serum cholesterol level of 250 mg/dL, which is above the desirable level of less than 200 mg/dL.

Giving atorvastatin could help reduce the client’s risk of cardiovascular complications.

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When evaluating clients in the urgent care center, which client should be seen first? The client:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which needle gauge should a nurse select when administering a medication subcutaneously?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

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