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 A

Explanation

This is because diarrhea can cause a loss of potassium along with water and other electrolytes. Potassium is an important mineral that helps regulate the heartbeat, nerve impulses and muscle contractions. Low levels of potassium can cause symptoms such as weakness, fatigue, muscle cramps, irregular heartbeat and constipation.

Choice B. Hypocalcemia is wrong because diarrhea does not usually cause a loss of

calcium. Calcium is another mineral that helps with muscle and nerve function, blood clotting and bone health. Low levels of calcium can cause symptoms such as numbness, tingling, muscle spasms, seizures and confusion.

Choice C. Hyponatremia is wrong because diarrhea can cause a loss of sodium, but not to the extent that it causes hyponatremia. Sodium is the most abundant electrolyte in the body and it helps regulate fluid balance, blood pressure and nerve and muscle function. Low levels of sodium can cause symptoms such as headache, confusion, nausea, vomiting, seizures and coma.

Choice D. Hypochloremia is wrong because diarrhea can cause a loss of chloride, but not to the extent that it causes hypochloremia. Chloride is another electrolyte that helps maintain fluid balance, blood pressure and acid-base balance. Low levels of chloride can cause symptoms such as weakness, dehydration, alkalosis (high blood pH) and muscle twitching.

The normal ranges for electrolytes in the blood are:

Potassium: 3.5 to 5 mEq/L
Calcium: 8.5 to 10.2 mg/dL
Sodium: 135 to 145 mEq/L
Chloride: 96 to 106

A. Discuss the client’s frequent questions with the family and health care provider. B. Respect the family’s wishes and deny the client has a terminal condition. C. Encourage the client to think positive thoughts and use distraction techniques. D. Honestly tell the client the condition is terminal so preparations can be made.

Correct Answer is A

Explanation

This is the most appropriate action because it respects the client’s right to know and the family’s right to privacy.

It also allows the nurse to collaborate with the family and the healthcare provider to provide the best care for the client.

Choice B is wrong because it violates the client’s autonomy and dignity.

It also prevents the client from making informed decisions about end-of-life care.

Choice C is wrong because it denies the reality of the situation and does not address the client’s concerns.

It also may increase the client’s anxiety and frustration.

Choice D is wrong because it disregards the family’s wishes and cultural values.

It also may cause harm to the client and the family by breaking their trust and creating conflict.

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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

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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