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

Do not eat or drink for 12 hours prior to the test. This is because fasting is required for a total serum cholesterol test to get accurate results. Fasting means not eating or drinking anything except water for 9 to 12 hours before the test.

Choice B is wrong because eliminating all dietary cholesterol for one week before the test is not necessary and will not affect the test results. Dietary cholesterol only accounts for a small portion of the total cholesterol in the blood.

Choice C is wrong because avoiding caffeinated beverages for several days prior to the test is not required and will not influence the test results. Caffeine does not affect cholesterol levels.

Choice D is wrong because stopping eating eggs and drinking milk for two days before the test is not needed and will not change the test results. Eggs and milk contain cholesterol, but they also have other nutrients that may lower the risk of heart disease.

Normal ranges for total serum cholesterol are less than 200 mg/dL (5.18 mmol/L) for adults. Higher levels may indicate an increased risk of heart disease and stroke.

A. Maintain trust and avoid behaviors that may increase agitation. B. Order the client to go to their room & alert security. C. Tell the client to sit down or risk isolation and loss of privileges. D. Sedate the client after collecting a lithium level.

Correct Answer is A

Explanation

Maintain trust and avoid behaviors that may increase agitation. This is the priority action because it is important for the nurse to attempt to de-escalate the client and maintain trust.

A. Ordering the client to go to their room and alerting security is not the priority action because it may increase agitation and does not maintain trust.

C. Telling the client to sit down or risk isolation and loss of privileges is not the priority action because it may increase agitation and does not maintain trust.

D. Sedating the client after collecting a lithium level is not the priority action because it does not address the immediate need to de-escalate the situation and maintain trust.

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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

A client is scheduled for a “total serum cholesterol” lab test. Which instruction to the client should be discussed to ensure adequate preparation for the test?

Correct Answer is A

Explanation

A nurse receives report that a client has been pacing the hallway continuously for almost twenty-four hours and talking excessively. Which action is the priority?

Correct Answer is A

Explanation

A client is started on furosemide 80 mg every morning. Which lab result needs to be reported to the health care provider?

Which technique is most reliable to confirm correct placement of a nasogastric tube prior to initiating tube feedings?

Warfarin sodium (Coumadin) is ordered for a client. The client asks the nurse about dietary restrictions while taking this medication. Which of the following foods should be limited?

What is the best question to evaluate a client’s understanding of infection control measures while receiving treatment for hepatitis A?

What does the nurse know to be the goals of client teaching? (Select all that apply).

For optimal pain management, when is the best time to administer prescribed analgesics for a client who had abdominal surgery 12 hours ago?

Which statement, if made by an older client diagnosed with urinary incontinence, indicates a need for further teaching?

A client admitted to the coronary care unit with an inferior wall myocardial infarction is anxious, sweating, tachypneic, and reports midsternal chest discomfort and nausea. Which nursing diagnosis is the priority?