NCLEX-RN

Category - Care Management

A nurse just received the report from the previous shift. Which of the following clients should the nurse see first?
  1. A client who has been vomiting for the past 24 hours
  2. A client who is scheduled for a cholecystectomy in a two hours
  3. A client who had tumor lysis syndrome 3 hours ago
  4. A client who has been having pain occurring for short periods of time for the past 24 hours
Explanation
Answer: C - Tumor lysis syndrome is a medical emergency characterized by electrolyte imbalances. The client is at risk for acute renal failure; therefore, he must be the RN’s first priority. The other clients are followed up with, but they are not a priority.
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