NCLEX-PN

Category - Coordinated Care

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After receiving the client assignment for the morning shift, the nurse determines to see which client first:

A 10-year-old boy complaining of pain in his casted arm.
A 3-year-old girl with a low-grade fever.
A 6-year-old boy with diarrhea.
A 2-year-old girl who had difficulty breathing last night.

Explanation

Answer: A - A client complaining of pain in the casted arm is the least stable client. Complaints of pain in the arm could indicate the occurrence of compartment syndrome, which needs further assessment. Although the client in option D deals with difficulty breathing in the previous shift, it does not warrant an urgent assessment.

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