NCLEX-PN

Category - Coordinated Care

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After the initial assessment made by the RN, which finding should the LPN give the highest priority when caring for a newly admitted client?

Negative bowel movement after surgery
Serum potassium level of 3.7 mEq/L
Vomitus of bilious quality, measuring about 600 mL per day
Muscle weakness

Explanation

Answer: C - Vomiting 600 mL of gastric content poses a risk for dehydration and electrolyte imbalance. Option A is an expected finding and option D is not an urgent finding. Option B demonstrates the normal serum level of potassium.

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