Practice Quiz

NCLEX-RN

Category - Care Management

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Nina the New Nurse has floated to the Emergency Department. Which of the following clients should Rick Rescue assign to her?
  1. 23-year-old female, stating “I drank way too many energy drinks cramming for my finals, and my heart feels like its slamming out of my chest.”
  2. 39-year-old female, unconscious, suspected intentional barbiturate overdose (unknown amount).
  3. 20-year-old male, end-stage testicular cancer. Receiving MS Contin for pain. Respiratory rate=10, constricted pupils.
  4. 42-year-old male, stating, “I’ve been trying to quit drinking, it’s been a day, my arms and legs won’t stop twitching”.
Explanation
Answer: C - Nurses floated to another unit should be assigned clients who are considered stable, with expected outcomes. The 20-year-old client with end-stage testicular cancer is presenting with opioid toxicity; however, he is the most stable of these four clients with the least risk of anticipated complications.
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